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Journal of the Korean Academy of Rehabilitation Medicine 1995;19(4):6.
Magnetic Resonance Findings in Cerebral Palsy
Sei Joo Kim, M.D., Jin Kyung Na, M.D. , Hyoe Young Sul, M.D.*
Department of Rehabilitation Medicine and Department of Diagnostic Radiology*, Korea University College of Medicine
뇌성마비 환아의 자기공명 영상 소견
김세주, 나진경, 설혜영*
고려대학교 의과대학 재활의학교실 및 방사선학교실*
Abstract

We analyzed retrospectively the brain magnetic resonance(MR) findings of patients with cerebral palsy to correlate with gestational age and time of damage. We also attempted to correlate the extent of brain lesion, brain atrophy and ventriculomegaly with severity of motor disability. Forty-one patients aged from 4 months to 9 years were devided into two groups as 14 premature and 27 full term.

Of 41 patients, abnormal MR findings were noted in 28 cases, 9 prematurity and 19 full term. MR findings of 66.7% of premature patients(6/9) revealed lesions of periventricular white matter reflecting injury at the late second or early third trimester.

Seventy point fou per cent(19/27) patients born at full term showed abnormal findings. Among these 19 patients, the abnormal MR findngs were congenital anomaly 21.1%(4/19), isolated white matter lesion 36.8%(7/19), and periventricular subcortical white matter and gray matter lesion 26.3%(5/19) consistent with the late third trimester injury.

There was no patients shown extensive brain lesion among 19 patients who walked independently but there was 31.8% of patients(7/22) who walked with assistance or could not walk. Only 10.5% of patients(2/19) who walked independently showed brain atrophy but did 54.5% of patients(12/22) who walked with assitance or could not walk(P<0.05).

Brain MR is a guide for estimating the time of damage from the location of brain lesion and for the prediction of motor prognosis by the extent of damage and atrophy.

Key Words: Cerebral palsy, Brain damage, Magnetic resonance findings, Prematurity, Full term


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