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Clinical presentations and CT scan findings in patients with cerebral palsy | ||
| Medical Journal of Tikrit | ||
| Article 1, Volume 1, Issue 141, 2012, Pages 91-98 | ||
| Author | ||
| Mohammed J. H. Al-Khalidi | ||
| Abstract | ||
| Cerebral palsy is non- progressive disorder of posture or movement due to a lesion of the developing brain. It is the commonest physical disability in child- hood. The objective of this study is to assess the clinical, neurological abnormalities, prevalence of convulsion (epilepsy) & to asses the value of CT scan of brain in patients with cerebral palsy. It is a case series hospital based study, carried at Al-Kindy Teaching hospital out-patient pediatrics unites for the period from first of January through June 2005. A total of 91 cases (52 boys, 39 girls) with over all mean age 25.6-month range (1 month-84 month) were collected. Data were collected from their parents about age, sex, main clinical presentation, and prenatal, perinatal, postnatal history, history of convulsion. They all had clinical examination. All patients were sending to radiology department at same hospital for CT scan of brain. The study revealed that boys affected more than girls (52 boys, 39 girls) with male to female ratio 1.33:1.commonest age group affected between 7 month-12 month (30.8%), followed by the age group between 13-24 month (20.9%). delayed milestone with hypertonia & convulsion was commonest clinical presentation, each represent (48.3%) followed by delayed milestone with hypotonia (34.0 %), microcephaly (29.6%) & speech delay (27.4%). The commonest type of cerebral palsy was spastic form (53. 9%), followed by hypotonic form (34.0%). Convulsion was predominant in quadriplegic cerebral palsy (50%). cortical brain atrophy was commonest CT scan finding (41.7%), followed by sub cortical brain atrophy (28.6%). Cortical brain atrophy was predominant in quadriplegic cerebral palsy (27.5%). CT scan was normal in (19.8%), predominantly in hypotonic cerebral palsy (13.2%).The pattern of clinical presentation & prevalence of convulsion in patients with cerebral palsy in the present study are comparable to the result from studies in other clinical setting with slight variation. CT scan of brain is highly valuable in patients with cerebral palsy | ||
| Keywords | ||
| Clinical presentations and CT scan findings in patients with cerebral palsy | ||
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