Clinical Aspects of Microcephaly Patients Regarding Endocrine Profile
Qurat-ul-Ain, Shmyla Hamid, Farrukh Sarfraz, Junaid Iqbal, Saima Rubab Khan, Noor-ul-Ain
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ABSTRACT
Introduction: Microcephaly is
characterized as an occipitofrontal head circumference (OFC) underneath the
third centile or more than 2 standard deviations (SD) below the mean for sex,
age, and ethnicity. The term ‘severe’ microcephaly is connected to an OFC more
than 3SD below the mean. Microcephaly is associated with a reduction in brain
volume and frequently intellectual and/or motor inabilities. The pathogenesis
of microcephaly is heterogeneous, extending from hereditary causes to
environmental components that can have an effect on developmental process that
impact brain size.
Objective: The main objective of this study was
to compare the BMI and endocrine profile of patients having microcephaly with
age matched to normal siblings in their families.
Materials and Methods:
Study
design: Quantitative
cross sectional
Settings: Services Hospital Lahore
Duration: 01 year i.e. 1st
January 2020 to 30th December 2020
Methodology: This is a
quantitative cross sectional study arrangement based on 12 persons. On the
basis of microcephaly, the subjects were separated into the two groups: Group
I: Subjects with microcephaly (n=10), Group II: Normal kin as controls (n=2).
Five families including add up to of 12 individuals was selected. Ten people
with microcephaly (cases) and two normal kin (without microcephaly) were taken
as controls. Cooperation of the subjects in this study was selected voluntarily
and written informed consent was taken to take part in the study from each
individual and from their guardians. The individuals and their guardians were
educated about the potential benefits and risks of this study.
Results: There was little difference within the
mean age of microcephaly individuals as compared to healthy siblings.
Conclusion: In light of this study it can be
recommended that there's a significant affiliation of BMI and microcephaly but
the affiliation of Leptin, Cortisol, GH and TSH with microcephaly seem not be
found as proposed by non-significant results. This may moreover emphasize on
heredity perspective of this condition.
Keywords: Microcephaly, Leptin, Growth Hormone,
BMI, TSH