Beyin felçli olgular: Etyoloji, epidemiyoloji ve klinik özellikleri

Abstract

Bursa ve çevresinde oturan ve pediatrik nöroloji polikliniğine gelen 120 beyin felçli olgu incelendi. Olguların % 62.5'u erkek ve erkek/kız oranı 1.66/1 bulundu. Etyolojilerinin % 62 perinatal, % 33 prenatal, % 5 postnatal orijinli olduğu saptandı. Olguların % 25'i prematare, % 20'si düşük doğum ağırlıklı idi. Ortalama yaşlan 3.5 - 3.2 yıl tanı konma yaşlan 15.2 + 14 ay bulundu. Klinik olarak % 44'ü spastik kuadriplejik, % 17'si spastik hemiptejik ve % 17'si atonik diplejik idi. Spastik kuadriplejik olguların termde, spastik diplejik olguların preterm doğanlarda sık olduğu görüldü. Tanının geç konması nedeniyle % 60 oranında kontraktür ve deformite saptandı.Totally 120 cases with cerebral palsy who were admitted to our polyclinic of pediatric neurology were involved in this study. 62.5 % of the cases were boy and the rate of boy/girl was 1.66/1. it was found that 62 % of the cases originated perinatally, 33 % of the cases prenatally and 5 % of the cases postnatally. Prematures were 25 %, cases with low birth weight were 20 %. The mean age of the cases was 3.5 + 3.2 years and the mean age of establishment of the diagnosis of cerebral palsy was 15.2 + 14 months. Clinically 44 % of the cases were spastic quadriplegic, 17 % were spastic hemiplegic and 17 % were atonic diplegic. It was found that spastic quadiplegic cases were common in temı infants but spastic diplegic cases were common in prematures. Defomıities and contractures were found in 60 % of the cases because of delaying the diagnosis.