Serebral palsili olgularda görme ve işitme bozuklukları ve epilepsi sıklığı

Year 2012, , 245 - 249, 01.06.2012

Bahadır Konuşkan Hüseyin Per Hakan Gümüş Sefer Kumandaş

https://doi.org/10.5799/ahinjs.01.2012.02.0152

Abstract

Amaç: Bu çalışmanın amacı serebral palsili (SP) vakalarda işitme, görme problemleri ile epilepsi sıklığının saptamaktır. Gereç ve yöntem: Çocuk nöroloji polikliniğinde serebral palsi tanısı ile takip edilen ve hastaneye başvuran hastaların dosyaları retrospektif olarak incelendi. Bulgular: Bu çalışmada, %63.3\'ü erkek, %36.7\'si kız çocuğu olmak üzere toplam 460 vaka araştırıldı. Çalışmaya dahil edilen hastaların erkek/kız oranı 1.7 ve %60\'ı matür, %40\'ı ise prematüre doğumlu idi. Vakaların gösterdikleri klinik tablolara göre dağılımları; %39.7 spastik kuadriparezi, %28.7 spastik diparezi, %18.2 spastik hemiparezi, %7 koreoatetoik SP, %3.5 mikst tip SP, %1.1 hipotonik SP, %0.9 spastik monoparezi, %0.4 distonik SP, %0.4 ataksik SP olark saptandı. Serebral palsiye eşlik eden bozukluklar olarak %54.3\'ünde epilepsi, %38.5\'unda şaşılık ve %22\'sinde işitme kaybı saptandı. Sonuç: Serebral palsi kalıcı daha çok motor işlevlerle ilgili bir hastalık olarak algılansa da sıklıkla görme ve işitme problemleri ve epilepsi gibi ikincil sorunlara neden olmaktadır. Yüksek oranda tespit ettiğimiz eşlik eden bozuklukların erken tanı ve tedavisi hastaların hayat kalitesini olumlu yönde etkileyecektir.

Keywords

Serebral palsi, görme bozuklukları, işitme bozuklukları, epilepsi

Visual and hearing disabilities and epilepsy frequency in children with cerebral palsy

Abstract

Objectives: The aim of this study was to evaluate visual and hearing disabilities and epilepsy frequency in children with cerebral palsy. Materials and methods: The medical records of patients who were followed up with the diagnosis of cerebral palsy in Child Neurology Department were examined retrospectively. Results: In this study, Totally 460 patients of which 63.3% male and 36.7% female were included. Male/female ratio was 1.7 and 60% of the patients were mature and 40% of them were premature. The distribution of the cases according to clinical description was as follows: 39.7% spastic quadriplegia, 28.7% spastic diplegia, 18.2% spastic hemiplegia, 7% choreoathetoid cerebral palsy, 3.5% mixed type cerebral palsy, 1.1% hypotonic cerebral palsy, 0.9% monoparesis, 0.4% dystonic cerebral palsy and 0.4% ataxic cerebral palsy. Disorderss coexisting with cerebral palsy were epilepsy in 54.3%, strabismus in 38.5%, and hearing loss in 22% of patients. Conclusion: Although cerebral palsy is known as a disease with motor disability, brain pathology frequently causes hearing and visual disturbances and epilepsy. Early diagnosis and treatment of these accompanying disabilities will affect positively quality of life of these patients. J Clin Exp Invest 2012; 3(2): 245-249

Keywords

Cerebral palsy, visual disability, hearing disability, epilepsy

References

• Swaiman KF, Ashwal S, Ferriero DM. Pediatr Neurol: Principles and Practice, 4th ed. Philadelphia: Mosby, 2006:491-504.
• Bax M, Goldstein M, Rosenbaum P, et al. Proposed definition and classification of cerebral palsy. Dev Med Child Neurol 2005;47(8):571-6.
• Blair E, Watson L. Epidemiology of cerebral palsy. Se- min Fetal Neonatal Med 2006;11(2):117-25.
• Blair E. Trends in cerebral palsy. Indian J Pediatr 2001;68(5):433-8.
• Chambers HG. Advances in cerebral palsy. Curr Opin Orthop 2002;13:424-31.
• Prevalence and characteristics of children with ce- rebral palsy in Europe. Dev Med Child Neurol 2002;44(9):633-40.
• Grether JK, Cummins SK, Nelson KB. The California Cerebral Palsy Project. Paediatr Perinat Epidemiol 1992;6(3):339-51.
• Gurbuz A, Karateke A, Yilmaz U, Kabaca C. The role of perinatal and intrapartum risk factors in the etiology of cerebral palsy in term deliveries in a Turkish popula- tion. J Matern Fetal Neonatal Med 2006;19(3):147-55.
• Ozturk A, Demirci F, Yavuz T, et al. Antenatal and de- livery risk factors and prevalence of cerebral palsy in Duzce (Turkey). Brain Dev 2007;29(1):39-42.
• Laisram N, Srivastava VK, Srivastava RK. Cere- bral palsy-an etiological study. Indian J Pediatr 1992;59(6):723-8.
• Jacobson LK, Dutton GN. Periventricular leuko- malacia: an important cause of visual and ocular motility dysfunction in children. Surv Ophthalmol 2000;45(1):1-13.
• Evans P, Elliott M, Alberman E, Evans S. Prevalence and disabilities in 4 to 8 year olds with cerebral palsy. Arch Dis Child 1985;60(10):940-5.
• Black P. Visual disorders associated with cerebral palsy. Br J Ophthalmol 1982;66(1):46-52.
• Scheiman MM. Optometric findings in children with ce- rebral palsy. Am J Optom Physiol Opt 1984;61(5):321- 3.
• Erkkila H, Lindberg L, Kallio AK. Strabismus in chil- dren with cerebral palsy. Acta Ophthalmol Scand 1996;74(6):636-8.
• Akkoç HF. Serebral palsili hastalarda göz bulguları, Uzmanlık tezi, Göz Hastalıkları, Dokuz Eylül Üniversi- tesi Tıp Fakültesi: İzmir.
• Ipata AE, Cioni G, Bottai P, et al. Acuity card testing in children with cerebral palsy related to magnetic reso- nance images, mental levels and motor abilities. Brain Dev 1994;16(3):195-203.
• Mutch L, Alberman E, Hagberg B, Kodama K, Per- at MV. Cerebral palsy epidemiology: Where are we now and where are we going? Dev Med Child Neurol 1992;34(6):547-51.
• Aksu F. Nature and prognosis of seizures in pa- tients with cerebral palsy. Dev Med Child Neurol 1990;32(8):661-8.
• Singhi P, Jagirdar S, Khandelwal N,Malhi P. Epi- lepsy in children with cerebral palsy. J Child Neurol 2003;18(3):174-9.
• Kulak W, Sobaniec W. Risk factors and prognosis of epilepsy in children with cerebral palsy in north-east- ern Poland. Brain Dev 2003;25(7):499-506.
• von Wendt L, Rantakallio P, Saukkonen AL, Tuisku M, Makinen H. Cerebral palsy and additional handicaps in a 1-year birth cohort from northern Finland--a pro- spective follow-up study to the age of 14 years. Ann Clin Res 1985;17(4):156-61.
• Murphy CC, Yeargin-Allsopp M, Decoufle P, Drews CD. Prevalence of cerebral palsy among ten-year-old children in metropolitan Atlanta, 1985 through 1987. J Pediatr 1993;123(5):S13-20.
• Kolawole TM, Patel PJ, Mahdi AH. Computed tomo- graphic (CT) scans in cerebral palsy (CP). Pediatr Ra- diol 1989;20(1-2):23-7.