Evaluation of Brain MRI in Cerebral Palsy Patients in the Children’s Hospital Lahore

Abstract

Objective: Evaluation of brain MRI findings in Cerebral Palsy patients and categorization according to MRICS. Study design and settings: Descriptive case series and Department of Pediatric Radiology, UCHS and The Children’s Hospital Lahore. Methodology: 57 patients fulfilling inclusion criteria of clinical diagnosis of Cerebral Palsy were included in the study over a period of 3 months from 1st January 2021 to 31st March 2021. 4 patients were not included because of no to poor sedation. After written informed consent, MRI brain was conducted on these patients. The scans were then interpreted by Pediatric Radiologists and were further categorized using MRICS. Statistical analysis was done using SPSS 24. Results: There were 53 patients with age range from 2-13 years with 33 males and 20 females. Predominant white matter injury (58.5%) was most common and Predominant gray matter injury (11%) was next common. Maldevelopment was the rarest pattern only found in 3.8% patients. Normal MRI were noted with no imaging evidence of brain injury in 5 patients. On further categorization of the MRI patterns, Periventricular leukomalacia was most frequent pattern followed by Multicystic encephalomalacia. Conclusion: Considering less frequency of normal MRI brain, this study concluded that MRI brain is helpful in diagnosing Cerebral Palsy and MRICS is a good qualitative method of categorization of brain injury patterns.