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Comparison of Clinical Profile in Spastic Diplegic and Quadriplegic Cerebral Palsy
| Content Provider | Semantic Scholar |
|---|---|
| Author | كريم, Adel A. Kareem عادل عبد الاله |
| Copyright Year | 2012 |
| Abstract | Background and aim: Cerebral palsy refers to a group of non progressive, but often changing motor impairment syndrome. This study compares clinical profile & neuroimaging findings in children with spastic diplegic cerebral palsy & spastic quadriplegic cerebral palsy Methods: One hundred & seventy one (171) children with spastic cerebral palsy , aged 12-60 mo.(median 30 mo.) were classified into 2 groups; Spastic diplegic (n=78) & Spastic quadriplegia (n=93). Risk factors of cerebral palsy, gross motor function classification system, associated neurological diseases & neuroimaging finding were analyzed. Result: Risk factors were mainly prematurity & birth asphyxia were present in similar percentage in both groups .The children with spastic quadriplegia were classified more frequently into level 4 & 5 of gross motor function classification system while children with spastic diplegia were classified level more frequently into level 2 & 3. Global delay, epilepsy & speech delay were observed more frequently in the children with spastic quadriplegia. Cerebral atrophy occurred more frequently in the quadriplegic cerebral palsy. Conclusion: These findings suggest different cerebral palsy subtypes demonstrate various clinical profiles. Key word: cerebral palsy, Spastic diplegia, Spastic quadriplegia. Introduction Cerebral palsy refers to a group of non progressive, but often changing motor impairment syndrome secondary to lesions or anomalies of the brain arising in the early stages of development . One of the most common congenital or acquired neurological diseases is primarily motor with or without mental or other developmental deficits . Spastic diplegia (sd) is one of the most common clinical subtypes of cerebral palsy regardless of birth weight & gestation, occurring in 53% of patients in one series. Spastic quadriplegia (sq) is the most severe type of cerebral palsy with pareses of the upper limbs being & the same degree or more severe than those of the lower limbs , recently some studies have compared two forms of hemiparetic cerebral palsy (5). The diversity of individuals with cerebral palsy together with the range of severity & complications make this condition a challenge for health care system . The aim of this study is to compare clinical profile, associated condition, neurological images, risk factors & gross motor function abnormalities in children with SD cerebral palsy versus sq cerebral palsy. Patients & methods Neurosciences teaching hospital is the first &largest hospital having paediatric neurology department with rehabilitation department and professional management. From Feb. 2010 to Oct. 2010 a total of 171children were involved in this study 97male and 74 female with SD and qd children, 93 quadriplegia & 78 were diplegic cerebral palsy. The study is a cross-section study with analytic purpose. The diagnosis of cerebral palsy was confirmed in each case in paediatric neurology department. Children with neurodegenerative disorder were excluded from the study. Cerebral palsy was classified as spastic quadriplegia sq (spasticity of all four limbs & of similar involvement), & spastic diplegia SD (spasticity of lower limbs being greater than upper) . Epilepsy was defined as a separate occurrence of two or more apparently unprovoked seizures . The diagnosis of epilepsy was based on history from reliable eye witness account and electroencephalogram (EEG) finding. Term delivery was defined as birth occurring at 37 weeks or more of gestation, preterm delivery defined as birth occurring of less than 37 weeks gestation, low birth weight ; weight less than 2500 gms. Any complication occurring within the intrapartum period until the 1 24 hours would define the perinatal period as abnormal or (birth asphyxia), an abnormal or worrisome intrapartum fetal heart tracing such as fetal bradycardia & variable or late decelerations, was defined as fetal distress, when available, Apgar scores were included and asphyxia is defined as any Apgar score ≤ 4 . |
| Starting Page | 253 |
| Ending Page | 256 |
| Page Count | 4 |
| File Format | PDF HTM / HTML |
| Volume Number | 25 |
| Alternate Webpage(s) | http://www.iasj.net?aId=69330&func=fulltext |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
