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Original Research

Ann Med Res. 2009; 16(3): 169-172


Term and Preterm Children with Cerebral Palsy: Etiology, Clinic and Magnetic Resonance Imaging Findings

 

Sait Adın*, Mehmet Aslan**, Metin Doğan***, Cengiz Yakıncı**, Alpay Alkan***

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Abstract


 

Aim: Cerebral palsy (CP) is a frequent neurologic disease of term and preterm neonates. The disorder has various causes and the etiology, clinical manifestations and radiological screening findings are different in term and preterms. Thirty six preterm and 66 term CP patients aged between 6 months-16 years were evaluated in this study and were compared according to their etiology, clinical manifestation and cerebral Magnetic Resonance Imagıng (MRI) findings statistically.

Material and Method: In this study, 36 preterm and 66 term CP patients, aged between 6 months-16 years were evaluated retrospectively.These patients were living in Malatya city and its neighborhood.

Results: Twenty six of term (%39.4) patients and 20 (%55.5) of preterm patients were the first child. The most common CP etiology was perinatal asphyxia (%57.5) of term and (%41.6) of preterm. CP. The frequency of spastic tetraplegia and diplegia was respectively %45, %19.6 and %47, %38.8 in term and preterm CP. Fifty persent of term and %50 of preterm patients had microcephaly and %31.8 term and %47.2 preterm children had strabismus. Most of the CPs had cranial lesions on MRI. Periventricular leukomalacia (PVL) was seen in (%44) term and (%88) preterm patients. Corpus callosum (CC) pathology was seen in %36.4 of term and %69.4 preterm patients.

Conclusion: According to our findings, perinatal asphyxia was the most common CP reason and spastic tetraplegia was the most common CP type. Cranial MR images of preterm patients revealed that PVL and CC pathology were the most common central nervous system lesions.

Key Words: Cerebral Palsy, MRI,Term, Preterm






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