El-Tallawy Hamdy N, Farghaly Wafaa M A, Shehata Ghaydaa A, Metwally Nabil A, Rageh Tarek A, Abo-Elfetoh Noha
Department of Neurology, Assiut University, Egypt.
Brain Dev. 2011 May;33(5):406-11. doi: 10.1016/j.braindev.2010.07.011. Epub 2010 Aug 24.
Cerebral palsy (CP) is the most frequent cause of motor handicap among children. The present door to door (every door) study was conducted in El-Kharga District-New Valley to estimate the epidemiology of CP among children. Each child was subjected to complete medical and neurological examination to detect cases with CP. These diseased children were subjected to meticulous neurological and medical assessment, brain MRI, EEG and Stanford Binet (4th edition). It was found that 52 out of 25,540 children had CP yielding prevalence rate of 2.04/1000 (95% CI: 1.48-2.59) of living births. Mean age of children with CP, was 7.17±4.38years. The order of frequency of different subtypes of CP was as follows, 65.4% had spastic type, 26.9% mixed type and 3.8% for each ataxic and dyskinetic types of CP. The frequency of risk factors of CP in our study is prenatal complications (cyanosis, preterm, jaundice, birth weight and obstructed labor of mothers), first baby, similar condition and recurrent abortions.
脑瘫(CP)是儿童运动障碍最常见的原因。本次逐户(每户)研究在新河谷省的海尔盖区开展,以评估儿童脑瘫的流行病学情况。对每个儿童进行全面的医学和神经学检查,以检测出脑瘫病例。这些患病儿童接受了细致的神经学和医学评估、脑部磁共振成像(MRI)、脑电图(EEG)以及斯坦福-比奈智力量表(第4版)测试。结果发现,在25540名儿童中,有52名患有脑瘫,活产患病率为2.04/1000(95%置信区间:1.48 - 2.59)。脑瘫患儿的平均年龄为7.17±4.38岁。不同类型脑瘫的发生频率排序如下:痉挛型占65.4%,混合型占26.9%,共济失调型和运动障碍型各占3.8%。我们研究中脑瘫的危险因素包括产前并发症(如母亲发绀、早产、黄疸、出生体重及产程梗阻)、头胎、类似情况以及习惯性流产。