Vol. 6 No. 01 (2023)
Original Article

Epilepsy, a common sequelae in Children with Cerebral Palsy — A Study in a Tertiary Care Hospital in Bangladesh

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Mohammad Mohsin
Junior Consultant, Department of Pediatrics, Kuwait Bangladesh Friendship Government Hospital, Dhaka, Bangladesh
Farjana Yesmin Khan
Medical Officer, Department of Radiology and Imaging, Kurmitola General Hospital, Dhaka, Bangladesh
Ahmed Hosain
Junior Consultant, Department of Paediatric Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
Rumi Myedull Hossain
Junior Consultant, Department of Paediatric Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
Nusrat Shams
Junior Consultant, Department of Paediatric Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh

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Abstract

Introduction: Cerebral palsy (CP) is the most ordinary motor disability in childhood. It is defined as non-progressive and changing disorders of movement and posture. Basically, cerebral palsy (CP) is a group of disorders that affect a person’s ability to move, balance and posture. On the other hand, epilepsy is a frequent association that affects the brain and causes recurrent seizures. Aim of the study: The aim of the study was to assess the types and nature of epilepsy among children with cerebral palsy. Methods and materials: This case-control study was conducted in the Department of Pediatric Neurology, National Institute of Neurosciences and Hospital, Dhaka, Bangladesh from January 2020 to December 2020. This study was screening by definitive assessment of history, clinical, GMFCS level, MACS level, and CT scan of head. Results: In this study, in analyzing the types of CP of the participants we observed that, 8 (16%) had spastic hemiplegia, 6 (12%) had spastic diplegia, 27 (54%) had spastic quadriplegia, 3 (6%) had dyskinetic and mixed events were found in 6 (12%). On the other hand, among CP without epilepsy cases 21(21%), 36(36%), 15(15%), 1(11%) and 17(17%) were with hemiplegia, spastic diplegia, quadriplegia, dyskinetic and mixed respectively. 56.0% had age at onset of epileptic seizure less than 12 months. Conclusion: Among CP cases epilepsy is most common in spastic quadriplegic CP. Generalized and syndromic epilepsy is a more common type of epilepsy in spastic quadriplegic CP. Focal epilepsy is more common in spastic hemiplegia CP. Epilepsy is earlier age of onset.

Published 28-11-2023

Keywords

  • Cerebral palsy,
  • CP,
  • Epilepsy,
  • Children,
  • Seizures

How to Cite

1.
Mohsin M, Khan FY, Hosain A, Hossain RM, Shams N. Epilepsy, a common sequelae in Children with Cerebral Palsy — A Study in a Tertiary Care Hospital in Bangladesh . The Insight [Internet]. 2023 Nov. 28 [cited 2024 Apr. 23];6(01):157-6. Available from: https://bdjournals.org/index.php/insight/article/view/350