Salih Karimeldin
Pediatrics, College of Medicine, University of Bisha, Bisha, SAU.
Cureus. 2020 Mar 10;12(3):e7232. doi: 10.7759/cureus.7232.
Cerebral palsy (CP) is a non-progressive, everlasting neurological disorder of movement, posture, and physical activities, with a prevalence of 2.2-3.3/1,000. CP is a condition that occurs globally, with a similar prevalence in both developed and undeveloped countries. However, the etiology differs according to the socioeconomic status of the countries. The objective is to determine the pattern and the contributing factors of CP among Sudanese children.
This was a retrospective hospital-based study conducted over a period of three years in a pediatric referral hospital in Khartoum, Sudan. One hundred and eight patients of CP were enrolled, of whom 59 (54.6%) were males and 49 (45.4%) were females.
Spastic quadriplegic CP was the most common type. Most cases were from lower social classes. Prenatal, antenatal, and unclassified CP were found in 45 (41.7%), 31 (28.7.%), 23 (21.3%), and 9 (8.3%) cases, respectively. Birth asphyxia, neonatal jaundice, Toxoplasma gondii, rubella virus, cytomegalovirus, herpes simplex virus infections (TORCH), and sepsis (acquired) were the main causative factors.
Spastic quadriplegia is the most common type of CP. Most of the cases had a direct positive relationship with socioeconomic status. The prenatal period was the most common period for the development of CP.
脑瘫（CP）是一种非进行性、永久性的运动、姿势和身体活动神经障碍，患病率为2.2 - 3.3/1000。脑瘫在全球范围内均有发生，在发达国家和不发达国家的患病率相似。然而，其病因因国家的社会经济状况而异。目的是确定苏丹儿童脑瘫的模式和影响因素。
这是一项在苏丹喀土穆一家儿科转诊医院进行的为期三年的回顾性医院研究。纳入了108例脑瘫患者，其中59例（54.6%）为男性，49例（45.4%）为女性。
痉挛性四肢瘫型脑瘫是最常见的类型。大多数病例来自社会经济地位较低的阶层。产前、产时和未分类的脑瘫分别占45例（41.7%）、31例（28.7%）、23例（21.3%）和9例（8.3%）。出生窒息、新生儿黄疸、弓形虫、风疹病毒、巨细胞病毒、单纯疱疹病毒感染（TORCH）和败血症（后天获得性）是主要致病因素。
痉挛性四肢瘫是脑瘫最常见的类型。大多数病例与社会经济地位呈直接正相关。产前时期是脑瘫发生最常见的时期。
