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Comparison of Clinical Profile in Spastic Diplegic and Quadriplegic Cerebral Palsy | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 25, Issue 3, 2012, Pages 253-256 | ||
| Author | ||
| Adel A. Kareem | ||
| Abstract | ||
| Abstract Background and aim: Cerebral palsy refers to a group of non progressive, but often changing motor impairment syndrome. This study compares clinical profile & neuroimaging findings in children with spastic diplegic cerebral palsy & spastic quadriplegic cerebral palsy Methods: One hundred & seventy one (171) children with spastic cerebral palsy , aged 12-60 mo.(median 30 mo.) were classified into 2 groups; Spastic diplegic (n=78) & Spastic quadriplegia (n=93). Risk factors of cerebral palsy, gross motor function classification system, associated neurological diseases & neuroimaging finding were analyzed. Result: Risk factors were mainly prematurity & birth asphyxia were present in similar percentage in both groups .The children with spastic quadriplegia were classified more frequently into level 4 & 5 of gross motor function classification system while children with spastic diplegia were classified level more frequently into level 2 & 3. Global delay, epilepsy & speech delay were observed more frequently in the children with spastic quadriplegia. Cerebral atrophy occurred more frequently in the quadriplegic cerebral palsy. Conclusion: These findings suggest different cerebral palsy subtypes demonstrate various clinical profiles. | ||
| Keywords | ||
| cerebral palsy; Spastic diplegia; Spastic quadriplegia | ||
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