Study of Magnetic Resonance Imaging (MRI) of Brain in Children with Cerebral Palsy
Journal Title: International Journal of Anatomy Radiology and Surgery - Year 2017, Vol 6, Issue 4
Abstract
Introduction: One of the most common forms of severe disability of childhood is cerebral palsy which has a special relationship to preterm birth. Cerebral palsy is a broad term used to describe a spectrum of non-progressive motor disabilities, resulting from brain damage at or around birth. It presents with muscle spasticity with involuntary movements, impaired mobility, seizures etc. At present, cerebral palsy has no cure and it is managed symptomatically. Aim: To study the different lesions in the brain in children with clinically diagnosed cerebral palsy and correlation of the findings on MRI brain with type of cerebral palsy. Materials and Methods: Total 60 diagnosed cases of cerebral palsy were evaluated with history and clinical examination. Cerebral palsy children were investigated by performing neuroimaging (MRI). The MRI scans were conducted on a GE Sigma 1.5 Scanner. Routinely, the scans obtained were T1 Weighted, T2 Weighted and FLAIR (axial, coronal and sagittal) sequences. In each patient, the images were assessed for any abnormal signal in the brain parenchyma, myelination of brain as per age of the baby and size of the ventricle. Results: The maximum number of children (36%) were from the age group 1-2 years followed by 30% in the age group of < 1 year and 18% in age group of 3-4 years. Out of 60 patients 61.66% were males and 38.33% females. The majority of patients were delivered pre-term (68.33%) followed by term delivery (31.67%). The majority of patients had spastic quadriplegia type of cerebral palsy. Periventricular leukomalacia was the most common abnormality found on imaging. The corpus callosum agenesis was seen in 1 (20%) patient. Conclusion: The MRI scans help to reveal the pathologic causes leading to the condition with the MRI brain findings having a strong correlation with the clinical findings. The relationship between the locality of brain lesions, the structure and clinical functions in children with CP point to further workup as they are important pre-requisites for questioning reorganization and plasticity.
Authors and Affiliations
NIYATI SHARMA, RAJASBALA DHANDE
Keywords
Related Articles
- EP ID EP369918
- DOI 10.7860/IJARS/2017/31372:2329
- Views 129
- Downloads 0
Rectus Sheath Haematoma - Rare Presentation as Acute Urinary Retention
Rectus Sheath Haematoma (RSH) is the accumulation of blood in the sheath of the rectus abdominis, secondary to rupture of an epigastric vessel or muscle tear. It can occur spontaneously or after trauma. It is an uncommon...
Cadaveric Study of Lateral Circumflex Femoral Artery
ABSTRACT Introduction: Lateral circumflex femoral artery is typically arising from Profunda femoris artery (PFA) and supplied blood to head, neck, greater trochanter of femur, the vastus lateralis muscle and knee. Hence,...
Diagnostic Performance of the Modern Imaging Modalities in Renovascular Disease: An Evaluation
ABSTRACT Introduction: Renal artery stenosis is a very important cause of Renovascular disease. Atherosclerosis has been identified as a most common etiology for renal artery stenosis. Long standing renal artery stenosis...
Female Breast Lesions – A Five Year Study in a Tertiary Care Centre
Introduction: Breast lesions constitute one of the prominent surgical pathologies encountered in clinical practice. This study on breast lesions evaluates the current scenario in a tertiary care centre of Kolkata, West B...
MRI in Epilepsy : A Hope in the Midst of a Storm
Introduction: Epilepsy is a major public health problem in developing countries like India where it is not spared from threatening myths. Few Indian studies have described the wide spectrum of MRI findings in patients of...