Review of Cerebral Palsy Cases in the University Of Nigeria Teaching Hospital Ituku-Ozalla, Enugu
DOI:
https://doi.org/10.34058/njmr.v20i1.159Abstract
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
References
Al-Rajeh S., Bademosi O., Awaola A., Ismail H., al-Shamnasi S., and Dawodu A. 1991. Cerebral palsy in Saudi Arabia: A casecontrol study of risk factors. Developmental Medicine and
Child Neurology 33: 1048-1052.
Badawi N., Felix J.F. and Kurinczuk J.J. 2005. Cerebral palsy following term newborn encephalopathy; A population based study. Developmental Medicine and Child Neurology 47: 92.
Bamgboye EA, Familusi JB. Mortality pattern at a children’s emergency ward, University College Hospital Ibadan, Nigeria. Afr J Med Sci 1990; 19: 127-132.
Boskabadi H., Omidian M. and Mafinejad S. 2010. Prevalence and clinical manifestation of glucose-6-phosphate dehydrogenase deficiency in newborns with hyperbilirubinemia in Mashhad, Iran. Macedonian Journal of Medical Sciences 3(4): 383-387.
Brigas-Grande A., Fernandez-Luque A., Garcia-Alfaro C., Barreva Chacon M., Toledo-Gonzalez M. and Dominguez- Rolda J.M. 2002. Cerebral palsy in childhood: 250 cases report. Review of Neurology 35(9): 812-817.
Buljina A., Zubcevic S., Uzicanin S. and Heljic S. 1999. The role of risk factors in developmental diagnosis. Medicinski Archiv
(3 suppl. 2): 5–8.
Cummins S.K., Nelson K.B. and Grether J.K. 1993. Cerebral palsy in four northern California counties, births 1983 through 1985. of Pediatrics 123: 232-237.
Drummond P.M. and Colver A.F. 2002. Analysis by gestational age of cerebral palsy in singleton births in North-East England 1970–1994. Paediatric Perinatal Epidemiology 16(2): 172–180.
Etuk S.J.and Etuk I.S. 2001. Relative risk of birth asphyxia in babies of booked women who deliver in unorthodox health facilities in Calabar, Nigeria. Acta Tropica 79: 143-147.
Fagbule D, Joiner KT. Pattern of childhood mortality at the University of Ilorin Teaching Hospital. Niger J Pediatr 1987; 14: 1 5.
Frank-Briggs A.I. and Alikor E.A.D. 2011. Sociocultural issues and causes of cerebral palsy in Port Harcourt, Nigeria. Nigerian Journal of Paediatrics (3): 115-119.
Gangil A., Patwari A.K., Areja S., Ahuja B. and Anand V.K. 2001. Feeding problems in children with cerebral palsy. Indian
Pediatrics 38: 839–846.
Hagberg B. and Hagberg G. 1996. The changing panorama of cerebral palsy — Bilateral spastic forms in particular. Acta
Paediatrica Suppl 416: 48-52.
Hamzat T.K. and Fatudimu M.B. 2008. Caregivers or care providers: Who should assess motor function in cerebral palsy? Journal of Pediatric Neurology 6: 345-350.
Hutton J.L. and Pharoah P.O. 2002. Effects of cognitive, motor and sensory disabilities on survival in cerebral palsy. Archives
of Disease in Childhood 86(2): 84-89.
Ibeziako SN, Ibekwe RC. Pattern and outcome of admissions in the children’s emergency room of the
University of Nigeria Teaching Hospital, Enugu. Niger J Pediatr 2002; 29: 103-107
Jacobsson B. and Hagberg G. 2004. Antenatal risk factors for cerebral palsy. Best Practice and Research Clinical Obstetrics and Gynaecology 18(3): 425–436.
Lagunju I.A., Adedokun B.O. and Fatunde O.J. 2006. Risk factors for epilepsy in children with cerebral palsy. African Journal of
Neurological Sciences (25): 2, 29-37.
Lao T.T. and Ho L.F. 1997. The obstetric implications of teenage pregnancy. Human Reproduction 1997; 12(10): 2303-2305.
McCarthy G.T. 2002. Cerebral palsy, the clinical problem. In: Squire, W. ed. Acquired damage to the developing brain: Timing and causation. London; Arnold, p.14.
Nelson K.B. 2003. Can we prevent cerebral palsy? New England Journal of Medicine 349:1765-9
Nottidge V.A. and Okogbo M.E. 1991. Cerebral palsy in Ibadan. Nigeria Developmental Medicine and Child Neurology (33): 3,
–245.
Odding E., Roebroeck M.E. and Stam H.J. 2006. The epidemiology of cerebral palsy: Incidence, impairments and risk factors.Disability and Rehabilitation 28(4): 183-191.
Ogunlesi T., Ogundeyi M., Ogunfowora O., Olowu A. 2008. Socio-clinical issues in cerebral palsy in Sagamu, Nigeria. South Africa Journal of Child Health 2(3): 120-124.
Olausson P.O., Cnattingius S. and Haglund B. 1999. Teenage pregnancies and risk of late fetal death and infant mortality. British Journal of Obstetrics and Gynaecology 106(2): 116- 121.
Omole J.O., Olaogun M.O.B. and Mbada C.E. 2013. Pattern of neurological conditions seen at the outpatient paediatric physiotherapy. Journal of Exercise Science and Physiotherapy 9(2): 105-112.
Peters G.O., Adetola A. and Fatudimu M.B. 2008. Review of paediatric neurological conditions seen in the physiotherapy department of a children’s hospital in Ibadan, Nigeria. African Journal of Biomedical Research (11): 281–284.
Petit PL, Van Ginneken JK. Analysis of hospital records in four African countries, 1975-1990, with emphasis on infectious diseases. J Trop Med Hyg 1995; 98: 217-227.
Pharoah, P.O., Cooke, T., Johnson, M.A., King, R. and Mutch, L. Epidemiology of cerebral palsy in England and Scotland,
– 9. Archive of Disability Child Fetal Neonatal edition 1998; 79(1): F21-5.
Reddihough D.S. and Collins K.J. 2003. The epidemiology and causes of cerebral palsy. Australian Journal of Physiotherapy
(1): 7-12.
Rosenbaum P. 2003. Cerebral palsy: what parents and doctors want to know. British Medical Journal 326: 970-997.
Russman B.S. and Ashwal S. 2004. Evaluation of the child with cerebral palsy. Seminars in Pediatric Neurology 11(1): 47-57.
Sankar C. and Mundkur N. 2005. Cerebral palsy — definition, classification, etiology and early diagnosis. India Journal of Paediatrics 72: 864-868.
Sathiakumar N. and Yakubu M. 1987. Cerebral palsy in Zaria, Northern Nigeria – Is it preventable? Tropical Paediatric 33:
–265.
Singhi P.D., Ray M., and Suri G. 2002. Clinical spectrum of cerebral palsy in North India – An analysis of 1000 cases. Journal of Tropical Pediatrics 48(3): 162-166.
Stokes M. 1998. Neurological Physiotherapy. London: Mosby International Limited. Nucleus Catalog Medical Reference Library. 2003. Cerebral palsy overview. www.catalog.nucleusine.com. Accessed 28 November 2015.
Stoknes M., Andersen G.L., Elkamil A.I., Irgens L.M., Skranes J., Salvesen K.Ã…. and Vik T. 2012. The effects of multiple pre- and perinatal risk factors on the occurrence of cerebral palsy. A Norwegian register-based study. European Journal of Paediatric Neurology 16(1): 6-63.
Styer-Acevedo, J. (1999). Physical Therapy for the Child with Cerebral Palsy, In: Pediatric Physical Therapy, 3rd ed., J. S. Tecklin, 107-162, Lippincott Williams & Wilkins, 0-7817-5399-6, Philadelphia.
Thomberg E., Thiringer K., Odeback A. and Milsom I. 1995. Birth asphyxia: An incidence, clinical course and outcome in a Swedish population. Acta Paediatrica 1995; 84: 927-932.
Tirosh, E., Rabino, S. (1989). Physiotherapy for Children with Cerebral Palsy. Evidence for its Efficacy. American Journal of Diseases of Children. 143:5, 552–555, 0002-922X.
Voorman J.M., Dallmeijer A.J., Schuengel C., Knol D.L., Lankhorst G.J. and Becher J.G. 2006. Activities and participation of 9- to 13-year old children with cerebral palsy. Clinical Rehabilitation 20:937-948.
Waugh, J., O’Callaghan, M.J., Tudehope, D.I., Mohay, H.A., Burns, Y.R., Gray, P.H. and Roger, Y.M. 1996. Prevalence and aetiology of neurological impairment in extremely low birth weight infants. Journal of Paediatric and Children Health 32(2): 120-124.
Wichers M.J., van der Schouw Y.T., Moons K.G., Stam H.J. and van Niewenhuizen O. 2001. Prevalence of cerebral palsy in
The Netherlands (1977–1988). European Journal of Epidemiology 17: 527-532.
