DOI: 10.36347/sjams.2013.v01i06.0036

Pages: 814-818

The aim of the study to know the etiological factor, clinical type, variable complication for cerebral palsy in misurata hospital and try to prevent this chronic illness later. It was a descriptive study based on hospital records conducted at Pediatric Department Misurata Central Hospital –Libya. Study included patients who were admitted with diagnosis of cerebral palsy from 1/7/2010 till 30/6/2013. Risk factors of cerebral palsy such as birth weight, Gestational age, consanguinity, mode of delivery, similar illness in the family and other risk factor of cerebral palsy were studied. Other variables such as complications, malnutrition assessed by weight for age, anemic status and assessment of motor functions were also studied. They were 116 patient 69 were male and 47 were female .the male to female ratio was 1.46:1. Birth asphyxia accounted for 42 (36%) of cases .low birth weight accounted for11 (10%) of cases .very low birth weight accounted for 1 (0.8%) of cases. neonatal meningitis were 12 (10%), premature were 10(8.6%) and the etiology was undetermined in 22 cases (18.9%). The Spastic cerebral palsy was the most common type occurring 77% of cases, atonic 13% and mixed varieties of cerebral palsy in 10%. Recurrent seizers where seen in 54% of cases, 25% of cases had musculoskeletal complication mainly inform of tendon contracture. 25% of cases were mental retarded and about 50% had malnutrition and their weight below third centile, 56% of them were anemic. Variable ocular problem detected in about 50% of cases in form of optic atrophy and strabismus. In conclusion the etiological factors of cerebral palsy are largely preventable in our city. Improvement in anenatal, natal, peinatal care is essential to reduce the incidence of cerebral palsy. Rehabilitations center should be established at the community level to offer integrated services to children with CP in order to reduce morbidity and mortality in this age group. We should direct our health service towar