Male sex preponderance in cerebral palsy

Tatavarti, Srinivasa Rao; Garimella, Rajasekhara Rao; Tdp, Subbalakshmi

doi:10.22271/ortho.2018.v4.i3d.37

Cited by 3 publications

(1 citation statement)

References 19 publications

(21 reference statements)

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“…A male preponderance was observed in our study with male to female ratio of 2:1 similar to other studies. Male sex preponderance has been reported in a number of studies by Tatavarti et al, [12] Johnson [13] in Europe, Laisram et al, [14] and Das et al [10] in India.…”

Section: Resultsmentioning

confidence: 85%

A study of clinico etiological profile of children with cerebral palsy in a tertiary care centre

Ravula,

Kankala,

Alladi

et al. 2023

Eureka: HS

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The clinical spectrum of Cerebral palsy (CP) can differ in various places depending upon the knowledge of the people and resources for prevention, diagnosis and management. Although studied extensively in high-resource countries, adequate data related to CP from resource-constraint settings are lacking. The aim: The present study is a descriptive study done on clinical profiles, aetiology, and comorbidities. Materials and methods: Present study is a hospital-based descriptive study of 80 children with Cerebral Palsy from January 2020 to June 2021 (18 months) admitted to Niloufer Hospital for Child Health, cases chosen as per inclusion criteria guided by "The Definition and classification of cerebral palsy, April 2006 International consensus". Clinical history and clinical examination and necessary investigations using a systematically designed proforma Results: The most common types were spastic type (78.9 %) and hypotonic type (12.5 %). Spastic quadriparesis (55 %) was the most common among subtypes. Males were more affected than females, with more rural than urban distribution. 48.8 % belonged to the lower middle and 37.5 % to the upper lower class of socio-economic status. Consanguinity was observed in 33 %, and 3 % had a similar family history. A high incidence (65 %) was seen in firstborn children. Term gestation was commonest at 87 % and prematurity at 13 %. 91.3 % of the cases were institutional deliveries. For causes of cerebral palsy, 45 % required resuscitation at birth, 2.5 % had neonatal sepsis, 1.25 % had a cerebral malformation, 7.5 % had an intracranial bleed, 7.5 % had post-meaning encephalitic sequelae, 1.3 % had TORCH infection. Comorbidities Like mental retardation were seen in 90 %, seizure disorder in 87.5 %, visual problems in 24.8 %, hearing problems in 13.75 %, 56.25 % of cases were malnourished. Conclusions: Comorbidities are significantly observed in cases of cerebral palsy. Appropriate screening and management of comorbidities, especially vision, hearing, speech, seizures, and nutrition, improve the overall prognosis in cases of Cerebral palsy.

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Section: Resultsmentioning

confidence: 85%

A study of clinico etiological profile of children with cerebral palsy in a tertiary care centre

Ravula,

Kankala,

Alladi

et al. 2023

Eureka: HS

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Study on Etiological Factors, Clinical Pattern and Comorbidities in Cerebral Palsy Children of North Bihar Region

Kumar¹,

Mishra²,

Nirala³

et al. 2020

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A Cross-Sectional Study of Clinical Profile of Cerebral Palsy Patients Visiting a Government Tertiary Care Hospital From Maharashtra, India

Mundada¹,

Mandlecha

Khaire

et al. 2020

PIJR

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Cerebral palsy has emerged as one of the major causes of childhood disability in India. In low and middle income countries there are gaps in knowledge in the spheres of epidemiological research, intervention and service utilization. AIMS AND OBJECTIVES: This study describes the clinical features associated problems of children with CP visiting a government tertiary care Hospital from Maharashtra, India. Materials and Methods: This was cross sectional retrospective observational study conducted on 78 children of cerebral palsy. Result: Among 78 enrolled children, maximum 50%(n=39) of children were between1-3yr age group with male to female ratio was 1.05:1. History of consanguinity was seen in 35.9% (n=28) subjects, 69.2%(n=54)of subjects were from the urban area. 78.2% (n=61) subjects were born term , 65.3%(n=51) cases had a history of NICU stay with the most common etiological factor being birth asphyxia seen in 38.4 %( n=30) subjects followed by sepsis in 29.5% subjects (n=23). Most common type of cerebral palsy was spastic 87.1% followed by dyskinetic 10.2%. Most of the participants were at GMFCS level IV and V (23.1% and 47.4% respectively). 78.2% subjects were having feeding problems, 43.6% had associated epilepsy. Majority of our subjects had Microcephaly (69.2%) and malnutrition (74.3%). MRI was done in only 34.6% of subjects with most common finding being periventricular white matter injury (PVWMI)). Conclusion: It is suggested that rehabilitation clinics should be set up for CP patients at every government medical college so that parents can be made aware of the disease, handicaps, prognosis, and management.

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Male sex preponderance in cerebral palsy

Cited by 3 publications

References 19 publications

A study of clinico etiological profile of children with cerebral palsy in a tertiary care centre

A study of clinico etiological profile of children with cerebral palsy in a tertiary care centre

Study on Etiological Factors, Clinical Pattern and Comorbidities in Cerebral Palsy Children of North Bihar Region

A Cross-Sectional Study of Clinical Profile of Cerebral Palsy Patients Visiting a Government Tertiary Care Hospital From Maharashtra, India

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