Author
College of Medicine, Al- Mustansiriyah University. Pediatric Neurologist, Central Teaching Hospital of Pediatric, Baghdad, Iraq.
,
Document Type : Research Paper
Abstract
ABSTRACT:
BACKGROUND:
Around 20% of the global disease burden is attributed to neurological disorders. In developing countries, neurological disorders are the leading cause of disability among children. Unfortunately many children with these conditions also face the additional burdens of poverty, ignorance, and inadequate healthcare facilities. Most of the time, these children are not able to receive the proper care and support they need.
OBJECTIVE:
To observe the pattern of childhood neurological diseases that are encountered in the neurology outpatient clinics at a tertiary care hospital in Baghdad, Iraq.
MATERIALS AND METHODS:
This is a prospective descriptive study carried out in the neurology outpatient clinics of the central teaching hospital of pediatrics over the period from June 2022 to January 2023 The data were collected through a pre‑designed questionnaire from hand‑written registers maintained by neurology consultants and seniors at the neurology clinics.
RESULTS:
There were a total of 4325 children consulted the pediatric neurological outpatient clinic in the central teaching hospital of pediatrics in Baghdad Iraq during the 6 months of the study time, their ages range from 1 day to 14 years. The most common age group was those from 1 to 5 years old about 1641 children (37.94%). male were more common than female 2474(57.20%) of children. Nearly one-third of the patients consulted the outpatient clinic were complaining of seizure and epilepsy disorders (1537 children). The next most common neurological problem was cerebral palsy in 984 patients (22.75%). Almost 6% of outpatient clinic visitors were suffering from behavior problems.
CONCLUSION:
Knowing the spectrum of neurological diseases in neurology outpatient clinic at the tertiary care level will help to understand the neurological demands and supply in our pediatric hospitals, the results put forward that neurological and behavioral disorders are common in pediatrics and vary in range among them. The higher frequency of epilepsy and cerebral palsy suggests that priority should be given to training and anticipatory measures with early diagnosis and proper management.
- Akpalu A, Adjei P, Nkromah K, Poku FO, Sarfo FS. Neurological disorders encountered at an out-patient clinic in Ghana's largest medical center: A 16-year review. eNeurologicalSci [Internet]. 2021;24:100361. Available from: https://doi.org/10.1016/j.ensci.2021.100361
- MD AC. Neurology in Developing Countries. Neurology. 1992;42:2060–60.
- Mung'ala-Odera V, Meehan R, Njuguna P, Mturi N, Alcock KJ, Newton CRJC. Prevalence and risk factors of neurological disability and impairment in children living in rural Kenya. Int J Epidemiol. 2006;35:683–88.
- Obi JO, Sykes RM. Neurological diseases as seen at the outpatient pediatric neurology clinic in Benin City. Ann Trop Paediatr. 1984;4:217–20.
- Lagunju IA, Okafor OO. An analysis of disorders seen at the Paediatric Neurology Clinic, University College Hospital, Ibadan, Nigeria. West Afr J Med. 2009;28:38–42.
- Frank-Briggs AI, Alikor EA. The pattern of Paediatric Neurological Disorders in. Int J Biomed Sci. 2011;7:145–49.
- Mathers CD, Lopez AD, Murray CJL. The Burden of Disease and Mortality by Condition: Data,
Methods, and Results for 2001. In Global Burden of Disease and Risk Factors, eds. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJL. New York: Oxford University Press. 2006; 45-240.
- Ogbe Z, Nyarang'o P, Mufunda J. Pattern of neurological diseases as seen in outpatient children: the experiences from Orotta Referral Hospital Asmara, Eritrea. J Eritrean Med Assoc. 2010;1:11–15.
- Shora Y. Darwish, Morsy A. Ammar, Hassan K. Gad, Hussein A. El-Gharieb, Mohie El –Din T. Mohamed, Ahmed M. El-metwaly Pattern of Paediatric Neurological Disorders in Paediatric Neurology Unit of AL-Azhar University Hospitals in Egypt.Nat Sci 2015;13:139-44. (ISSN: 1545-0740). http://www.sciencepub.net/nature.
- 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;23:139–43.
- Samir M, Abomayla H, Elkeiy MT, Al-aziz OA. Retrospective Outcome of Pediatric Neurology Outpatient Clinic In Bab Al-sharyea University Hospital By Pediatric neurological disorders in developing countries very challenging . This is due to its chronicity , late presentation, and of that the general a.
- Mosser P, Schmutzhard E,Winkler A, et al, (2007): The pattern of epileptic seizures in rural J NeurolSci. 2007; 258:33-38.Epub Apr .
- Sander J,: The epidemiology of epilepsy revisited, Curr Opin Neurol, 2003;16: 165-70.
- Mohamed IN, Elseed MA, Hamed AA. Clinical Profile of Pediatric Neurological Disorders. Child Neurol Open. 2016;3(JANUARY):2329048X1562354
- Izuora GI, Iloeje SO. A review of neurological disorders seen at the Paediatric Neurology Clinic of the University of Nigeria Teaching Hospital, Enugu. Ann Trop Paediatr. 1989;9:185–90.
- Kareem AA, Kamel MAS. Risk factors and clinical profiles in Iraqi children with cerebral palsy. New Iraqi J Med. 2009;5:64–68.