Duhok, Irak’taki serebral palsili hastalar?n manyetik rezonans g?rüntüleme bulgular?: Olgu serisi

摘要

Ama?: Manyetik rezonans g?rüntüleme beyindeki yap?sal anormallikleri de?erlendirmek i?in ?nemli bir tekniktir. Bir?ok n?rolog ve ?ocuk doktoru serebral palsi hastalar?n? konvansiyonel manyetik rezonans g?rüntülemeye y?nlendirir. Bu ?al??man?n amac? serebral palsili ?ocuklarda manyetik rezonans g?rüntüleme bulgular?n? de?erlendirmek ve bu hastal???n etiyolojisini veya patogenezini ?ng?rüp ?ng?remeyece?ini ara?t?rmakt?r. Y?ntemler: Bu vaka ?al??mas? 1 Temmuz 2016 - 28 ?ubat 2017 tarihleri aras?nda Azadi Genel Hastanesi'nde ger?ekle?tirildi. Serebral palsi tan?s? alan toplam 48 hasta ?al??maya dahil edildi. Hepsine genel anestezi alt?nda kraniyal manyetik rezonans g?rüntüleme yap?ld? ve sonu?lar istatistiksel olarak kar??la?t?r?ld?. Bulgular: Erkek/k?z oran? 2,4:1 idi. Manyetik rezonans g?rüntüleme hastalar?n %87,5'inde anormaldi. Olgular?n %56,2'sinde diffüz ensefalopati, %18,8'inde periventriküler l?kolazi, %4,2'sinde iskemik lezyon de?i?iklikleri, %8,3'ünde konjenital malformasyon ve %12,5'inde normal tarama saptand?. Serebral palsi klinik alt tipleri aras?nda en yayg?n spastik dipleji (% 47,9), ard?ndan spastik kuadripleji (%35,4), spastik hemipleji (%10,4) ve koreoetotoid serebral palsi (%6,3) g?zlendi. Sonu?: Bu ?al??ma manyetik rezonans g?rüntülemede beyin de?i?ikliklerinin serebral palsi patogenezini tespit edebildi?i ve konjenital beyin malformasyonlar?nda tan?sal oldu?u sonucuna varm??t?r. Aim: Magnetic resonance imaging is an important technique for evaluating structural abnormalities in the brain. Many neurologists and pediatricians refer cerebral palsy patients to conventional magnetic resonance imaging. The objective of this study was to assess magnetic resonance imaging findings in children with cerebral palsy and to research whether it can predict the etiology or pathogenesis of this disease. Methods: This case study was carried out at Azadi General Hospital from the 1st of July 2016 until the 28th of February 2017. A total of 48 patients who were diagnosed with cerebral palsy were included in the study. They all underwent cranial magnetic resonance imaging under general anaesthesia, and results were compared statistically. Results: The male to female ratio was 2.4:1. Magnetic resonance imaging was abnormal in 87.5%. Diffuse encephalopathy was seen in 56.2% of cases, periventricular leukomalacia was detected in 18.8%, changes of ischemic lesion were seen in 4.2 %, congenital malformations in 8.3% and normal scan was seen in 12.5% of cases. Among the clinical sub-types of cerebral palsy, spastic diplegia was the most common (47.9%), followed by spastic quadriplegia (35.4%), spastic hemiplegia (10.4%), and choreoathetoid cerebral palsy (6.3%). Conclusions: This study concluded that brain changes in magnetic resonance imaging can detect the pathogenesis of cerebral palsy and is diagnostic in congenital brain malformations.