Magnetic Resonance Findings in Cerebral Palsy and a Correlation with Developmental Disabilities.
- Author:
Chang Il PARK
1
;
Eun Suk PARK
;
Ji Cheol SHIN
;
Seong Woo KIM
;
In Keol BANG
Author Information
1. Department of Rehabilitation Medicine, Yonsei University College of Medicine.
- Publication Type:Original Article
- Keywords:
Cerebral palsy;
Brain MRI;
M nchener Funktionelle Entwicklungs Diagnostik;
Developmental disability
- MeSH:
Brain;
Brain Injuries;
Cerebral Palsy*;
Child;
Corpus Callosum;
Developmental Disabilities*;
Humans;
Infant, Newborn;
Leukomalacia, Periventricular;
Magnetic Resonance Imaging;
Myelin Sheath
- From:Journal of the Korean Academy of Rehabilitation Medicine
1998;22(5):1013-1020
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To investigate the correlation between magnetic resonance imaging (MRI) findings for children with cerebral palsy (CP) and the severity of their developmental disability. METHOD: MRI and M nchener Funktionelle Entwicklungs Diagnostik (MFED) were used for the evaluation of 52 children with CP. MFED quotient (MFED age/corrected age 100) was compared to the MRI findings. RESULTS: Of the 52 MRIs, no abnormalities were found in 7 cases (13%), periventricular leukomalacias (PVLs) in 37 cases (71.2%), corpus callosum abnormalities in 33 cases (63.5%), delayed myelinations in 8 cases (15.4%), congenital brain abnormalities in 6 cases (11.5%), and central sulcus abnormalities in 3 cases (5.8%). Among 27 patients who were born preterm, the major MRI finding was PVL (100%), indicative of a hypoxic brain injury. All patients with a normal MRI were born at term. There were significant correlations between the MFED quotient and the severity of PVL. The ratio of corpus callosum length/brain anteroposterior diameter was correlated with a developmental disability. CONCLUSION: MRI findings for the patients with CP are well correlated with the developmental disabilities and the timing of brain insult.
