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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(6):862-867.
Magnetic Resonance Imaging Findings Based on Clinical Subtypes of Cerebral Palsy.
Moon, Jeong Lim , You, Kie Bum , Moon, Young Wan , Hong, Hyeon Taek , Song, Dae Heon
1Department of Rehabilitation Medicine, The Catholic University of Korea, School of Medicine, Korea. obvfa@orgio.net
2Department of Orthopaedic Surgery, Sungkyunkwan University College of Medicine, Korea.
뇌성마비의 유형에 따른 뇌 자기공명영상 소견
문정림, 유기범, 문영완1, 홍현택, 송대헌
가톨릭대학교 의과대학 재활의학교실, 1성균관대학교 의과대학 정형외과학교실
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 and 2 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. (J Korean Acad Rehab Med 2003; 27: 862-867)

Key Words: Cerebral palsy, Brain magnetic resonance image, Clinical subtype


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