Etiology of Cerebral Palsy in a Group of Patients
Galip AKHAN1, N. EREN1, Ahmet Rıfat ÖRMECİ2, Bahattin TUNÇ2, Hüseyin YORGANCIGİL3
1Süleyman Demirel Üniversitesi Tıp Fakültesi Nöroloji ABD, Isparta
2Süleyman Demirel Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları ABD, Isparta
3Süleyman Demirel Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji ABD, Isparta
Keywords: cerebral palsy, etiology
Abstract
A total of 115 children (55 girls and 60 boys), who are attending to the Isparta Branch ofThe National Association of Spastic Children, were examined. The cause of cerebral palsy(CP) were determined to be due to the following factors, in order: natal, 54%; unknown,16%; postnatal, 15%; and prenatal, 15%. Prenatal factors were taking medicine duringpregnancy (2%), maternal infection (2%), infants of diabetic mothers (1%) , microcephaly( 4%), mu/tiple birtb (4%) and having a relative with CP (2%). Natalfactors qf" CP weredetermined to be birtb aspbyxia (37%), prematurity and low birtb weigbt (14%) andsurmaturation (3%). Causative postnatal everıts were infection (5%), convulsion (3%),trauma (1%), and hyperbiluribinemia (7%). Birth asphyxia, which was diagnosed in 37%of patients with CP, is not dependent solely on labor. To lower the prevalence of CP, not only optimal conditions should be provided for the birth process, but also medical care should be given to the mothers before and during their pregnancy.