The usefulness of MRI Classification System (MRICS) in a cerebral palsy cohort
Autor: | István Péter, Katalin Hollódy, Zsuzsanna Herbert, Nelli Farkas, Eszter Nagy, Andrea Skobrák, Eszter Csorba |
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Rok vydání: | 2019 |
Předmět: |
Male
Pediatrics medicine.medical_specialty Population Grey matter Cerebral palsy White matter Cohort Studies Epilepsy Pregnancy medicine Humans Gray Matter education Child education.field_of_study Hungary medicine.diagnostic_test business.industry Cerebral Palsy Brain Magnetic resonance imaging General Medicine medicine.disease Magnetic Resonance Imaging medicine.anatomical_structure Pediatrics Perinatology and Child Health Cohort Female business Cohort study |
Zdroj: | Acta paediatrica (Oslo, Norway : 1992)REFERENCES. 109(12) |
ISSN: | 1651-2227 |
Popis: | Aim Our aim was to investigate perinatal and clinical factors associated with children with cerebral palsy (CP) using magnetic resonance imaging (MRI). The distribution of MRI patterns was based on the MRI classification system (MRICS). Associations between perinatal/clinical characteristics and MRI patterns were also investigated. Methods A population-based cohort study was performed; those 257 children (58.0% male) were enrolled from our CP database who born between 1990 and 2015 in Southwest Hungary and had at least one MRI scan. Results Brain maldevelopments were found in 18.7% of our patients, 83.7% of those born at term. Grey matter lesions were found in 19.8% of our patients, and 80.0% of those children were born at term. The rate of white matter injuries was the highest (35.4%); 69.0% of these patients were born before 37th week of gestation. MRI revealed no abnormalities in 13.6% of children with CP. The best values of gross/fine motor and cognitive function tests were found in children with normal MRI and with grey matter injuries. The prevalence of epilepsy was above 60% in every group with an abnormal MRI. Conclusion MRI results were conclusive in 86.4% of children with CP. It is highly encouraged to perform cranial MRI in every patient with CP. |
Databáze: | OpenAIRE |
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