A clinical study of children with cerebral palsyin a tertiary care in Assam
Keywords:
Cerebral palsy, Etiology, High risk clinic
Abstract
Introduction:Cerebral Palsy is not a disease but a condition affecting health and well being of a child. Reports claim a rising incidence of cerebral palsy. Fifty children with cerebral palsy were studied to find out the etiological factors and the clinical findings.
Method: A retrospective, cohort, observational study was done in 50 children with cerebral palsy attending the department of Pediatric,Tezpur Medical College, Assam from Feb 2016 to Nov 2017.
Results:Male to female ratio was 7:3. Prenatal, natal and postnatal factors were found in 16%, 30% and 38% of cases respectively. In 8% of cases, cause was unknown.Birth Asphyxia was the commonest cause and spasticity was the commonest clinical type. Epilepsy and speech defect were the commonest problems associated with cerebral palsy. In 86% of cases the cause of 1stconsultation was after 3 years with complain of not able to walk. Of all the cases 6% were diagnosed at High Risk Clinic at around 6 months of age.
Conclusions: This study suggestsimprovement of maternal and child health care and follow up of high riskchildren from birth onwards.
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References
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31. Gowda VK, Kumar A, Shivappa SK, Srikanteswara PK, Shivananda, Mahadeviah M S, Govindraj M, Ramaswamy P. Clinical profile, predisposing factors, and associated co-morbidities of children with cerebral palsy in South India. J PediatrNeurosci. 2015;10:108-13
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34. Wang LW, Lin YC, Wang ST, et al. Hypoxic/ischemic and infectious events have cumulative effects on the risk of cerebral palsy in very-low-birth-weight preterm infants. DOI:10.1159/000362782
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36. Freire G, Shevell M, Oskoui M. Cerebral palsy: phenotypes and risk factors in term singletons born small for gestational age. doi: 10.1016/j.ejpn.2014.12.005. Epub 2014 Dec 17.[pubmed]
37. Trønnes H, Wilcox AJ, Lie RT, et al. Risk of cerebral palsy in relation to pregnancy disorders and preterm birth: a national cohort study. DOI:10.1111/dmcn.12430.[pubmed]
38. Hirvonen M, Ojala R, Korhonen P, et al. Cerebral palsy among children born moderately and late preterm. doi: 10.1542/peds.2014-0945.[pubmed]
39. Patel DR. Therapeutic interventions in cerebral palsy. Indian J Pediatr. 2005 Nov;72(11):979-83.[pubmed]
2. Pakula AT, Van Naarden Braun K, Yeargin-Allsopp M. Cerebral palsy: classification and epidemiology. DOI:10.1016/j.pmr.2009.06.001.[pubmed]
3. Stanley FJ. The aetiology of cerebral palsy. Early Hum Dev. 1994 Feb;36(2):81-8.[pubmed]
4. Wolraich M, Droter D, Dworkin P, Perrin E. Developmental-behavioralpediatrics. Evidence Practice. 2008;14:483-517.
5. Trabacca A, Vespino T, Di Liddo A, Russo L. Multidisciplinary rehabilitation for patients with cerebral palsy: improving long-term care. DOI:10.2147/JMDH.S88782
6. B Hagberg et al. The origins of cerebral palsy. Recent advances in pediatrics 11th Ed TJ David. .https://core.ac.uk
7. Mitchell R G, The general medical and neurological features in cerebral palsy in childhood and adolescence. EdingurghChirchill Livingstone 1961; 37-72
8. Chaudhary S, Kulkarni S. Neurological assessment of high risk infants. Bulletin of National Neonatology Forum 2013; 4:4
9. Prentiss KA, Dorfman DH. Pediatric ophthalmology in the emergency department.DOI:10.1016/j.emc.2007.11.001.[pubmed]
10. Skullerud E, Linaker OM, Svenning AC, Torske H. [Mental health among mentally disabled persons]. Tidsskr Nor Laegeforen. 2000 Nov 10;120(27):3246-8.[pubmed]
11. The development of the infant and young child- normal and abnormal. 9th Ed Illingworth RS, Churchill Livingstone
12. Vyas AG, Kori VK, Rajagopala S, Patel KS. Etiopathological study on cerebral palsy and its management by ShashtikaShaliPindaSweda and SamvardhanaGhrita. DOI:10.4103/0974-8520.115450.[pubmed]
13.Torjesen I. NICE publishes guideline on diagnosing and managing cerebral palsy in young people. BMJ. 2017 Jan 26;356:j462. doi: 10.1136/bmj.j462.[pubmed]
14. MedIndia Inc; c1997-2013. [updated on 2010 Oct 04; Accessed on 2013 Jan 22]. Medindia.net [homepage on the Internet]. Kathy Jones. Incidence of Cerebral Palsy Remains Constant in India on Indian Health News. Available from:http://www.medindia.net/news/Incidence-of-Cerebral-Palsy-Remains-Constant-in-India-74912-1.htm .
15.cdc.gov [homepage on the Internet] Atlanta: Centers for Disease Control and Prevention. [last updated 2012 Sep 7; accessed on 2013 Jan 22]. Available from: http://www.cdc.gov/ncbddd/cp/index.html. [pubmed]
16. Longo M1, Hankins GD. Defining cerebral palsy: pathogenesis, pathophysiology and new intervention.MinervaGinecol. 2009 Oct;61(5):421-9.[pubmed]
17. Yeargin-Allsopp M, Van Naarden Braun K, Doernberg NS, et al. Prevalence of cerebral palsy in 8-year-old children in three areas of the United States in 2002: a multisite collaboration. DOI:10.1542/peds.2007-1270.[pubmed]
18. Laisram N, Srivastava VK, Srivastava RK. Cerebral palsy--an etiological study. Indian J Pediatr. 1992 Nov-Dec;59(6):723-8.[pubmed]
19. Ashour BM, Sewasi M. Risk Factors & Complications of Cerebral Palsy in Misurata Hospital –LIBYA; Sch J App Med Sci. 2013;1(6):814-8.
20. V. Soumya, K. V. Phani Madhavi A study on maternal and perinatal risk factors of cerebral palsy among children attending a cerebral palsy clinic in Visakhapatnam. International Journal of Community Medicine and Public Health Soumya V et al. Int J Community Med Public Health. 2018 Jan;5(1):317-321.
21. Wood E. The child with cerebral palsy: diagnosis and beyond.DOI:10.1016/j.spen.2006.09.009
22. Odding E, Roebroeck ME, Stam HJ. The epidemiology of cerebral palsy: incidence, impairments and risk factors. DOI:10.1080/09638280500158422.[pubmed]
23. Ndiaye M, Thiam A, Bagnou S, et al. [Cerebral palsy in Dakar]. Dakar Med. 2002;47(1):77-80.[pubmed]
24. Chitra sarkar, nandinimundkur cerebral palsy- definition, classification, etiology and early diagnosis the ind jour of pediatrics oct 2005,vol 72 issue 10, p 865-868.
25. Hurley DS, Sukal-Moulton T, Gaebler-Spira D, et al. Systematic Review of Cerebral Palsy Registries/Surveillance Groups: Relationships between Registry Characteristics and Knowledge Dissemination. DOI:10.4172/2329-9096.1000266
26. Das N, Bezboruah G, Das I. Study on the Clinical Profile of Patients with Cerebral Palsy. IOSR J Dental Med Sci. 2016;15(7):54-8. www.ijpediatrics.com
27. Ashour BM, Sewasi M. Risk Factors & Complications of Cerebral Palsy in Misurata Hospital –LIBYA; Sch J App Med Sci. 2013;1(6):814-8.
28. Sushma Nangia, Atul Gupta.Follow up of high risk infant and early intervention- an Overview Journal of Neonatology Vol 1, No 1,Sept-Nov 2001; p63-74
29. Rosenbaum P. Cerebral palsy: what parents and doctors want to know. DOI:10.1136/bmj.326.7396.970.[pubmed]
30. V. Soumya, K. V. Phani Madhavi A study on maternal and perinatal risk factors of cerebral palsy among children attending a cerebral palsy clinic in Visakhapatnam. International Journal of Community Medicine and Public Health Soumya V et al. Int J Community Med Public Health. 2018 Jan;5(1):317-321
31. Gowda VK, Kumar A, Shivappa SK, Srikanteswara PK, Shivananda, Mahadeviah M S, Govindraj M, Ramaswamy P. Clinical profile, predisposing factors, and associated co-morbidities of children with cerebral palsy in South India. J PediatrNeurosci. 2015;10:108-13
32. Sharma P, Sharma U, Kabra A. Cerebral palsy--clinical profile and predisposing factors. Indian Pediatr. 1999 Oct;36(10):1038-42.[pubmed]
33. Slattery MM, Morrison JJ. Preterm delivery. Lancet. 2002 Nov 9;360(9344):1489-97.[pubmed]
34. Wang LW, Lin YC, Wang ST, et al. Hypoxic/ischemic and infectious events have cumulative effects on the risk of cerebral palsy in very-low-birth-weight preterm infants. DOI:10.1159/000362782
35. Neufeld MD, Frigon C, Graham AS, Mueller BA. Maternal infection and risk of cerebral palsy in term and preterm infants. DOI:10.1038/sj.jp.7211219.[pubmed]
36. Freire G, Shevell M, Oskoui M. Cerebral palsy: phenotypes and risk factors in term singletons born small for gestational age. doi: 10.1016/j.ejpn.2014.12.005. Epub 2014 Dec 17.[pubmed]
37. Trønnes H, Wilcox AJ, Lie RT, et al. Risk of cerebral palsy in relation to pregnancy disorders and preterm birth: a national cohort study. DOI:10.1111/dmcn.12430.[pubmed]
38. Hirvonen M, Ojala R, Korhonen P, et al. Cerebral palsy among children born moderately and late preterm. doi: 10.1542/peds.2014-0945.[pubmed]
39. Patel DR. Therapeutic interventions in cerebral palsy. Indian J Pediatr. 2005 Nov;72(11):979-83.[pubmed]
CITATION
DOI: 10.17511/ijpr.2018.i07.03
Published: 2018-07-31
How to Cite
Dr Dipti Devi, Dr D Sharad Gedam, & Ms Mamta Verma. (2018). A clinical study of children with cerebral palsyin a tertiary care in Assam. Pediatric Review: International Journal of Pediatric Research, 5(7), 355-361. https://doi.org/10.17511/ijpr.2018.i07.03
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Copyright (c) 2018 Author (s). Published by Siddharth Health Research and Social Welfare Society
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