Abstract
Background: Cerebral palsy (CP) is a non-progressive, everlasting neurological disorder of movement, posture, and physical activities, with a prevalence of 2.2-3.3/1,000. CP is a condition that occurs globally, with a similar prevalence in both developed and undeveloped countries. However, the etiology differs according to the socioeconomic status of the countries. The objective is to determine the pattern and the contributing factors of CP among Sudanese children.Methods: This was a retrospective hospital-based study conducted over a period of three years in a pediatric referral hospital in Khartoum, Sudan. One hundred and eight patients of CP were enrolled, of whom 59 (54.6%) were males and 49 (45.4%) were females.Results: Spastic quadriplegic CP was the most common type. Most cases were from lower social classes. Prenatal, antenatal, and unclassified CP were found in 45 (41.7%), 31 (28.7.%), 23 (21.3%), and 9 (8.3%) cases, respectively. Birth asphyxia, neonatal jaundice, Toxoplasma gondii, rubella virus, cytomegalovirus, herpes simplex virus infections (TORCH), and sepsis (acquired) were the main causative factors.Conclusion: Spastic quadriplegia is the most common type of CP. Most of the cases had a direct positive relationship with socioeconomic status. The prenatal period was the most common period for the development of CP.
Highlights
Different patterns of neurological diseases have been observed in different settings
Studies on Cerebral palsy (CP) patterns in relation to birth weight showed that infants of very low birth weight (VLBW) i.e., less than 1,500 g are 20 to 80 times more likely to develop CP than infants of birth weight of more than 2,500 g [2]
No published data from Sudan reflects the magnitude of CP and neurological disorders and disabilities [4]
Summary
Different patterns of neurological diseases have been observed in different settings. Studies on CP patterns in relation to birth weight showed that infants of very low birth weight (VLBW) i.e., less than 1,500 g are 20 to 80 times more likely to develop CP than infants of birth weight of more than 2,500 g [2]. CP is a non-progressive, everlasting disorder of movement, posture, and physical activities, with a prevalence of 2.2-3.3/1,000 in children from developing countries. No published data from Sudan reflects the magnitude of CP and neurological disorders and disabilities [4]. Cerebral palsy (CP) is a non-progressive, everlasting neurological disorder of movement, posture, and physical activities, with a prevalence of 2.2-3.3/1,000. CP is a condition that occurs globally, with a similar prevalence in both developed and undeveloped countries. The objective is to determine the pattern and the contributing factors of CP among Sudanese children
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