A STUDY OF ETIOLOGICAL FACTORS AND CO-MORBIDITIES ASSOCIATED WITH CEREBRAL PALSY
Journal Title: INTERNATIONAL JOURNAL OF ADVANCED MEDICINE - Year 2017, Vol 1, Issue 2
Abstract
INTRODUCTION: Cerebral palsy is a diagnostic term used to describe a group of permanent disorders of movement and posture which cause activity limitation, that are attributed to non-progressive disturbances in the developing fetal or infant brain. For India, the estimated incidence was about 3 per 1000 live births; however, being a developing country, the estimated actual gure might be much higher. causes of CP such as prematurity, perinatal asphyxia and prematurity. RESULTS: Mean age of the patients was 5.2 ± 3.2 years (Range 2 to 12 years). 56.2% patients were 2 –5 years old, 28.8% were 5.1 – 9 years old and 15% were 9.1 – 12 years old. Majority of the patients were males (63%) with male to female ratio of 1.7:1. Antenatal history of patients' mothers had found that 10.9% had PIH, 5.4% had GDM, 2.7% had toxoplasmosis, 1.4% had CMV infection and 1.4% had Twin gestation. Perinatal history of the patients had found that 31.5% had perinatal asphyxia, 24.6% were premature, 10.9% had neonatal sepsis, 4.1% had prematurity with neonatal sepsis, 2.7% had neonatal seizure, 2.7% had anomalies of brain and 1.4% had neonatal hyperbilirubinemia. Postnatally 1.4% patients had developed CP as post meningitis sequelae. Most common co-morbidity in CP patients was epilepsy (57.5%), while other co-morbidities were visual impairment (49.3%), dental caries (32.9%), mental retardation (26%), bowel or bladder incontinence (24.7%), feeding difficulties (20.6%), auditory impairment (20.6%), malnutrition (19.2%) and language-speech disorder (5.5%). CONCLUSION: Retrospective study helps in the diagnosis of the probable cause and early intervention prevents in the development of comorbidities in cerebral palsy
Authors and Affiliations
Dr. Kanika Gulati, Dr. Renuka Jadhav, Dr. Sharad Agarkhedkar
Keywords
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