Characterization Of Magnetic Resonance Imaging Patterns Of Cerebral Palsy And Their Association With Clinical Findingsin Children: An Hospital Based Observational Study

Research Article
Pranav Srinath Reddy., Jeevika M.U., Siddesh M.B and Gurrala Abilash Reddy
DOI: 
http://dx.doi.org/10.24327/ijrsr.2018.0911.2909
Subject: 
Medicine
KeyWords: 
Leukomalacia; Diplegia; Quadriplegia; Diplegia; Dyskinesia; MRI
Abstract: 

This one year observational study was carried out in the Department of Radio-diagnosis, J.J.M. Medical College, Davangere. A total of 35 children with clinical diagnosis of cerebral palsy underwent MRI brain scan August 2016 to August 2017.All the patients of age group between 1-10 years, who are clinically diagnosed as cerebral palsy were included in the study. The worldwide incidence of CP is approximately 2 to 2.5 per 1000 live births. The incidence is higher in males than in females 1.3:1. In India, exact incidence and prevalence from is not known. Prevalence of CP is in the range of 1.5 to 2.5 per 1000 live births. In this study slight male preponderance was observed with 58.5% of the boys and boy to girl ratio of 1.40:1. The commonest age group was one to three years (30.5%) and the mean age 3.94 ± 3.06 years. MRI brain scan revealed 29.50% of the children with posterior involvement and commonest MRI findings was periventricular white matter (47%). The other common findings noted were porencephalic cysts (14%) and myelination (11.5%). Periventricular leukomalacia (38%) was the commonest diagnosis on MRI followed by cystic degeneration and basal ganglia (11.5% each). The MRI diagnosis correlated well with clinical diagnosis (80.5%) and higher correlation was noted with spastic triplegia (100%).