MR Findings of Cerebral Palsy and Clinical Correlation.
10.3348/jkrs.1997.36.4.703
- Author:
Sun Ho KIM
1
;
In One KIM
;
Woo Sun KIM
;
Kyung Mo YEON
Author Information
1. Department of Radiology, Seoul National University College of Medicine.
- Publication Type:Original Article
- Keywords:
Brain, MR;
Cerebral palsy
- MeSH:
Atrophy;
Basal Ganglia;
Brain;
Cerebral Palsy*;
Encephalomalacia;
Hemiplegia;
Humans;
Infant, Newborn;
Infarction;
Leukomalacia, Periventricular;
Magnetic Resonance Imaging;
Malformations of Cortical Development;
Myelin Sheath;
Paraplegia
- From:Journal of the Korean Radiological Society
1997;36(4):703-709
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To demonstrate MR findings of cerebral palsy(CP), correlation with clinical findings, and differences between the full-term and pre-term group. MATERIALS AND METHODS: Brain MRI of 94 patients with cerebral palsy(CP) were reviewed. The frequency of each MR finding, statistical correlation with clinical findings including type, severity and extent of CP, and differences between the full-term and pre-term group were analyzed. RESULTS: Abnormal MR findings were found in 83 patients (88%), and were as follows: diffuse brain atrophy (30%); periventricular leukomalacia (PVL) (28%); infarction (11%), basal ganglia abnormality (11%); delayed myelination (10%); nonspecific tissue loss or encephalomalacia (9%); and cortical dysplasia (7%). Hemiplegia was the most common condition among patients with infarction, and was found in 80% of this group; diplegia was found in 50% of cases with diffuse brain atrophy, while paraplegia was found in 36% of those with normal MR findings (p<.05). Mild symptoms were dominant in patients with normal MR findings (82%) and in those with infarctions (90%) (p<.05). PVL was the dominant finding in the pre-term group (65%) whereas findings in the full-term group varied; in this group, 38% of MR findings suggested prenatal insults. Possible causative factors were found in 66% of the full-term and 80% of the pre-term group. Perinatal factors were dominant in the pre-term group (81%), whereas prenatal and postnatal factors showed relatively higher frequencies in the full-term group (30% and 24%, respectively). CONCLUSION: Diffuse brain atrophy and PVL were the most common MR findings. The extent of CP the pre-term correlated well with MR findings. PVL and perinatal factors were dominant in the per-term group, whereas variable MR findings and relatively higher frequencies of pre- and postnatal factors were found in the full-term group.
