Annals of Rehabilitation Medicine

Original Article: J Korean Acad Rehabil Med. 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.

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)

Keywords :Cerebral palsy, Brain magnetic resonance image, Clinical subtype