Trends of Cerebral Palsy in Rajasthan, India

Abstract

The aim of this study was to determine the incidence of etiological factor and clinical features of children with cerebral palsy (CP) in Rajasthan. Five dissertations done in the Post Graduate Department of Pediatrics Ay., National Institute of Ayurveda, Jaipur with diagnosed case of spastic CP, from year 2010 to 2014 were included in the study. Age, sex, etiological factors, clinical classifications, and epidemiological characteristics as well as the problems associated with CP were analysed in all children. Of the total of 240 children male: female prevalence comes out to be 2.3:1. The most common etiologic risk factors were birth asphyxia and low birth weight in perinatal period; HIE, Respiratory distress syndrome and neonatal convulsions in the postnatal period. In clinical classification it was seen that maximum subjects 52.92% were found to be Diplegic followed by 27.50% cases were Quadriplegic in nature, 12.50% cases were found to have Hemiplegic pattern. Drooling of saliva was the most common associated problem. Study has found perinatal asphyxia as major cause of cerebral palsy and Diplegia as major presentation of CP in Rajasthan. The studies can help in further planning for reduction in incidence of CP in Rajasthan.