 |
|
MRI Findings and Cerebral Palsy
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
|
|
|
To the Editor: The report of the European Cerebral Palsy Study by Dr Bax and colleagues1 confirms that spastic diplegia is the most common form of CP in premature infants, and establishes that periventricular leukomalacia (PVL) is the most common pathology. However, about 8% of children with spastic diplegia have normal MRI results, and 25% of children with PVL on MRI do not have any neurological disorder.2 There is thus a poor correlation between MRI and clinical findings.
Although PVL is undoubtedly a risk factor for spastic diplegia, the lesions are in the wrong place anatomically.3 They are consistently found in the white matter adjacent to the collateral trigone, where they lie in the path of the optic radiation. In spastic diplegia, cortical blindness is rare and, if present, is detectable only with sophisticated tests and quite out of proportion to the motor loss. PVL in the peritrigonal region is . . . [Full Text of this Article]
Colin L. Crawford, MRCP
clcraw13@hotmail.com
Imperial College of Medicine
London, England
RELATED LETTERS
MRI Findings and Cerebral Palsy
Russel D. Jelsema
JAMA. 2007;297(5):465.
EXTRACT
| FULL TEXT
MRI Findings and Cerebral Palsy
Opher Caspi, Burris Duncan, Tong Li Han, and Li-Ping Zou
JAMA. 2007;297(5):466.
EXTRACT
| FULL TEXT
MRI Findings and Cerebral Palsy—Reply
Martin Bax, Olof Flodmark, and Clare Tydeman
JAMA. 2007;297(5):466-467.
EXTRACT
| FULL TEXT
MRI Findings and Cerebral Palsy—Reply
Michael E. Msall
JAMA. 2007;297(5):467.
EXTRACT
| FULL TEXT
|
