Research Paper

A Study Of Etiological Factors And Co-morbidities Associated With Cerebral Palsy

Abstract :

INTRODUCTION: Cereal palsy is a diagnostic term used to describe a group of permanent disorders of movement and posture which cause activity limitation, that are attributed to non-progressive disturbances in the developing fetal or infant ain. For India, the estimated incidence was about 3 per 1000 live births; however, being a developing country, the estimated actual figure might be much higher. causes of CP such as prematurity, perinatal asphyxia and prematurity. RESULTS: Mean age of the patients was 5.2 3.2 years (Range 2 to 12 years). 56.2% patients were 2 5 years old, 28.8% were 5.1 9 years old and 15% were 9.1 12 years old. Majority of the patients were males (63%) with male to female ratio of 1.7:1. Antenatal history of patients mothers had found that 10.9% had PIH, 5.4% had GDM, 2.7% had toxoplasmosis, 1.4% had CMV infection and 1.4% had Twin gestation. Perinatal history of the patients had found that 31.5% had perinatal asphyxia, 24.6% were premature, 10.9% had neonatal sepsis, 4.1% had prematurity with neonatal sepsis, 2.7% had neonatal seizure, 2.7% had anomalies of ain and 1.4% had neonatal hyperbilirubinemia. Postnatally 1.4% patients had developed CP as post meningitis sequelae. Most common co-morbidity in CP patients was epilepsy (57.5%), while other co-morbidities were visual impairment (49.3%), dental caries (32.9%), mental retardation (26%), bowel or bladder incontinence (24.7%), feeding difficulties (20.6%), auditory impairment (20.6%), malnutrition (19.2%) and language-speech disorder (5.5%). CONCLUSION: Retrospective study helps in the diagnosis of the probable cause and early intervention prevents in the development of co-morbidities in cereal palsy

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