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Clinical Profile and Vitamin D Status of Cerebral Palsy Children at Haji Adam Malik Hospital Medan

Volume: 145  ,  Issue: 1 , March    Published Date: 01 April 2024
Publisher Name: IJRP
Views: 173  ,  Download: 51 , Pages: 95 - 100    
DOI: 10.47119/IJRP1001451320246190

Authors

# Author Name
1 Afni Yusnita
2 Johannes H.Saing
3 Badai Buana Nasution

Abstract

Cerebral palsy (CP) is a disorder of motor function and posture, due to impaired brain development. Children with CP are at risk of experiencing vitamin D deficiency due to reduced mobility, low vitamin D intake, and use of anti-epileptic drugs. Vitamin D deficiency can cause hypocalcemia and reduce bone mineral density, osteopenia, and rickets so that it can result in pathological fractures even with only minor injuries. Monitoring vitamin D levels, early identification, and appropriate vitamin D supplementation are important in reducing the risk of injury and fracture in PS children. This study aims to determine the clinical profile of children with cerebral palsy and their vitamin D status at Haji Adam Malik Hospital Medan. Methods: A descriptive study of children with cerebral palsy aged 2 to 6 years at the Neuro-pediatric outpatient clinic at H. Adam Malik Hospital, Medan from November 2022 to April 2023. Primary data was obtained from interviews and examination of serum vitamin D levels. Secondary data was obtained from medical records.   Results: Eighty-five CP children were included in this study, 51.8% were boys and 48.2% were girls. The mean age of the subjects was 3.48 years, 34.1% of the subjects experienced malnutrition. The etiology of CP mainly occurs in the perinatal period (66.7%). Most subjects had spastic type (75.3%), with GMFCS grade V being the most common type (34.1%). Most of the subjects (57.6%) had epilepsy and were using anti-epileptic drugs. The majority of subjects had vitamin D deficiency status (56.5%).   Conclusion: The clinical profile of cerebral palsy children at Haji Adam Malik Hospital Medan showed that most CP occurred during the perinatal period. Spastic type is the most common type of CP, most CP children experience epilepsy and vitamin D deficiency.