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Clinical features and aetiology of cerebral palsy in children from Cross River State, Nigeria.
- Source :
- Archives of Disease in Childhood; Jul2020, Vol. 105 Issue 7, p1-6, 6p
- Publication Year :
- 2020
-
Abstract
- <bold>Objective: </bold>There are few studies on cerebral palsy (CP) in African children and our study aimed to describe the aetiology, characteristics and severity of CP in children from Nigeria.<bold>Design: </bold>A population-based study using key informant methodology (KIM) was conducted as part of a clinical research trial. Children aged 4-15 years were clinically assessed for CP.<bold>Results: </bold>The estimated prevalence of CP using KIM was 2.3/1000 children (95% CI 2.0 to 2.5/1000). 388 children were diagnosed with CP, with Gross Motor Function Classification System level 1 in 70 (18.1%), II in 156 (40.2%), III in 54 (13.9%), IV in 54 (13.9%), V in 54 (13.9%). 300/388 (77.3%) had Manual Ability Classification Scale of level 1-3 and 88 (22.7%) of level 4-5. CP types were spastic in 271 (70%), with 60% of these bilateral and 40% unilateral, ataxic 38 (9.8%), dystonic 18 (4.6%), choreoathetoid 29 (7.5%) and unclassifiable 32 (8.3%). Postneonatal risk factors for CP were seen in 140 (36.1%) children including malaria with seizures 101/140 (72.1%), malaria with coma 21/140 (15.0%), meningitis 12/140 (8.6%), tuberculosis 2/140 (1.4%), sickle cell disease 3/140 (2.2%), HIV 1/221 (0.7%). Prenatal/perinatal risk factors were seen in 248 (63.9%%), birth asphyxia 118 (47.6%) and clinical congenital rubella syndrome 8 (3.3%) and hyperbilirubinaemia 59 (23.8%) were identified as preventable risk factors for CP.<bold>Conclusion: </bold>The profile of CP in this population is similar to that found in other low-income and middle-income countries (LMIC). Some risk factors identified were preventable. Prevention and management strategies for CP designed for LMIC are needed. [ABSTRACT FROM AUTHOR]
- Subjects :
- RUBELLA
CHILDREN with cerebral palsy
ETIOLOGY of diseases
SICKLE cell anemia
LOW-income countries
MIDDLE-income countries
HIV infection epidemiology
HIV infection complications
TUBERCULOSIS epidemiology
COMPLICATIONS of birth injuries
TUBERCULOSIS complications
RESEARCH
HYPERBILIRUBINEMIA
BIRTH injuries
CROSS-sectional method
RESEARCH methodology
GENETIC disorders
EVALUATION research
MEDICAL cooperation
MALARIA
SEVERITY of illness index
COMPARATIVE studies
DISEASE prevalence
DEVELOPING countries
CEREBRAL palsy
ODDS ratio
MENINGITIS
DISEASE complications
Subjects
Details
- Language :
- English
- ISSN :
- 00039888
- Volume :
- 105
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- Archives of Disease in Childhood
- Publication Type :
- Academic Journal
- Accession number :
- 144252655
- Full Text :
- https://doi.org/10.1136/archdischild-2019-317932