The Evaluation of 371 Cases with Cerebral Palsy Between January 1984 and December 2004
Journal Title: Journal of Neurological Sciences-Turkish - Year 2007, Vol 24, Issue 4
Abstract
Cerebral palsy is a nonprogressive neuropathological condition which is characterized by abnormal control of posture or motion. It develops secondary to a central nervous system lesion, injury or malformation. In this study, 371 cases which had been diagnosed as cerebral palsy and followed up by the neurology department of our hospital were retrospectively investigated. One hundred and fourtyfour (38.8%) of the cases were female and 227 (61.2%) were male; their age varied between 7–216 months (average 96.50 ± 40.09 months). The distribution of deficits was as follows: spastic quadriparesis 47.2%, spastic diparesis 19.7%, hemiparesis 15.6%, mixed type 9.1%, hypotonic-ataxic type 5.7%, dyskinetic type 2.2% and spastic monoparesic type 0.5%. The most frequent etiological reasons were asphyxia (41.2%), prematurity (22.6%), central nervous system infections (6.5%) and kernicterus (4.6%). The most frequent imaging findings were periventricular leukomalasia 29.1% (n=108), hypoxic-ischemic changes 23.7% (n=88) and diffuse cerebral atrophy 18.9% (n=70). Overall, in the development of cerebral palsy, the preventable reasons such as asphyxia and prematurity are still the most frequent factors. We think that the probability of cerebral palsy may be decreased by a coordination of the pediatrician and gynecologist, along with the proper follow-up of pregnancy and prevention of perinatal pathologies.
Authors and Affiliations
Bulent IPEK, Cigdem ECEVIT, Irmak IPEK, Ozlem KOCABAS, Tulay KAVAKLI, Aysel OZTURK
Keywords
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