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Computed tomography in spastic cerebral palsy

H Pedersen, K Taudorf, J C Melchior

    Neuroradiology
    |January 1, 1982
    PubMed
    Summary
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    Cranial CT scans revealed abnormalities in 56 of 83 children with spastic cerebral palsy (CP). Atrophy was the most common finding, increasing with CP severity and linked to postnatal causes and seizures.

    Area of Science:

    • Neurology
    • Pediatrics
    • Radiology

    Background:

    • Cerebral palsy (CP) is a group of movement disorders affecting muscle tone and posture.
    • Cranial CT is a valuable tool for assessing brain structure in children with CP.

    Purpose of the Study:

    • To investigate the frequency and types of cranial CT abnormalities in children with spastic cerebral palsy (CP).
    • To correlate CT findings with CP severity, etiology, clinical presentation, and specific neurological conditions.

    Main Methods:

    • Cranial computed tomography (CT) scans were performed on 83 children diagnosed with spastic cerebral palsy.
    • CT findings were analyzed and categorized, noting the presence and type of abnormalities.
    • Data were correlated with clinical information including CP severity, etiology, presence of seizures, and motor type (hemiplegia, paraplegia).

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    Main Results:

    • Abnormal CT findings were observed in 56 out of 83 children (67%).
    • Atrophy was the most frequent abnormality, seen in 44 patients (53%), and its prevalence increased with CP severity.
    • Pathologic CT findings were more common in patients with postnatal etiology, seizures, and hemiplegia. A specific type of central atrophy, isolated atrophy around the cella media, was identified in 20% of cases, particularly in hemiplegic and paraplegic patients.

    Conclusions:

    • Cranial CT reveals significant abnormalities in a majority of children with spastic CP, with atrophy being the most common finding.
    • CT findings correlate with CP severity, etiology, and clinical features, suggesting potential underlying mechanisms like early infarctions.
    • The study highlights the utility of CT in characterizing brain changes associated with spastic CP and provides insights into specific patterns like isolated central atrophy.