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
Related Articles
- EP ID EP318802
- DOI -
- Views 109
- Downloads 0
Effect of antenatal breastfeeding counselling done in-hospital prior to delivery on breast feeding outcomes amongst mothers admitted at a tertiary care hospital in middle India
Introduction: Antenatal counseling and postnatal support aided early initiation and exclusive breastfeeding ensure optimum childhood nutrition and reduced morbidity/mortality. Objective: To evaluate the effect of immedia...
A study of causes of respiratory distress in neonates presenting within 72 hours
Objectives: to determine the prevalence of known causes of respiratory distress (RD) in neonates within 72 hours and their immediate clinical outcome. Material and methods: All inborn and out born neonates admitted in Ne...
Hypernatremic dehydration in exclusively breast fed neonates: a clinical study
Introduction: Neonatal hypernatremic dehydration is a very serious condition and there has been an increase in the incidence of hypernatremic dehydration in breast fed infants in the first week of life. Hypernatremia in...
Association of BMI, socioeconomic status and menarche age with anemia in rural school going adolescent girls
Background: India has the world’s highest prevalence of anemia among women and adolescent girls. Rural adolescent girls are particularly vulnerable to develop anemia.Aims and Objectives: To study the prevalence of anemia...
Cerebro arteriovenous malformation presenting as recurrent epistaxis: a rare entity
An arteriovenous malformation is an abnormal tangle of blood vessels in the brain or spine. Some AVM's have no specific symptoms and little or no signs to one's life or health, while others cause severe and devastating e...