Clinical, Neurodevelopmental and Etiological profile of children with Cerebral Palsy
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2014, Vol 1, Issue 1
Abstract
Background: Clinical spectrum of cerebral palsy (CP) is different in developing and developed countries. We evaluated the clinical profile, etiological factors and co-morbidities of children with CP in central India. Methods: 50 children with CP came to the hospital in our rehabilitation center were compared with our previous study done in India and western countries. Results: Spastic quadriplegia is the commonest type of CP (90%). Birth asphyxia remains the main (48%) etiological factor. Prematurity was second most common (22%), Pre-eclamsia (10%), convulsions (10%), infection (8%) and pathological jaundice (8%) other important etiological factors. due to bilirubin-encephalopathy remained same (∼30%). Microcephaly (56%), Speech problems (34%), seizures (36%), auditory defect (8%) and visual defect (4%) are common co-morbidities. Common neuroimaging findings include cortical atrophy (50%), periventricular leukomalacia (12.5%) and developmental defect (12.5%). Conclusion: The spectrum of CP is evolving in the developing countries. Lack of proper antenatal and perinatal care, malnutrition and infections appeared to be the major factors for development of CP.
Authors and Affiliations
D Sharad Gedam, Umesh Patel, Jyotsna Shrivastav, Narmada Patel, Bhupendra Kumar Ratre
Keywords
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