Clinical profile of neurological disorders in children: a hospital-based experience of a tertiary care centre in Kashmir
DOI:
https://doi.org/10.18203/2349-3291.ijcp20221855Keywords:
Children, Encephalopathy, Infections, Nervous system, SeizuresAbstract
Background: Neurological disorders in paediatric age group constitute a major cause of hospital visits both elective and emergent. Due to fast maturity of nervous system within the first few years of life they are more prone to neurological disorders, which mostly can be preventive and rehabilitative in nature. Purpose of this study was to know the pattern and spectrum of neurological disorders among children presenting to a tertiary health care facility in Kashmir.
Methods: This was a retrospective analysis of the data of all the children in the age group 1 month to 18 years admitted with neurological disorders over a period of 12 month. Diagnosis was made on the basis of history, physical examination and relevant laboratory and radiological investigations.
Results: Out of 21732 patients admitted during this study period, 562 patients had neurological disorders, an occurrence rate of 25 per 1000 hospitalized patients, with a male female ratio of 1.4:1. The most common neurological disorder was seizures followed by cerebral palsy and CNS infection.
Conclusions: Neurological disorders constitute one of the common reasons for childhood hospitalization, implying a comprehensive must be set up in place to deal with these neurological problems as is existing elsewhere in our country, and in developed world for appropriate delivery of health care.
References
Byford J, Veenstra N, Gi S. Towards a method for informing the planning of community-based rehabilitation in Papua New Guinea. P N G Med J. 2003;46:63-80.
Couper J. Prevalence of childhood disability in rural KwaZulu-Natal. S Afr Med J. 2002;92:549-52.
Bribeck GL. Barriers to care of patients with neurological disease in rural Zambia. Arch Neurol. 2000;57:414-7.
De Myer W. Normal and Abnormal Development of the Neuraxis. In: Rudolph CD, Rudolph AM, Hostetter MK, Lister G, Siegel NJ, Eds. Rudolph’s Paediatrics. New York: Mc Graw Hill. 2003;2174-8.
Rasheed S. Major causes and consequences of childhood disability. UNICEF. 1999;2.
Wolf MJ, Wolf B, Beunen G and Casaer P. Neurodevelopmental outcome at 1 year in Zimbabwean neonates with extreme hyperbilirubinaemia. Eur J Paediatr. 1999;158:111-4.
Gourie Devi M, Gururaj G, Satishchandra P, Subbakrishna DK. Prevalence of neurological disorders in Bangalore, India: a community-based study with a comparison between urban and rural areas. Neuroepidemiology. 2004;23:261-8.
Kumar R, Bhave A, Bhargava R, Agarwal CG. Survey of neurological disorders in children aged 9-15 years in northern India. J Child Neurol. 2016;31(5):573-83.
Lagunju IA, Okafor OO. An analysis of disorders seen at pediatric neurology clinic, University College Hospital, Ibadan, Nigeria. West Afr J Med. 2009;28(1):38-42.
Jacqueline F, Moreau BA, Ericka L. Hospitalisations of children with neurological disorders in the United States. Pediatr Crit Care Med. 2013;14(8):801-10.
Burton KJ, Allen S. A review of neurological disorders presenting at a pediatric neurology clinic and response to anticonvulsant therapy in Gambian children. Ann Trop Paediatr. 2003;23(2):139-43.
Mohamed IN, Elseed MA, Hamed AA. Clinical profile of pediatric neurological disorders: Outpatient department, Khartoum, Sudan. Child Neurol Open. 2016;3:2329048X15623548.
Asindi AA. The pattern of neurological disabilities in children seen at the university of Calabar Teaching Hospital. Nigerian J Paediatr. 1986;127-32.
Obi JO, Sykees RM. Neurological diseases as seen at the outpatient pediatric neurology clinic in Benin city. Ann Trop Paediatr. 1984;4(4):217-20.
Amelio DM, Shinnar S, Hauser WA. Epilepsy in children with mental retardation and cerebral palsy. In: Devinsky o and Weatbrook LE, eds. Epilepsy and developmental disabilities. Boston: Butterworth-Heinemann. 2001;3-16.
Wani NA, Qureshi UA, Jehangir M. Infantile encephalitic Beri Beri: magnetic resonance imaging findings.Pediatr Radiol. 2016;46(1):96-103.
Sahu J. Child neurology in India: challenges and oppurtunities. J Int Child Neurol Asso. 2017.
Mohamed S, EI Melegy EM, Talaat I. Neurometabolic disorders- related early childhood epilepsy: A single-Center Experience in Saudi Arabia. Pediatr Neonatol. 2015;56(6):393-401.
Karimzadeh P, Jafari N, Nejad Biglari H. Neurometabolic diagnosis in children who referred as neurodevelopmental delay (A Practical Criteria, in Iranian Pediatric Patients). Iran J Child Neurol. 2016;10(3):73-81.
Hossain MD, Ahmed HU, Jalal Uddin MM, Chaudhary WA, Iqbal MS, Kabir RI et al. autism spectrum disorder in south Asian. A systematic review. BMC Psychiatry. 2017;17:281.
