Neuroimaging in cerebral palsy

• Published in: The Journal of pediatrics Vol. 145; no. 2; pp. S19 - S27
• Main Authors: Accardo, Jennifer, Kammann, Heather, Hoon Jr, Alexander H.
• Format: Journal Article Conference Proceeding
• Language: English
• Published: New York, NY Mosby, Inc 01-08-2004; Elsevier
• Subjects: Age Factors; Biological and medical sciences; Brain - embryology; Brain - growth & development; Cerebral Palsy - diagnosis; Cerebral Palsy - etiology; Child Development; Conscious Sedation; Diagnosis, Differential; Diagnostic Techniques, Neurological; General aspects; Gestational Age; Headache. Facial pains. Syncopes. Epilepsia. Intracranial hypertension. Brain oedema. Cerebral palsy; Humans; Image Interpretation, Computer-Assisted; Infant; Infant, Newborn; Magnetic Resonance Imaging; Medical History Taking; Medical sciences; Nervous system (semeiology, syndromes); Neurology; Neuroradiography; Patient Selection; Physical Examination; Prognosis; Risk Factors; Tomography, X-Ray Computed; Ultrasonography, Doppler, Transcranial; ADC; PHI; CT; fMRI; HIE; MRI; DWI; PVL; DTI; FLAIR; IVH; MRS; Cerebral palsy; Pediatrics; Nervous system diseases; Central nervous system disease; Medical imagery; Nervous system; Cerebral disorder
• ISSN: 0022-3476; 1097-6833
• DOI: 10.1016/j.jpeds.2004.05.018

Parents and clinicians concerned about high-risk infants and children with motor delay or cerebral palsy seek information on cause, treatment, prognosis, and recurrence risk. Used in combination with history and examination, neuroimaging studies can improve diagnosis and management. In premature infants, cranial ultrasound is a reliable, noninvasive diagnostic modality. Nuclear magnetic resonance techniques including magnetic resonance imaging and diffusion weighted imaging can be used effectively in neonatal encephalopathies. In children with motor delay and cerebral palsy syndromes including spastic diplegia, quadriplegia, hemiplegia, and extrapyramidal movement disorders, conventional magnetic resonance imaging has become an important determinant of diagnosis and management. The aim of this article is to help clinicians select and interpret imaging studies of benefit in clinical care.