Comparison of Clinical Profile in Spastic Diplegic and Quadriplegic Cerebral Palsy

Abstract

AbstractBackground and aim: Cerebral palsy refers to a group of non progressive, but often changing motor impairment syndrome. This study compares clinical profile & neuroimaging findings in children with spastic diplegic cerebral palsy & spastic quadriplegic cerebral palsyMethods: One hundred & seventy one (171) children with spastic cerebral palsy , aged 12-60 mo.(median 30 mo.) were classified into 2 groups; Spastic diplegic (n=78) & Spastic quadriplegia (n=93). Risk factors of cerebral palsy, gross motor function classification system, associated neurological diseases & neuroimaging finding were analyzed.Result: Risk factors were mainly prematurity & birth asphyxia were present in similar percentage in both groups .The children with spastic quadriplegia were classified more frequently into level 4 & 5 of gross motor function classification system while children with spastic diplegia were classified level more frequently into level 2 & 3. Global delay, epilepsy & speech delay were observed more frequently in the children with spastic quadriplegia. Cerebral atrophy occurred more frequently in the quadriplegic cerebral palsy.Conclusion: These findings suggest different cerebral palsy subtypes demonstrate various clinical profiles.