neuroimaging in cerebral palsy – report from north india

how to cite this article: aggarwal a, mittal h, debnath skr, rai a. neuroimaging in cerebral palsy–report from north india. iran j child neurol. 2013 autumn; 7(3):41- 46.   objective only few indian reports exist on neuroimaging abnormalities in children with cerebral palsy (cp) from india.   materials & methods we studied the clinico-radiological profile of 98 children diagnosed as cp at a tertiary centre in north india. relevant investigations were carried out to determine the etiology.   results among the 98 children studied, 80.5% were males and 22.2% were premature. history of birth asphyxia was present in 41.9%. quadriplegic cp was seen in 77.5%, hemiplegic in 11.5%, and diplegic in 10.5%. other abnormalities were microcephaly (60.5%), epilepsy (42%), visual abnormality (37%), and hearing abnormality (20%). neuroimaging was abnormal in 94/98 (95.91%). abnormalities were periventricular white matter abnormalities (34%), deep grey matter abnormalities (47.8%), malformations (11.7%), and miscellaneous lesions (6.4%). neuroimaging findings did not relate to the presence of birth asphyxia, sex, epilepsy, gestation, type of cp, or microcephaly.   conclusions neuroimaging is helpful for etiological diagnosis, especially malformations.     references singhi pd, ray m, suri g. clinical spectrum of cerebral palsy in north india-an analysis of 1000 cases. j trop pediatr 2002 48(3); 162-6. sharma p, sharma u, kabra a. cerebral palsy-clinical profile and predisposing factors. indian pediatr 1999;36(10):1038-42. nelson kb, ellenberg jh. antecedents of cerebral palsy. multivariate analysis of risk. n engl j med 1986 315(2):81-6. krägeloh-mann i, horber v. the role of magnetic resonance imaging in elucidating the pathogenesis of cerebral palsy: a systematic review. dev med child neurol 2007; 49(2):144-51. rosenbaum p, paneth n, leviton a, goldstein m, bax m, damiano d, et al. a report: the definition and classification of cerebral palsy april 2006. dev med child neurol suppl 2007;109:8-14. http://www.newbornwhocc.org/pdf/database.pdf rikomen r, raumanvrita s, sinivuori e, seppala t. changing pattern of cerebral palsy in southwest region of finland. acta pediatr scand 1989; 78(4):581-7. pharaoh pod, plat mj, cooke t. the changing epidemiology of cerebral palsy. arch dis child 1996;75(3): f169-73. eischer ps, batshaw m. cerebral palsy. ped clin north am 1993;40(3):537-51. bax m, tydeman ba, flodmark o. clininical and mri correlates of cerebral palsy: the european cerebral palsystudy. jama 2006; 296(13):1602-08. korzeniewski sj, birbeck g, delano mc, potchen mj, paneth n. a systematic review of neuroimaging for cerebral palsy. journal of child neurology 2008;23(2):216-27. robinson mn, peake lj, ditchfield mr, reid sm. magnetic resonance imaging findings in population based cohort of children with cerebral palsy dev med child neurol 2009; 51(1):39-45. shevell m, ashwal s, donley d, flint j, gingold m, hirtz d, et al. practice parameter: evaluation of the child with global developmental delay: report of the quality standards subcommittee of the american academy of neurology and the practice committee of the child neurology society. neurology 2003; 60(3); 367-80. ashwal s, russman bs, blasco pa, miller g, sandler a, shevell m, et al. practice parameter: diagnostic assessment of the child with cerebralpalsy: report of the quality standards subcommittee of the american academy of neurology and the practice committee of the child neurology society. neurology 2004; 23;62(6): 851-63.