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J Pak Med Assoc. 2014 Jan;64(1):103-7.

Risk factors and types of cerebral palsy.

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Ziauddin Medical University, North Nazimabad, Karachi, Pakistan.
Ziauddin Medical University, North Nazimabad, Karachi, Pakistan.
Department of Community Health Sciences, Ziauddin Medical University, Clifton, Karachi, Pakistan.



To determine the risk factors and associated types of cerebral palsy in a squatter settlement of Karachi.


The pilot cross-sectional study was conducted in Karachi during 2010 and 2011. Data was collected through an interviewed questionnaire from the mothers of cerebral palsy victims children from a population of 6000. Sample sizes of 20 pre-diagnosed victims were selected through snowball sampling. SPSS 20 was used for statistical significance.


The mean age of the 20 children was 8.7 +/- 6.4 years. Of them, 16 (80%) were males and 4 (20%) were females. Major risk factors identified were; home and assisted delivery 5 (75%), consanguinity 10 (50%), infections 8 (40%) and lack of antenatal care 6 (30%). Out of 20 cases, 15 (75%) had spastic type of cerebral palsy, which was further classified as diplegia 7 (35%), quadriplegia 6 (30%) and hemiplegia 2 (10%). Mixed and dystonic types were found in 3 (15%) and 2 (10%) children respectively.


Important risk factors identified were home delivery, consanguinity and infections during pregnancy. Spastic type of cerebral palsy was the most common type in the study population.

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