Abstract
Aetiological factors predisposing to cerebral palsy were investigated in 190 children with this condition seen in Riyadh , Saudi Arabia since January 1980. Ninety-four (49.5\%) of the cases were natal in origin, 63 (33.1\%) prenatal and 33 (17.4\%) postnatal. Anoxia was the most common aetiological factor, accounting for 38 cases (20\%), followed by prematurity in 18 (9.5\%). These two factors combined accounted for 29.5\% of all cases and 59.5\% of those in the natal group. Idiopathic cases, the third largest group, accounted for 9.0\%. Certain factors were shown to predispose to specific neurological deficits, the majority of the 190 patients being spastic diplegic (31\%) or quadriplegic (26.3\%). Saudi Arabia is going through a process of massive economic, social and medical progress. In view of improvements in all these areas and of other factors, a change in the pattern of incidence of cerebral palsy in Saudi Arabia is expected in the future.
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