PREVALENCE OF CEREBRAL PALSY AND ITS DIFFERENT PRESENTATIONS AMONG CHILDREN OF GUJRANWALA, PAKISTAN

The objective of this study is to investigate the prevalence of cerebral palsy and its different presentations among children of Gujranwala, Pakistan. This study was execute among children of 4-6 years of age at DHQ hospital Gujranwala, Pakistan. The data was collected by a cross sectional survey and used close ended questionnaire based on APGAR, GMFCS and surveillance of cerebral palsy in Europe (SCPE) study. Parents of the children were interviewed and completed the questionnaires. SPSS software was used for Data analysis.Total of 138 cp children, were reported in DHQ hospital Gujranwala duing 2-3 months . Out of which 61.6% were male and 38.4% were female. Findings of the research showed that incidence of spastic cp 89.9% was more common than the atonic 10.1% ,athetoid and mixed cp . In subtypes of cp the quadriplegic cp 57.2% was more common than the diplegic 31.9% and hemiplegic cp 10.9% in children of Gujranwala Pakistan. Most common etiological factors of cp were birth asphyxia 81.9%, prematurity 10.9% and kernicterus 7.2% . Most of children were resided to the rural areas 75.4% and 24.6% were from urban area. The mode of delivery of most children were normal 57.2% and 34.1% were reported C-section other 8.7% were forceps deliveries.

Spastic quadriplegia were the frequent presentation in Gujranwala, Pakistan. The numerous etiological factors in CP development were birth asphyxia, prematurity and kernicterus. Rural area has the more prevalence of Cp in children than the urban areas. Majority of the affected children were male than the females.

Keywords: Cerebral palsy, Spastic, Quadriplegic, Atonic, Diplegia, Premature birth, Birth asphyxia, Clinical presentation.