Clinical patterns of cerebral palsy with complications and neurodisabilities associated with cerebral palsy

Anmar Jumaa Ghali,Ahmed Adnan Nabat,Khalid Ayad Al-Majmae

doi:10.52113/1/2410-4590/2021-54-61

Abstract

Cerebral palsy was a primary neuromotor disorder that affects the development of movement, muscular tone and posture due to injury to the developing brain in prenatal, natal, or post-natal period. cp is non progressive disease but it is changeable features with period. The objective of this study is to identify clinical types of cerebral palsy and neuro-disabilities associated with cerebral palsy patient. Data (2019-2020) on 100 children of cerebral palsy in central teaching hospital in Baghdad analysis include clinical patterns of cerebral palsy and topographic classification of spastic cerebral palsy. also, the complication and neurological disabilities associated with cerebral palsy. In this analysis found most of cerebral palsy patients (84%) were spastic according to topographic classification, (47%) of spastic cerebral palsy was diplegic type. (29%) quadriplegic cerebral palsy and (8%) of hemiplegic cerebral palsy. About neurological complication and disabilities associated with cerebral palsy, (79%) of cerebral palsy patients had speech disturbance. (53%) had epilepsy, (43%) Micro acephaly, (32%) of patients had growth retardation, (29 %) had ocular problems, and (15%) of cerebral palsy patients had mental retardation. In conclusions; the most common type of cerebral palsy was spastic cerebral palsy & according to a topographic classification diplegic spastic cerebral palsy was the most common type of Spastic cerebral palsy. About neurodisabilities associated with cerebral palsy, the most common disabilities were speech disturbance and epilepsy.

Highlights

The definition of cerebral palsy according to multi studies as primary neuromotor disorder that affects the development of movement, muscular tone and posture [1,2,3]
CP defined as group of permanent disorders of movement and posture, causing activity Limitation, that are attributed to non-progressive disturbances that occurred in the developing fetal or immature brain. the motor disorders of cp are often accompanied by disturbance of sensation, perception, Cognition, Communication and behavior, by epilepsy and by secondary musculoskeletal problems [1]
Most children with spastic diplegia have normal cognitive function and good prognosis for independent ambulation, spastic quadriplegia Comprises 20% of children with cp and this clinical phenotype is associated with premature birth and neuroimaging show severe periventricular leukomalacia and multiCystic Cortical encephalomalacia [3,4, 10, 14, 15]

Summary

Introduction

The definition of cerebral palsy (cp) according to multi studies as primary neuromotor disorder that affects the development of movement, muscular tone and posture [1,2,3]. The most common neuropathologic finding seen on neuroimaging is periventricular leukomalacia [2, 3,15] In spastic diplegia, both the motor Corticospinal and the thalamocortical pathways are affected [2, 3]. Most children with spastic diplegia have normal cognitive function and good prognosis for independent ambulation, spastic quadriplegia Comprises 20% of children with cp and this clinical phenotype is associated with premature birth and neuroimaging show severe periventricular leukomalacia and multiCystic Cortical encephalomalacia [3,4, 10, 14, 15]. The information about examination of patient and controlled group to assessed type of cp and degree of motor handicap with associated neurological disability as epilepsy, mental retardation, ocular problem, deafness, motor dysfunction, Speech disorder, growth retardation Microcephaly, Joint contracture.

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