J Korean Acad Rehabil Med.  2003 Dec;27(6):862-867.

Magnetic Resonance Imaging Findings Based on Clinical Subtypes of Cerebral Palsy

• Moon JL
• You KB
• Moon YW
• Hong HT
• Song DH

Abstract

OBJECTIVE
To consider the relation between MRI findings and clinical subtypes of cerebral palsy (CP). METHOD: The subjects comprised 83 patients with CP. We analyzed the brain MRI findings such as periventricular leukomalacia (PVL), brain atrophy, infarction or hemorrhage, basal ganglia lesion, migration anomaly and delayed myelination with consideration of clinical subtypes of CP. RESULTS: Of the 83 MRI findings, 69 abnormalities (83.1%) were the followings; PVL in 47 cases{17 spastic diplegics (SD), 17 spastic quadriplegics (SQ), 5 spastic hemiplegics (SH), 4 atonic or hypotonic quadriplegics, 2 ataxic quadriplegics and2 mixed quadriplegics (MQ)}, brain atrophy in 6 cases (3 SQ, 1 SD, 1 SH and 1 MQ), infarction or hemorrhage in 7 cases (5 SH and 2 SQ), migration anomaly in 2 cases (1 SQ and 1 SH), delayed myelination in 3 cases (2 SQ and 1 SH) and basal ganglia lesion in 4 cases (3 MQ and 1 atonic quadriplegic). 33 cases of 47 PVL and 2 cases of 6 brain atrophy were preterm CPs. There was no difference in severity of CP between preterm and fullterm CPs. CONCLUSION: The results of this study would be helpful in estimating the brain lesions in various clinical subtypes of CP.

Keyword

Cerebral palsy; Brain magnetic resonance image; Clinical subtype

MeSH Terms

Atrophy
Basal Ganglia
Basal Ganglia Hemorrhage
Brain
Cerebral Palsy*
Hemorrhage
Humans
Infant, Newborn
Infarction
Leukomalacia, Periventricular
Magnetic Resonance Imaging*
Muscle Spasticity
Myelin Sheath