MRI Spectrum of Cerebral Palsy in Correlation with Clinical Profile
European Journal of Molecular & Clinical Medicine,
2021, Volume 8, Issue 3, Pages 5011-5017
AbstractIntroduction: Cerebral Palsy(CP) is caused by abnormal brain development or damage to the developing brain that affects a person’s ability to control his or her muscles. The symptoms of CP vary from person to person. A person with severe CP might need to use special equipment to be able to walk, or might not be able to walk at all and might need lifelong care.
Aim and Objectives : To correlate the MRI features of CP with perinatal history, clinical features and topography.
Material and Methods : This was an observational retrospective study, conducted in the Department of Radiology, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar for period of one year. Total 50 patients who has given consent, with clinical signs of cerebral palsy were included in the study.
Results : In the study there were 35(70%) males and 15(30%) were females, maximum 29(58%) of the patients were from the age group of 0 – 4 years of age, followed by 5 – 10 years 13(26%). Spastic were 39 (15 were diplegic, 12 were quadriplegic, 7 with hemiplegia, 5 with triplegia), extrapyramidal CP (EP-CP) was 6, Mixed (dystonic and spasticity) were 5. Other abnormal findings included periventricular leukomalacia, Deep Gray nuclei, Encephalomalacia, Perinatal Stroke, Malformation.
Conclusion : CP children with any particular topographical pattern of CP can have differing MRI findings thus MRI is essential for deciding on management and counselling of such children and families. Higher grades of PVL are associated with higher degree of neurological deficit.
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