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Journal of the Korean Academy of Rehabilitation Medicine 1998;22(5):1013-1020.
Magnetic Resonance Findings in Cerebral Palsy and a Correlation with Developmental Disabilities.
Park, Chang Il , Park, Eun Suk , Shin, Ji Cheol , Kim, Seong Woo , Bang, In Keol
1Department of Rehabilitation Medicine, Yonsei University College of Medicine.
2Research Institute of Rehabilitation, Yonsei University College of Medicine.
뇌성마비 환아에서의 뇌 자기공명영상 소견과 발달장애와의 상관관계
박창일, 박은숙, 신지철, 김성우, 방인걸
연세대학교 의과대학 재활의학교실 및 재활의학 연구소

To investigate the correlation between magnetic resonance imaging (MRI) findings for children with cerebral palsy (CP) and the severity of their developmental disability.

MRI and Münchener Funktionelle Entwicklungs Diagnostik (MFED) were used for the evaluation of 52 children with CP. MFED quotient (MFED age/corrected age⁓100) was compared to the MRI findings.

Of the 52 MRIs, no abnormalities were found in 7 cases (13%), periventricular leukomalacias (PVLs) in 37 cases (71.2%), corpus callosum abnormalities in 33 cases (63.5%), delayed myelinations in 8 cases (15.4%), congenital brain abnormalities in 6 cases (11.5%), and central sulcus abnormalities in 3 cases (5.8%). Among 27 patients who were born preterm, the major MRI finding was PVL (100%), indicative of a hypoxic brain injury. All patients with a normal MRI were born at term. There were significant correlations between the MFED quotient and the severity of PVL. The ratio of corpus callosum length/brain anteroposterior diameter was correlated with a developmental disability.

MRI findings for the patients with CP are well correlated with the developmental disabilities and the timing of brain insult.

Key Words: Cerebral palsy, Brain MRI, Mü, nchener Funktionelle Entwicklungs Diagnostik, Developmental disability


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