Cerebral palsy: comorbidities, the second hidden side


  • Jinela Desouza Department of Paediatrics, Dr. D. Y. Patil Hospital, Kolhapur, Maharashtra, India
  • Mohan Patil Department of Paediatrics, Dr. D. Y. Patil Hospital, Kolhapur, Maharashtra, India
  • Yamini S. Department of Paediatrics, Dr. D. Y. Patil Hospital, Kolhapur, Maharashtra, India
  • A. B. Kurane Department of Paediatrics, Dr. D. Y. Patil Hospital, Kolhapur, Maharashtra, India




Cerebral palsy, Hemiplegia, Intellectual disability, Motor disorders


Background: Cerebral palsy (CP) is the most common group of permanent disorders of motor impairment resulting from injury in the developing brain which are accompanied by comorbidities. Moreover, it has been observed that because of physical disabilities, the underlying comorbidities are neglected. The study aimed to assess the co-morbidities in children suffering from cerebral palsy in Kolhapur district.

Methods: The cross-sectional study was conducted among children suffering from cerebral palsy and presenting to Department of Paediatrics (n=250), D. Y. Patil Medical College, between October 2018 to October 2019. Detailed history with clinical examination were recorded in a pre-designed performa. The patients were classified according to the physiological and topographical classification. Data was analyzed using R software version 3.6.1. Variables were represented using frequency distribution, (p<0.05).

Results: Of the total participants (n=250), male predominance was observed (n=140); with age range of 1-18 years. Common form of cerebral palsy was spastic type (n=140; 56%). Most common type among spastic CP was diplegia (n=96; 38%). Children were suffering from speech abnormality in spastic CP cases (n=65). Among spastic hemiplegic cases all the children were suffering from intellectual disability (n=3).

Conclusion: Thus, it can be concluded that the motor impairment in just the top notch, the actual disability is the underlying co morbidities.


Patel DR, Neelakantan M, Pandher K, Merrick J. Cerebral palsy in children: a clinical overview. Transl Pediatr. 2020;9(1):S125-35.

Olney RS, Doernberg NS, Yeargin-Allsop M. Exclusion of progressive brain disorders of childhood for a cerebral palsy monitoring system: a public health perspective. J Registry Manag. 2014;41(4):182-9.

Winter S, Autry A, Boyle C, Yeargin-Allsopp M. Trends in the prevalence of cerebral palsy in a population-based study. Pediatrics. 2002;110(6):1220-5.

Braun VBK, Doernberg N, Schieve L, Christensen D, Goodman A, Yeargin-Allsopp M. Birth Prevalence of Cerebral Palsy: A Population-Based Study. Pediatrics. 2016;137(1):1-9.

Chauhan A, Singh M, Jaiswal N, Agarwal A, Sahu JK, Singh M. Prevalence of Cerebral Palsy in Indian Children: A Systematic Review and Meta-Analysis. Indian J Pediatr. 2019;86(12):1124-30.

Stavsky M, Mor O, Mastrolia SA, Greenbaum S, Than NG, Erez O. Cerebral Palsy-Trends in Epidemiology and Recent Development in Prenatal Mechanisms of Disease, Treatment, and Prevention. Front Pediatr. 2017;5:21.

Minocha P, Sitaraman S, Sachdeva P. Clinical Spectrum, Comorbidities, and Risk Factor Profile of Cerebral Palsy Children: A Prospective Study. J Pediatr Neurosci. 2017;12(1):15-8.

Bhati P, Sharma S, Jain R, Rath B, Beri S, Gupta VK, et al. Cerebral Palsy in North Indian Children: Clinico-etiological Profile and Comorbidities. J Pediatr Neurosci. 2019;14(1):30-5.

Himmelmann K, Beckung E, Hagberg G, Uvebrant P. Gross and fine motor function and accompanying impairments in cerebral palsy. Dev Med Child Neurol. 2006;48(6):417-23.

O’Shea TM. Diagnosis, treatment, and prevention of cerebral palsy. Clin Obstet Gynecol. 2008;51(4):816-28.

Jan MMS. Cerebral palsy: comprehensive review and update. Ann Saudi Med. 2006;26(2):123-32.

Bourgleh S, Nemeş RN, Hetaimish B, Burileanu AH, Fallatah S, Chiuţu LC. Cerebral Palsy. Considerations Upon 249 Consecutive Patients and Review of Literature. Current health sciences journal. 2019;45:405-11.

Sankar C, Mundkur N. Cerebral palsy-definition, classification, etiology and early diagnosis. Indian J Pediatr. 2005;72(10):865-8.

El-Tallawy HN, Farghaly WM, Shehata GA, Rageh TA, Metwally NA, Badry R, et al. Cerebral palsy in Al-Quseir City, Egypt: prevalence, subtypes, and risk factors. Neuropsychiatr Dis Treat. 2014;10:1267-72.

Raja MV, Hapani PT. Comorbidities associated with cerebral palsy in children presenting at department of Pediatrics, K. T. children hospital Rajkot, India. Int J Contemp Pediatr. 2019;6(2):863-6.

Centres for disease control and prevention. Cerebral Palsy. Last accessed on 20 June 2020.

Shevell M, Ashwal S, Donley D, Flint J, Gingold M, Hirtz D, et al. Practice parameter: evaluation of the child with global developmental delay: report of the Quality Standards Subcommittee of the American Academy of Neurology and The Practice Committee of the Child Neurology Society. Neurology. 2003;60(3):367-80.

Reid SM, Meehan EM, Arnup SJ, Reddihough DS. Intellectual disability in cerebral palsy: a population-based retrospective study. Dev Med Child Neurol. 2018;60(7):687-94.






Original Research Articles