Asuman ALİ, Ramazan YALÇIN, Ayşem Ünlüer GÜMÜŞTAŞ

Cranial MR characteristics of Cerebral Palsy cases and correlation of findings with clinical results

The aim of this study was to compare cranial Magnetic Resonance (MR)imaging findings in cerebral palsy (CP) patients with clinical findings andevaluate damage ascribed to prenatal, natal and postnatal reasons by preterm,term or postterm characteristics.One thousand, one hundred CP patients registered at Dr. Ayten Bozkaya StateHospital of Cerebral Palsy Children and Rehabilitation Center from 2007 to2010 were included in the study retrospectively. Cranial MR images studied inBursa State Hospital Radiology Unit were evaluated by “a single senior MRIradiologist”.The most common abnormality was cerebral atrophy (80.2%) followed byperiventricular leukomalacia (PVL) (49.9%). The most common type wasspastic tetraplegia (67.9%), and the second most common type was hypotonicCP (15.6%). The percentage of congenital central nervous system (CNS)abnormality was 14.09%. The most common abnormality was corpus callosum(CC) agenesis and colpocephaly (2.3%). The least common conditions werecortical dysplasia, heterotopia and rhombencephalosynapsis. The percentageof cases born to consanguineous parents was 19.2%. In Hypoxic IschemicEncephalopathy (HIE) patients born to consanguineous parents, PVL was cysticand moderate. Consanguineous marriage was statistically significant in thepatients with cortical dysplasia and heterotopia (p

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