Title
Recurrent Crying Spells in Cerebral Palsy
Recurrent Crying Spells in Cerebral Palsy With Spastic Quadriparesis - A Crossover Study
Phase
Phase 4Lead Sponsor
Sathbhavana Brain ClinicStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Recurrent Crying SpellsIntervention/Treatment
baclofen ...Study Participants
70This is a study of recurrent crying spells in Spastic Cerebral Palsy patients and their treatment.
This is the first study of recurrent crying spells in Cerebral Palsy with Spastic quadriparesis depicting the diagnostic criteria and treatment.
Since the therapeutic window of Baclofen is narrow, the lowest dose compatible with an optimal response was used.
The starting dose was 0.75 mg/kg in four divided doses daily and was cautiously increased at three-day intervals until crying subsided or symptoms of over dosage or side effects appeared. The usual maximum dose was two mg/kg in four divided doses daily.
Placebo contained fructose powder in equal quantity in packets mimicking those of Baclofen.
Inclusion Criteria: Recurrent Crying Spells in Cerebral Palsy with Spastic Quadriparesis. Age range 0-12 years. Exclusion Criteria: Crying due to known causes (like hunger, sleep, food intolerance etc.), Crying that responded to routine management (changes in food or feeding techniques, anticolic, analgesics), Fever of ≥100.4ºF (38ºC), The infant refuses to eat or drink for more than a few hours, vomits excessively, has bloody stools, or has a change in behavior (lethargy or decreased responsiveness). Colic Worst ever crying occurring for the first time Respiratory, renal and hepatic diseases, Progressive encephalopathies, Received Baclofen in the previous 30 days