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Volume 13 Issue 7 (July) 2024

Original Articles

Correlation Between Clinical Features and Neuroimaging of Brain in Cerebral Palsy Children
Singh D.K., Gupt S. K., Dhiman N., Kumar B.K., Kanaujia V.

Introduction: Cerebral Palsy (CP) is the most common disorder causing disability in children resulting from injury to the developing brain. Neurological imaging techniques like magnetic resonance imaging (MRI) facilitates identification of location and extent of brain injury in CP and helps to correlate with motor function, type of cerebral palsy and functional outcome. Aim: To correlate the brain MRI abnormality with clinical feature. Methodology: Cross sectional study was done on cerebral palsy diagnosed children aged 2-12 years, MRI of brain was performed to determine the type of lesion and assigned a grade based on the scoring system by expert radiologist. Results: In children with Cerebral Palsy abnormal neuroanatomical findings was found in 46 of the 50 cases with help of MRI. Type E (Periventricular leukomalacia) brain lesion was most common seen in all types of CP. Type D (Enlargement of lateral ventricle), type H (Thin corpus callosum) and type G (Border zone infarction) were next most common. Eleven (100%) patients in GMFCS level 1 had brain MRI grade 1(normal) (p=0.003). In GMFCS level 2 and 3 predominant MRI grade was 1. In GMFCS 4 and 5 predominant MRI grade was 2 (mild) (p=0.013) and (p=0.147) respectively. Conclusion: Majority of CP cases have neuroimaging finding on MRI and very few have no MRI finding. There was correlation between motor function and type of CP with severity of lesion in MRI and type of brain lesion.

 
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