Retrospective Outcome of Pediatric Neurology Outpatient Clinic

Abstract

Background: Neurological disorders in children are common occurrence in clinical practice. The disorders account for more than 20% of the world's disease burden with great majority of people affected living in Africa. The clinical manifestations of neurological disorders may progress and get worst over time. Objectives: We aimed to demonstrate the patterns of pediatric neuropsychiatric disorders in a sample of Egyptian children at the Pediatric Neurology Outpatient Clinic in Bab-AL-Sharyea University Hospital &The management outcome of different neurologic diseases. Patients and Methods: This study composed of two parts, the first part is a retrospective study included 2944 children with documented neurological diseases, this children were attended Outpatient Clinic of Pediatric Neurology at Bab Al-Sharyea University hospital from 2011 to 2017, and the second part is longitudinal study (follow up study) to follow up outcome of treatment of 50 cases, these cases were selected during the period from July 2017 till January 2018 from Outpatient clinic of Pediatric Neurology at Bab Al-Sharyea University hospital. History taking complete clinical examination, and laboratory investigations were registered. Results: The Results showed that neuropsychiatric disorders in male (63.2%) was higher than in female (36.8%) , the most common age group of the studied patients was among (6 - < 12 years) in 39.4%, epilepsy and other paroxysmal disorders were the commonest neurologic disorders accounting for (21.7%) of cases followed by cerebral palsy representing (16.2%) of cases. The study shows positive relation between epilepsy and CP in which epilepsy was found in (60.5%) of CP children. The study shows that most common psychiatric disorders was autism which occurred in (45%) of cases. The study shows that follow up of 50 cases after 6 months from start of treatment revealed that: 15 cases (30%) were cured, 17 cases (34%) were improved, 12 cases (24%) with partial improvement and 6 cases (12%) with no improvement. Conclusion: Neuropsychiatric disorders was frequent among children. Neuropsychiatric disorders was frequent in males than females. Early diagnosis of neurological disorders was associated with a good prognosis.