Clinical Profile, Associated Co-morbidities and Risk Factors of Cerebral Palsy in Children in Sohag, Egypt | ||||
| The Egyptian Journal of Community Medicine | ||||
| Article 5, Volume 36, Issue 2, April 2018, Page 49-56 PDF (231.24 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejcm.2018.11049 | ||||
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| Abstract | ||||
| Background: Cerebral palsy (CP) is a group of permanent disorders of movement and posture resulting from a non-progressive lesion to an immature brain. Objective: is to identify the prevalent subtypes, associated co-morbidity and risk factors of CP among children less than 12 years in Sohag, Egypt. Method: a case control study was conducted where 122 cases of CP attending the neuropediatric clinic of Sohag University Hospital were compared to age and sex matched control group (280 normal children) as regard history of prenatal, perinatal and postnatal risk factors of CP. Data related to the subtype and associated co-morbidity were also collected from the studied cases of CP. Results: Among the studied cases of CP, 45% had quadriplegia, 9.8% and 6.5% had hemiplegia and paraplegia respectively. 77.8% had spastic CP and 65% had hypertonia. 65% of cases had intellectual sub-normality, 29.5% of cases had epilepsy, 25% and 15% of cases had visual and hearing impairment respectively and 23.3% of the cases suffered from contracture. History of perinatal asphyxia and post natal encephalitis were the only detected significant risk factors for CP. Conclusion: The most common type of CP detected in our locality was severe spastic (hypertonic) quadriplegia level IV, these findings were attributed to the most common risk factors of CP in our locality which were hypoxic–ischemic encephalopathy and CNS infections. Appropriate screening and management of co-morbidities especially vision, hearing and seizures, improve the overall prognosis in cases of CP. | ||||
| Keywords | ||||
| Cerebral palsy; risk factors; Neuropediatric | ||||
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