Objective: The aim of the study was to determine characteristics of MRI studies in symptomatic epilepsy with child cerebral palsy.

Background: Cerebral palsy (CP) is a group of permanent movement disorders that appear in early childhood. Cerebral palsy is caused by abnormal development or damage to the parts of the brain that control movement, balance, and posture. Most often the problems occur during pregnancy; however, they may also occur during childbirth, or shortly after birth.

Methods: MRI studies were performed in 28 patients with symptomatic epilepsy with cerebral palsy. Their age ranged from 1 to 10 years. The debut of seizures was observed from birth to 2.5 years, the average age at onset 5,6 ± 0,16 months .

Results: According to the MRI studies most (57.1%) lesions of white matter of the brain were mainly as multiple and single foci pathological intensity. Lesions of the basal ganglia have been reported in 50 % of children. Deformation of the brain stem was recorded in 57.1%, flattening the pituitary gland – in 3.6% of children, expanding the periventricular subarachnoid space in 14.3%. According to MRI findings in 25% of children have severe intracranial hypertension. Moderate atrophy of the cerebral hemispheres were reported for 53.5% of the surveyed children. Symmetrical lesion of the basal ganglia was observed in 39.3% of children with symptomatic epilepsy with cerebral palsy.

Conclusions: Thus, according to information received atrophic changes in the cerebral cortex mainly in the anterior frontal and temporal lobes of the brain are determined almost the majority of the surveyed children with symptomatic epilepsy with cerebral palsy.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/mri-diagnostics-child-cerebral-palsy-with-symptomatic-epilepsy/