Clinical profile of pediatric patients with cerebral palsy
Background and Aim: Cerebral Palsy (CP) describes a group of permanent disorders of the development of movement and posture, causing activity limitation, that is attributed to nonprogressive disturbances that occurred in the developing fetal or infant brain. Hence the present study was planned with the sole objective to study the clinical profile of patients of cerebral palsy and to assess the spectrum of functional disability.
Materials and Methods: A total of 100 consecutive children diagnosed as cerebral palsy attending the pediatric department and Rehabilitation center were included in the study. Participants were examined forbehavioral problems like Pervasive Developmental Disorders (PDD) and ADHD. Complete evaluation of a child with CP included an assessment of associated deficits like vision, speech and hearing, oromotor evaluation, epilepsy, and cognitive functioning.
Results:Out of 1000 cases studied, spastic cerebral palsy was the commonest physiological type of cerebral palsy (82%). atonic, athetoid, and dystonic types formed the rest of the 18% of cases. Among the spastic group, quadriplegia was the commonest topographical type (48%) followed by diplegia (24%). The study showed 96% of patients were mentally retarded. In the study, 48% ofchildren with CP had a seizure disorder.
Conclusion: Spastic cerebral palsy was the commonest clinical type of cerebral palsy withquadriplegia being the most common topographical type of spastic cerebral palsyfollowed by diplegia as observed in this study. The prevalenceof behavioral problems like autism spectrum disorder and ADHD in the clinical sampleof children with CP was found to be 10%.PDD is not rare in CP and should be considered in patients with other comorbid conditions.
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