Building: Bourbon Cataratas Convention Centre, Foz do Iguaçu
Room: Iguazu I
Date: 2014-05-05 04:15 PM – 04:30 PM
Last modified: 2014-02-09
Abstract
Introduction: Cerebral palsy (CP) is a common pediatric disorder occurring in about 2 to 2.5 per 1000 live births. It is a chronic motor disorder resulting from a non-progressive (static) insult to the developing brain. The aim of study was to identify the risk factors & clinical patterns of CP
Methods: A case-control study was conducted to investigate the risk factors of CP. The cases were 60 CP children who were admitted to a AVBRH hospital, Sawangi from Jan 2012 to Dec 2012 and controls (n=120) matched for sex & age were selected without CP who were admitted during the same period. The detailed history and neurological examination was done to confirm the diagnosis of CP.
Results: Spastic CP was the commonest type (76%), while mixed and atonic CP was the least type. Quadriplegic CP(68%) was the commonest topographical subtype. 72% of cases were born at term whereas 28% were preterm. Factors associated with an increased risk of CP were: abruptio placenta, premature rupture of membranes, prematurity, preterm labour, cesarean section and low birth weight. Septicemia, meningitis, hyperbilirubinemia and neonatal convulsion were associated with an increased risk of CP in the neonatal period. In the logistic regression models prematurity and asphyxia were significantly associated with an increased risk of CP.
Conclusion: The most common clinical pattern of CP was spastic quadriplegic CP. Neonatal convulsion, neonatal jaundice, neonatal infection and antepartum hemorrhage are significant risk factors that can increase the prevalence of CP.
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References
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