The evaluation of epilepsy and other contributing disorders in patients with cerebral palsy using the Gross Motor Function Classification System

Authors : Arzu Ekici, Kursat Bora Carman, Sevgi Yimenicioglu, Ozan Kocak, Coskun Yarar, Ayten Yakut, Didem ARSLANTAS, Suzan SAYLİSOY

Pages : 175-181

Doi:10.18621/eurj.294051

View : 20 | Download : 11

Publication Date : 2017-07-04

Article Type : Research Paper

Abstract :Objectives.  Morbidity and mortality in patients with cerebral palsy are related to motor function disability, as well as other contributing disorders. The aim of this study was to evaluate the contribution of epilepsy and other disorders in cerebral palsy patients using the Gross Motor Function Classification System insert ignore into journalissuearticles values(GMFCS);, and to determine their relationship.  Methods.   This study was performed in Eskişehir Osmangazi University School of Medicine, Department of Pediatric Neurology between May 2011-January 2012, with a total of 154 patients diagnosed with cerebral palsy. Epilepsy and other contributing disorders were evaluated in the patients. GMFCS was used to measure the motor function.  Results.   Mental retardation insert ignore into journalissuearticles values(89.6%);, ophthalmological problems insert ignore into journalissuearticles values(68.2%); and epilepsy insert ignore into journalissuearticles values(61.0%); were the leading disorders, followed by oromotor dysfunction insert ignore into journalissuearticles values(48.7%);, malnutrition insert ignore into journalissuearticles values(40.9%);, orthopedic problems insert ignore into journalissuearticles values(38.3%);, dental problems insert ignore into journalissuearticles values(18.8%);, sleep disorders insert ignore into journalissuearticles values(17.5%); and hearing loss insert ignore into journalissuearticles values(9.1%); in cerebral palsy patients. Epilepsy, mental retardation, oromotor dysfunction and malnutrition were mostly observed in GMFCS level 5 insert ignore into journalissuearticles values( p <0.001);. Sleep disorder and dental problems were mostly observed at level 5 insert ignore into journalissuearticles values( p <0.05);. Epilepsy was seen more frequently in patients who had neonatal seizure history, microcephaly and mental retardation insert ignore into journalissuearticles values( p <0.05);.  Conclusions.   There are correlations between the occurrence of disorders such as mental retardation, epilepsy, oromotor dysfunction, malnutrition, sleep disorders, dental problems and gross motor function levels. GMFCS levels were thought to be instructive for possible additional disorders. 
Keywords : Cerebral palsy, Gross Motor Function Classification System, disorders, epilepsy