scholarly journals Innovative Surgical Treatment of Cerebral palsy

KYAMC Journal ◽  
2021 ◽  
Vol 12 (1) ◽  
pp. 56-59
Author(s):  
Md Faridul Islam Chowdhury ◽  
Shafi Ahamed ◽  
Arshad Hossain ◽  
Md Imrul Kaes ◽  
Amirul Islam Bhuyan
Keyword(s):  
Cerebral Palsy ◽  
Temporal Bone ◽  
Birth Asphyxia ◽  
Maximum Level ◽  
Intracranial Volume ◽  
Surprising Result ◽  
Temporal Fossa ◽  
Medical College ◽  
Early Closure ◽  
Progressive Disorder

Cerebral palsy means partial brain paralysis, like facial palsy where facial nerve is paralyzed. It is mainly due to birth induced asphyxia others a lot of causes also present. Convulsion is most common symptoms of cerebral palsy. This convulsion leads to further hypoxia which leads to further brain damage. Indirectly it is permanent and progressive disorder. Ultimately patient is unable to walk, communicate and perform normal life. Birth asphyxia leads to hyperostosis of skull bone. Premature closure of sutures specially fontanelle. Early closure of sutures of skull and fontanelle. At the same time temporal fossa is small and commonly temporal bone thickened excessively as a sequalae total intracranial volume decreased and which restrict to expansion of brain uniformly. As the age advances simultaneously brain also increase at its maximum level up to 5 years but rigid skull doesn’t allow the expansion of brain due to early closure of suture .and excessive growth of bones even in skull base. Temporal bone also exceptionally thickened. Normal as usual treatment failed to cure cerebral palsy patients. This new cranial vault reorganization or reconstruction by Bilateral cranioplasty and duraplasty giving surprising result of these cerebral palsy patients. This case hase been operated in Khwaja Yunus Ali Medical College and Hospital, Enayethpur, Sirajganj, Bangladesh. Patient’s appearance become quite normal just after operation. KYAMC Journal.2021;12(1): 56-59

scholarly journals Birth asphyxia and cerebral palsy.

BMJ ◽  
1989 ◽  
Vol 299 (6694) ◽  
pp. 279-282 ◽  
Author(s):  
D. M. Hall
Keyword(s):  
Cerebral Palsy ◽  
Birth Asphyxia

Determine the Frequency of Sensorineural Deafness in Children with Cerebral Palsy

2021 ◽  
Vol 15 (6) ◽  
pp. 1478-1481
Author(s):  
A. G. Magsi ◽  
M. U. Rehman ◽  
F. A. Soomro ◽  
Z. Ahmed ◽  
A. Q. Memon
Keyword(s):  
Hearing Loss ◽  
Cerebral Palsy ◽  
Sensorineural Deafness ◽  
Inclusion Criteria ◽  
Profound Hearing Loss ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College ◽  
Hearing Assessment ◽  
Normal Head

Aim: To determine the frequency of sensorineural deafness in child with cerebral palsy. Study Design: Descriptive/cross-sectional Place and Duration of Study: Department of Neurology, Chandka Medical College Hospital, Larkana from 1st October 2020 to 31st March 2021. Methodology: One hundred and seventy patients of both genders age between 1-14 years were enrolled. Children diagnosed as having cerebral palsy and fulfilling the inclusion criteria was included. Hearing assessment was done with audiometry and degree of hearing loss was recorded in both ears in the form of mild, moderate, severe and profound degree of hearing loss. Results: Most of the patients 90 (52.94%) were between 1-5 years old followed by 51(30%) patients between 5-10 years with mean age of 4.8±7.8 years. 115 (67.65%) cases were males and 55 (32.35%) females. 54 (31.8%) cases had microcephaly and116 (68.2) cases had normal head circumference. Among 170 cases of cerebral palsy 48 (28.23%) cases had hearing loss and 122 (71.77%) of patients of CP had no hearing deficit. Among 48 cases of CP with hearing loss 15 (31.25%) cases had mild, 14 (29.17) cases had moderate, 10 (20.83%) had severe and 11 (22.92%) cases had profound hearing loss. Conclusion: The frequency of sensorineural deficit is high and significantly associated with cerebral palsy patients. Keywords: Degree of hearing loss, Sensorineural hearing loss, Cerebral palsy

scholarly journals A prospective case control study of the effects of oligohydramnios on fetomaternal outcome in mothers with term pregnancy in a rural medical college

2018 ◽  
Vol 7 (11) ◽  
pp. 4706
Author(s):  
Dipak Mandi ◽  
Sayantan Sen ◽  
Vasundhara Goswami
Keyword(s):  
Demographic Data ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Case Control ◽  
Control Group ◽  
Case Group ◽  
Perinatal Complications ◽  
Medical College ◽  
Increased Risk ◽  
Nicu Admission

Background: The aim of the current study was to assess the fetomaternal effects of oligohydramnios on term pregnancies in a rural tertiary care setup.Methods: A perspective case control hospital-based trial was conducted at Burdwan Medical College and Hospital for a period of one year. Pregnancies at term (37-42 weeks) were included in the study. 103 patients with sonographically diagnosed oligohydramnios were included in the case group. The control group comprised of 103 mothers at term with normal liquor volume. Demographic data and fetomaternal outcome parameters were assessed and compared.Results: There was increased incidence of fetal and perinatal complications including low birth weight, birth asphyxia and NICU admission. There were more perinatal deaths in the case group compared to the control group. Induction of labour, operative delivery, meconium stained liquor and incidence of preeclampsia were also increased in mothers with low AFI.Conclusions: Oligohydramnios is associated with an increased risk of labour and perinatal complications. Adequate antenatal surveillance and intranatal monitoring coupled with correction of underly-ing factors is the mainstay of management.

scholarly journals Analysis of Cardiotocography Findings in Pregnancy with Less Fetal Movement and Its Association with Perinatal Outcome

2018 ◽  
Vol 30 (1) ◽  
pp. 19-22
Author(s):  
Ummay Salma ◽  
Mahe Jabeen ◽  
Sabiha Shimul ◽  
Dilruba Akhter
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Perinatal Outcome ◽  
Neonatal Death ◽  
Birth Asphyxia ◽  
Fetal Movement ◽  
Neonatal Unit ◽  
Normal Vaginal Delivery ◽  
Early Neonatal Death ◽  
Medical College

Less fetal movement affects perinatal outcome. To examine association between antenatal CTG findings and perinatal outcome in women with less fetal movement. This prospective observational study was conducted in the department of Obstetrics and Gynecology, Kumudini Women's Medical College and Hospital, Mirzapur, Tangail over a period of six months from January 2015 to June 2015. It included 100 pregnant women after 34 weeks of gestation. They underwent a cardiotocogram (CTG) test. Data were collected by face-to-face interview, observation and document review. The mean age of the women was 24.37±4.62 (SD) years and mean gestational age was 38.48±2.15 weeks. In this study, 82.0% of the cases presented at term pregnancy, 42.0% of the women were primi gravida and rest falls between 2nd to 4th gravida. Normal vaginal delivery was in 59.0% cases and rest were undergone caesarean sections (41.0%). Late deceleration with decreased variability was (23.5%) most common. Incidence of low birth weight was 16.0% & macrosomia was 5.0%. Birth asphyxia was found in 52.0% cases, 49.0% needed immediate resuscitation, 35.0% were admitted into neonatal unit and early neonatal death was 8.0%. Birth asphyxia was significantly higher in non-reassuring [37(72.5%)] than reassuring [15(30.6%)] on CTG. Incidence of low birth weight was higher in non-reassuring [11(21.6%)] than in reassuring [5(10.2%)] on CTG (p>0.05). Early neonatal death was more in respondents with non-reassuring [5(9.8%)] on CTG than reassuring [3(6.1%)] on CTG (p>0.05). Twenty six (51.0%) neonatal of the non-reassuring were admitted into neonatal unit whereas only 9 (18.4%) neonatal of the reassuring were admitted into neonatal unit. It can be concluded that CTG may be the first line investigation for ante and intrapartum fetal assessment.Medicine Today 2018 Vol.30(1): 19-22

scholarly journals Clinical and Electroencephalographic Profile Of Children

2015 ◽  
Vol 11 (2) ◽  
pp. 110-116
Author(s):  
N Limbu ◽  
BH Paudel ◽  
D Thakur
Keyword(s):  
Cerebral Palsy ◽  
Febrile Seizure ◽  
Pediatric Patients ◽  
Birth Asphyxia ◽  
Seizure Disorder ◽  
Chi Square ◽  
Demographic Profiles ◽  
Epileptiform Discharges ◽  
Chi Square Test ◽  
The Relationship

Background Reports on pediatric electroencephalogram of Nepalese patients are rare. Objective We aimed to study the relationship between provisional clinical and electrophysiological diagnoses of pediatric patients with documentation of demographic profiles, and type and frequency of the disorders/diseases. Methods Electroencephalographic reports of 634 children from 2006 to 2009 were analyzed at neurophysiology laboratory, department of Basic and Clinical Physiology, B. P. Koirala Institute of Health Sciences, Dharan, Nepal, retrospectively. Chi-Square test was applied after detail descriptive statistics. Results Male and female were 72.2 % (n=458/634) and 27.76 % (n=176/634) respectively. Most frequent EEG abnormality was seizure disorder (n=370, 59.39%), then febrile seizure (n= 94, 15.08%) and birth asphyxia with hypoxic-induced encephalopathy (n=68, 10.91%). Electroencephalogram showed significant epileptiform discharges in seizure disorder (p=0.001, OR= 2.26, 95 % CI= 1.61 to 3.18) and in cerebral palsy (p=0.049, OR=6.88, 95 % CI=0.89 to 145.95), specifically in 6 to 12 (p=0.001, OR=2.94, 95 % CI=1.43 to 6.06) and one to five (p=0.019) years, respectively. Electroencephalogram detected significantly less epileptiform discharges (p=0.001, OR=0.25, 95 % CI= 0.15 to 0.42) in febrile seizure specifically in 1 to 5 years (p=0.003, OR=0.16, 95 % CI= 0.04 to 0.63). Conclusion Predominant Electroencephalographic abnormality was seizure disorder, followed by febrile seizure and birth asphyxia with hypoxic-induced encephalopathy respectively. Electroencephalographic abnormality was highly associated with seizure disorder and cerebral palsy but was not associated with febrile seizure. DOI: http://dx.doi.org/10.3126/kumj.v11i2.12484 Kathmandu University Medical Journal Vol.11(2) 2013: 110-116

A STUDY ON CLINICAL PROFILE AND RISK FACTORS OF CEREBRAL PALSY

2021 ◽  
pp. 19-20
Author(s):  
C. Hemachithra ◽  
N. Meena
Keyword(s):  
Risk Factors ◽  
Cerebral Palsy ◽  
Cross Sectional Study ◽  
Common Type ◽  
Sectional Study ◽  
Physical Medicine ◽  
Cross Sectional ◽  
Medical College ◽  
Multiple Factors ◽  
Care Services

Cerebral palsy (CP) is the most common congenital neurological disorder. The etiological and the risk factors are many and an awareness of the interplay of multiple factors in the causation is crucial. The aim of the study is to investigate the clinical prole and risk factors of CP children in and around Chidambaram. A retrospective cross sectional study was conducted in the Division of Physical Medicine and Rehabilitation, Rajah Muthiah Medical College and Hospital, Chidambaram. Seventy clinically diagnosed CP children were enrolled and clinical prole and history were retrieved from the case sheets and the parents of CP children. The result shows that out of 70 CP children 53% of males and 47% of females were found. The anthropometric measurements like height and weight of the CP children were found lower than the normal. Among 70 children spastic type of CP was the most common, Athetoid type (5.7%) and ataxic type (5.7%) are the least common type. This study concluded that neonatal care services in Chidambaram should be reviewed to get more attention which helps to promote early intervention and rehabilitation of CP children.

scholarly journals Birth Asphyxia Is Associated With Increased Risk of Cerebral Palsy: A Meta-Analysis

2020 ◽  
Vol 11 ◽  
Author(s):  
Shan Zhang ◽  
Bingbing Li ◽  
Xiaoli Zhang ◽  
Changlian Zhu ◽  
Xiaoyang Wang
Keyword(s):  
Cerebral Palsy ◽  
Meta Analysis ◽  
Birth Asphyxia ◽  
Increased Risk

scholarly journals Significant association between intracranial volume and verbal intellectual abilities in patients with schizophrenia and a history of birth asphyxia

2021 ◽  
pp. 1-10
Author(s):  
Laura Anne Wortinger ◽  
Kjetil Nordbø Jørgensen ◽  
Claudia Barth ◽  
Stener Nerland ◽  
Runar Elle Smelror ◽  
...  
Keyword(s):  
Birth Asphyxia ◽  
Positive Association ◽  
Outcome Variable ◽  
Intracranial Volume ◽  
Birth Registry ◽  
Significant Positive Association ◽  
Intellectual Abilities ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
Biological Environment

Abstract Background The etiology of schizophrenia (SZ) is proposed to include an interplay between a genetic risk for disease development and the biological environment of pregnancy and birth, where early adversities may contribute to the poorer developmental outcome. We investigated whether a history of birth asphyxia (ASP) moderates the relationship between intracranial volume (ICV) and intelligence in SZ, bipolar disorder (BD) and healthy controls (HC). Methods Two hundred seventy-nine adult patients (18–42 years) on the SZ and BD spectrums and 216 HC were evaluated for ASP based on information from the Medical Birth Registry of Norway. Participants underwent structural magnetic resonance imaging (MRI) to estimate ICV and intelligence quotient (IQ) assessment using the Wechsler Abbreviated Scale of Intelligence (WASI). Multiple linear regressions were used for analyses. Results We found a significant three-way interaction (ICV × ASP × diagnosis) on the outcome variable, IQ, indicating that the correlation between ICV and IQ was stronger in patients with SZ who experienced ASP compared to SZ patients without ASP. This moderation by ASP was not found in BD or HC groups. In patients with SZ, the interaction between ICV and a history of the ASP was specifically related to the verbal subcomponent of IQ as measured by WASI. Conclusions The significant positive association between ICV and IQ in patients with SZ who had experienced ASP might indicate abnormal neurodevelopment. Our findings give support for ICV together with verbal intellectual abilities as clinically relevant markers that can be added to prediction tools to enhance evaluations of SZ risk.

Birth Incidence of Cerebral Palsy in Tripoli, Libya: A Population-Based Study

2020 ◽  
pp. 1-5
Author(s):  
Ahmed Atia ◽  
Aya Abogrein ◽  
Maram Alssoghaiar ◽  
Mawada Akroush ◽  
Mawada Alsagheer
Keyword(s):  
Cerebral Palsy ◽  
Mode Of Delivery ◽  
Congenital Toxoplasmosis ◽  
Birth Asphyxia ◽  
Neonatal Infection ◽  
Population Based ◽  
University Hospital ◽  
Cross Sectional ◽  
Population Based Study ◽  
Background Population

Background: Population-based data in Libya on prevalence of cerebral palsy are limited. This study aimed to assess trends in cerebral palsy among infancy or premature attending pediatric hospitals in Tripoli city, Libya. Methods: In this population-based study, a cross-sectional method was used to screen for cerebral palsy at the department of pediatrics in both Tripoli University Hospital, and Tripoli Pediatric Hospital during the period from march to December 2019. Specialist physicians confirmed the diagnosis, obtained family history, and determined the subtype and main causes. Results: Out of 200 suspected patients, 64 of them were diagnosed with cerebral palsy. Incidence rate was 32%. Male children (n=33, 51.6%) were more affected than female (n=31, 48.4%). Regarding the mode of delivery, 34(53.1%) of patients were delivered normally by vaginal delivery, while 30(46.9%) of cases delivered by caesarian section. There were 9(14.1%) of cases preterm birth, whereas, most of the cases were full term 55(85.9%). Birth asphyxia was reported in 34 (53.1%) of cases. A total of 17(26.6%) of cases had genetic cause, 8(12.5%) of cases had history of neonatal infection (e.g. meningitis, congenital toxoplasmosis, pneumonia, sepsis, encephalitis), and 5(7.8%) of cases had other disorders including hyperthermia and asphyxia at late age. Conclusion: Given enhancements in neonatal survival, evidence of stability of cerebral palsy prevalence is encouraging. The persistence of higher cerebral palsy prevalence among children in Libya over time warrants further investigation.

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