Strabismus, epilepsy vs. motor & neurological disorders in quadriplegia

Purpose To correlate strabismus and epilepsy with the severity of the motor and brain disorder in spastic quadriplegic children. Methods 52 quadriplegic children (2-9 years of age) participated in this study. Strabismus (Krimsky test), gross motor function (GMFCS) were estimated and EEG and brain MRI were also performed. Results 29 children were premature and 23 were full terms. 30 out of 52 (57.69%) had epilepsy, 29 out of 52 (55.76%) had strabismus (19 (36.53%) esotropia & 10 (19.23%) exotropia). 73.07% of the children had moderate to very severe motor disorders. 32 children (61.53%) had periventricular leukomalacia and 20 (38.47%) had various brain damages. Conclusion Epilepsy and strabismus are very common in quadriplegia and there is a statistically significant relationship between epilepsy, strabismus and neurological and brain damage.