scholarly journals Epidemiological, Clinical and Evolutionary Profile of Child's Cerebral Palsy at Treichville Teaching Hospital: 84 Case Reports

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Enoh Jacob E ◽  
Cissé L ◽  
Azagoh Kouadio R ◽  
Diambra L M ◽  
Couitchere Line S ◽  
...  
PEDIATRICS ◽  
1993 ◽  
Vol 91 (5) ◽  
pp. 995-996
Author(s):  
ANGELA E. SCHEUERLE ◽  
ROBERT MCVIE ◽  
ARTHUR L. BEAUDET ◽  
STUART K. SHAPIRA

Arginase catalyzes the conversion of arginine to ornithine and urea in the final step of the urea cycle. The enzyme deficiency disease, argininemia, is a rare autosomal recessive disorder which presents with progressive psychomotor retardation, growth failure, seizures, and spasticity affecting the lower extremities more than the upper.1 It does not, however, commonly have the severe hyperammonemia seen with other urea cycle disorders.1,2 We describe two unrelated patients, previously thought to have cerebral palsy, who were later found to have arginase deficiency. This suggests that the condition may be underdiagnosed because of its relatively mild symptoms. CASE REPORTS Patient 1, a 9-year-old boy, was born at term after an uncomplicated pregnancy to nonconsanguineous African-American parents.


BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e039353
Author(s):  
Thilini Madushika Heiyanthuduwage ◽  
Samanmali P Sumanasena ◽  
Gopi Kitnasamy ◽  
Hayley Smithers Sheedy ◽  
Gulam Khandaker ◽  
...  

IntroductionCerebral palsy (CP) describes a heterogeneous group of motor disorders resulting from disturbance in the developing brain. CP occurs in approximately 2.1 per 1000 live births in high-income countries, but in low- and middle-income countries (LMICs) the prevalence and severity of CP may be greater and aetiological risk factors different. In Sri Lanka, a LMIC, there have been no epidemiological studies of CP to date. Systematically collected data are required to identify opportunities for primary and secondary prevention, to plan and establish services to support children and adults with CP and their families and to act as a sampling frame for new research. Here we describe a pilot study protocol for a CP register in Sri Lanka.Methods and analysisThe aim of this study is to establish a CP register in Sri Lanka. We will use different surveillance methodologies in two provinces of Sri Lanka: hospital and community surveillance in the Western Province and community surveillance in the Eastern Province. A common record form will collect demographic, clinical and service data for children with CP <18 years living in these two provinces. Data will be transferred to a secure online data repository and used to describe the epidemiology of CP in these regions. We will describe the strengths and challenges of the surveillance mechanisms and estimate the resources required for ongoing hospital and community based surveillance in the Western and Eastern provinces and to include additional provinces across the country.Ethics and disseminationThis study has ethical clearance from The University of Kelaniya, National Health Research Council, the Institutional Ethics Review Committee of the Lady Ridgeway Hospital, Colombo South Teaching Hospital and the Director of the North Colombo Teaching Hospital. Results from this research will be disseminated through local and international conferences and through publications in peer-reviewed journals.


2013 ◽  
Vol 66 (3-4) ◽  
pp. 181-184
Author(s):  
Tatjana Krstic ◽  
Vojislava Bugarski ◽  
Nina Brkic ◽  
Biljana Obradovic

Introduction. The process of adaptation and acceptance of a child?s diagnosis of cerebral palsy requires from parents to process the trauma caused by this knowledge cognitively and emotionally. Parents who manage to come to terms with their children?s condition are labeled as resolved. As opposed to them, unresolved parents do not accept the reality of their children?s condition and fail to overcome the crisis caused by knowledge of the child?s diagnosis. Unresolved status has negative implications for the child, the parents and their relationship. Case Reports. Two case reports of mothers whose children have been diagnosed to have cerebral palsy are given. The first case shows a resolved mother who managed to overcome the initial shock and started to feel a sense of relief from the period when she found out the child?s diagnosis. In contrast, another case shows an unresolved mother with no significant changes in thoughts and feelings from the time since she learned the child?s diagnosis. She was preoccupied with anger and attempted to minimize the child?s problem. Discussion. Interviews on reaction to diagnosis and reaction to diagnosis classification system allow identification of mothers? resolution of their children?s diagnosis of cerebral palsy. The characteristics of resolved and unresolved maternal status are discussed. Conclusion. Parental resolution of diagnosis is essential for the successful adaptation to raising children with disabilities, as well as meeting the requirements of the parental role. It is important to recognize parental cognitions and feelings regarding the child?s condition in order to direct psychotherapeutic interventions towards vulnerable population of parents.


2020 ◽  
Vol 13 (2) ◽  
pp. 185-188
Author(s):  
Jessica R. Pruente ◽  
Dawn E. Deike ◽  
Barbara Lockart ◽  
Deborah Gaebler-Spira
Keyword(s):  

2010 ◽  
Vol 30 (2) ◽  
pp. 125-138 ◽  
Author(s):  
Kara L. Siebert ◽  
Sharon K. DeMuth ◽  
Loretta M. Knutson ◽  
Eileen G. Fowler

1997 ◽  
Vol 1 (4) ◽  
pp. 235-237 ◽  
Author(s):  
V. Mall ◽  
F. Heinen ◽  
M. Linder ◽  
A. Philipsen ◽  
R. Korinthenberg

2018 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Imasogie D E ◽  
Azeke E A

Title: Primary Cutaneous Lymphomas; University of Benin Teaching Hospital Experience Introduction: Primary cutaneous lymphomas (CLs) are a heterogeneous group of extra nodal non-Hodgkin lymphomas (NHL) which are confined to the skin at diagnosis. The skin is the second most common site of extra nodal lymphoma. They are rare tumours accounting for 18% of cases of extra nodal NHL. The goal of this study is to determine the prevalence of primary cutaneous lymphomas at the University of Benin, Teaching Hospital, Benin City, Edo State, Nigeria, vis-a-vis reviewing the existing literature on the subject matter. Methodology: A 10-year retrospective study of primary CLs seen in UBTH from January 2004- December 2013. Skin biopsies were received fixed in 10% formalin in the laboratory unit of the Department of Morbid Anatomy, UBTH, processed in paraffin wax, sectioned and stained with Haematoxylin and Eosin. Histology slides were retrieved, studied and lesions characterized. Result: There were 375 cases of histologically diagnosed cutaneous tumours. The ages of the patients in this study ranged from 1 to 111 years. Their mean age was 38.32 years (SD = 19.38. There were 192 females (51.2%) and 183 males (48.8%) giving a female to male ratio of 1.05:1. Keratinocytic tumours were the most common lesions seen. There was no case of primary cutaneous lymphoma seen in this study giving a prevalence of 0%. Discussion: Primary CLs are rare tumours. Previous studies in Nigeria and Ghana like the index study did not report a case of CLs. This is unlike the report from Lagos, Nigeria where CLs have been reported. So by extension, although CLs are rare we should not foreclose the possibility of finding isolated cases in our environment. Conclusion: We align with the submission of Bradford et al that further investigations using large populations and molecular tools are warranted to elucidate the aetiology of the diverse spectrum of CLs. Despite this, we trust without prejudice that case reports and institutional base studies as invaluable means in the gathering of data, especially for rare tumours like CLs.


2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Chikamso Samuel Atuh ◽  
N Otti-Agha ◽  
B Eneje ◽  
V Ezema ◽  
A Okonkwo ◽  
...  

Background: Cerebral palsy (CP) is a major cause of childhood disability. The objective of this study was to review the causes, types, complications, demographic and clinical characteristics of children with CP over a period of ten years as seen in the physiotherapy (PT) department of the University of Nigeria Teaching Hospital, Ituku-Ozalla Enugu, Nigeria.Methods: A retrospective study that reviewed a total of 497 case folders of children with CP. Ethical clearance was obtained from the Health Research Ethics Committee of the University of Nigeria Teaching Hospital, Enugu. The case records were randomly selected, a data retrieval form developed through a two-stage process was used to obtain the required information. Data was analyzed using descriptive statistics and Chi-square tests. Level of significance was set at 0.05.Results: Four hundred and ninety-seven cases of children with CP were reviewed. Birth asphyxia (29.9%) and jaundice (28.7%) were the leading causes of CP while spastic CP (56.7%) was the most common type. Motor disorder (67.0%) was the predominant clinical presentation. There was a significant association between type of CP and each of cause (X2 =28.303, p = 0.001), and duration of PT treatment (X2 =31.784, p < 0.0001).Conclusion: It was concluded that Birth asphyxia and jaundice are the major cause of CP in this environment. There is a significant association between type of CP and the cause of CP as well as the duration of PT treatment received.Keywords: Review; Cerebral Palsy; Hospital


PEDIATRICS ◽  
1974 ◽  
Vol 53 (5) ◽  
pp. 792-799
Author(s):  
Robert W. Miller

There is no doubt that the fetus and child have special susceptibility to the harmful effects of chemical pollutants. EPIDEMIOLOGIC CASE REPORTS Example 1 "Strange incidents occurred in villages along Minamata Bay in [the] Kyushu district in Japan, in which many cats went mad and died. These incidents were the prelude to [an] epidemic of a mysterious disease in human beings."1 In this way Japanese scientists began their account of the link between the ailment, now known as Minamata disease, and pollution of water with methylmercury. Initially, a degenerative neurological disease was observed only in older children and adults. Apparently no one thought of possible fetal effects. In consequence, they went unnoticed for several years before it was realized that an epidemic of cerebral palsy had paralleled the illness in adults and older children. This was the first evidence that a chemical pollutant could harm the human fetus. Methylmercury was identified as the cause of the epidemic by looking back into the histories of affected persons. The frequency and seriousness of the effect was greatest in the families of fishermen. It had been noted that fish in the Bay swam erratically. Fishermen sold their best catch and used the sickest looking fish as food for their families. Twenty-three children developed cerebral palsy after intrauterine exposure. Six percent of births during the interval were affected, as compared with 0.5% elsewhere in Japan. Although brain damage in the children was severe, only one of their mothers showed signs of the disease. The methylmercury came from waste flushed into the Bay by a factory that made vinyl plastic.


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