Risk factors and types of cerebral palsy.

J Pak Med Assoc

Department of Community Health Sciences, Ziauddin Medical University, Clifton, Karachi, Pakistan.

Published: January 2014

AI Article Synopsis

  • The study aimed to identify risk factors and types of cerebral palsy among children in a squatter settlement in Karachi.
  • Data was collected through interviews with mothers of 20 pre-diagnosed cerebral palsy children, revealing significant risk factors like home delivery, consanguinity, and infections.
  • The predominant type of cerebral palsy identified was spastic, affecting 75% of the cases, with various classifications such as diplegia, quadriplegia, and hemiplegia.

Article Abstract

Objective: To determine the risk factors and associated types of cerebral palsy in a squatter settlement of Karachi.

Methods: The pilot cross-sectional study was conducted in Karachi during 2010 and 2011. Data was collected through an interviewed questionnaire from the mothers of cerebral palsy victims children from a population of 6000. Sample sizes of 20 pre-diagnosed victims were selected through snowball sampling. SPSS 20 was used for statistical significance.

Results: The mean age of the 20 children was 8.7 +/- 6.4 years. Of them, 16 (80%) were males and 4 (20%) were females. Major risk factors identified were; home and assisted delivery 5 (75%), consanguinity 10 (50%), infections 8 (40%) and lack of antenatal care 6 (30%). Out of 20 cases, 15 (75%) had spastic type of cerebral palsy, which was further classified as diplegia 7 (35%), quadriplegia 6 (30%) and hemiplegia 2 (10%). Mixed and dystonic types were found in 3 (15%) and 2 (10%) children respectively.

Conclusion: Important risk factors identified were home delivery, consanguinity and infections during pregnancy. Spastic type of cerebral palsy was the most common type in the study population.

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