Cerebral palsy MRI: Difference between revisions
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==MRI== | ==MRI== | ||
* | *MRI is the diagnostic neuroimaging study of choice especially for older children.<ref name="pmid15037681">{{cite journal |vauthors=Ashwal S, Russman BS, Blasco PA, Miller G, Sandler A, Shevell M, Stevenson R |title=Practice parameter: diagnostic assessment of the child with cerebral palsy: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society |journal=Neurology |volume=62 |issue=6 |pages=851–63 |year=2004 |pmid=15037681 |doi= |url=}}</ref><ref name="pmid1595496">{{cite journal |vauthors=Truwit CL, Barkovich AJ, Koch TK, Ferriero DM |title=Cerebral palsy: MR findings in 40 patients |journal=AJNR Am J Neuroradiol |volume=13 |issue=1 |pages=67–78 |year=1992 |pmid=1595496 |doi= |url=}}</ref><ref name="pmid7768338">{{cite journal |vauthors=Krägeloh-Mann I, Petersen D, Hagberg G, Vollmer B, Hagberg B, Michaelis R |title=Bilateral spastic cerebral palsy--MRI pathology and origin. Analysis from a representative series of 56 cases |journal=Dev Med Child Neurol |volume=37 |issue=5 |pages=379–97 |year=1995 |pmid=7768338 |doi= |url=}}</ref><ref name="pmid2739880">{{cite journal |vauthors=Miller G, Cala LA |title=Ataxic cerebral palsy--clinico-radiologic correlations |journal=Neuropediatrics |volume=20 |issue=2 |pages=84–9 |year=1989 |pmid=2739880 |doi=10.1055/s-2008-1071271 |url=}}</ref> | ||
*MRI is preferred over CT due to | |||
**Higher diagnostic yield | |||
**Role in finding out the etiology and timing of insult | |||
*The diagnostic yield of MRI depends upon: | |||
**The type of CP (mixed > quadriplegic > hemiplegic > diplegic > ataxic > dyskinetic) | |||
**Timing of birth (scans are more often abnormal in preterm compared with term infants) | |||
*MRI findings in patients with CP include: | |||
**Hypoxic-ischemic lesions (eg, periventricular leukomalacia [PVL]) | |||
**Cortical malformations | |||
**Lesions of the basal ganglia | |||
*MRI may show: | |||
**Myelination for a given age | **Myelination for a given age | ||
**A tethered spinal cord | **A tethered spinal cord | ||
* | *MRI is found to be abnormal in 90% of children with cerebral palsy.<ref name="pmid17018805">{{cite journal |vauthors=Bax M, Tydeman C, Flodmark O |title=Clinical and MRI correlates of cerebral palsy: the European Cerebral Palsy Study |journal=JAMA |volume=296 |issue=13 |pages=1602–8 |year=2006 |pmid=17018805 |doi=10.1001/jama.296.13.1602 |url=}}</ref> | ||
* | *MRI has an important role in predicting neurodevelopmental outcomes in preterm infants.<ref name="pmid16914704">{{cite journal |vauthors=Woodward LJ, Anderson PJ, Austin NC, Howard K, Inder TE |title=Neonatal MRI to predict neurodevelopmental outcomes in preterm infants |journal=N. Engl. J. Med. |volume=355 |issue=7 |pages=685–94 |year=2006 |pmid=16914704 |doi=10.1056/NEJMoa053792 |url=}}</ref> | ||
* | *MRI may be normal in cerebral palsy- does not exclude the diagnosis and require exclusion of metabolic and genetic etiologies | ||
==References== | ==References== | ||
Revision as of 06:21, 6 October 2017
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American Roentgen Ray Society Images of Cerebral palsy MRI |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
There are no MRI findings associated with [disease name].
OR
[Location] MRI may be helpful in the diagnosis of [disease name]. Findings on MRI suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].
OR
There are no MRI findings associated with [disease name]. However, a MRI may be helpful in the diagnosis of complications of [disease name], which include [complication 1], [complication 2], and [complication 3].
MRI
- MRI is the diagnostic neuroimaging study of choice especially for older children.[1][2][3][4]
- MRI is preferred over CT due to
- Higher diagnostic yield
- Role in finding out the etiology and timing of insult
- The diagnostic yield of MRI depends upon:
- The type of CP (mixed > quadriplegic > hemiplegic > diplegic > ataxic > dyskinetic)
- Timing of birth (scans are more often abnormal in preterm compared with term infants)
- MRI findings in patients with CP include:
- Hypoxic-ischemic lesions (eg, periventricular leukomalacia [PVL])
- Cortical malformations
- Lesions of the basal ganglia
- MRI may show:
- Myelination for a given age
- A tethered spinal cord
- MRI is found to be abnormal in 90% of children with cerebral palsy.[5]
- MRI has an important role in predicting neurodevelopmental outcomes in preterm infants.[6]
- MRI may be normal in cerebral palsy- does not exclude the diagnosis and require exclusion of metabolic and genetic etiologies
References
- ↑ Ashwal S, Russman BS, Blasco PA, Miller G, Sandler A, Shevell M, Stevenson R (2004). "Practice parameter: diagnostic assessment of the child with cerebral palsy: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology Society". Neurology. 62 (6): 851–63. PMID 15037681.
- ↑ Truwit CL, Barkovich AJ, Koch TK, Ferriero DM (1992). "Cerebral palsy: MR findings in 40 patients". AJNR Am J Neuroradiol. 13 (1): 67–78. PMID 1595496.
- ↑ Krägeloh-Mann I, Petersen D, Hagberg G, Vollmer B, Hagberg B, Michaelis R (1995). "Bilateral spastic cerebral palsy--MRI pathology and origin. Analysis from a representative series of 56 cases". Dev Med Child Neurol. 37 (5): 379–97. PMID 7768338.
- ↑ Miller G, Cala LA (1989). "Ataxic cerebral palsy--clinico-radiologic correlations". Neuropediatrics. 20 (2): 84–9. doi:10.1055/s-2008-1071271. PMID 2739880.
- ↑ Bax M, Tydeman C, Flodmark O (2006). "Clinical and MRI correlates of cerebral palsy: the European Cerebral Palsy Study". JAMA. 296 (13): 1602–8. doi:10.1001/jama.296.13.1602. PMID 17018805.
- ↑ Woodward LJ, Anderson PJ, Austin NC, Howard K, Inder TE (2006). "Neonatal MRI to predict neurodevelopmental outcomes in preterm infants". N. Engl. J. Med. 355 (7): 685–94. doi:10.1056/NEJMoa053792. PMID 16914704.