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Research ArticlePediatrics
Open Access

Diffusion Tensor Imaging–Demonstrated Differences between Hemiplegic and Diplegic Cerebral Palsy with Symmetric Periventricular Leukomalacia

H.K. Cho, S.H. Jang, E. Lee, S.Y. Kim, S. Kim, Y.H. Kwon and S.M. Son
American Journal of Neuroradiology March 2013, 34 (3) 650-654; DOI: https://doi.org/10.3174/ajnr.A3272
H.K. Cho
aFrom the Departments of Physical Medicine and Rehabilitation (H.K.C., S.H.J., S.M.S.)
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S.H. Jang
aFrom the Departments of Physical Medicine and Rehabilitation (H.K.C., S.H.J., S.M.S.)
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E. Lee
bPediatrics (E.L., S.K.)
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S.Y. Kim
dDepartment of Pediatrics (S.Y.K.), College of Medicine, Eulji University, Daejeon, Republic of Korea.
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S. Kim
bPediatrics (E.L., S.K.)
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Y.H. Kwon
cPhysical Therapy (Y.H.K.), College of Science and Technology, College of Medicine, Yeungnam University, Taegu, Republic of Korea
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S.M. Son
aFrom the Departments of Physical Medicine and Rehabilitation (H.K.C., S.H.J., S.M.S.)
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    Fig. 1.

    Results of conventional MR imaging and DTT. A, Conventional MR images show symmetric PVL in the hemiplegic and diplegic study groups. B, DTT results of CSTs (right, red). Patients with diplegic cerebral palsy were found to be associated with symmetrically disrupted CSTs at the PVL level. On the other hand, hemiplegic cerebral palsy revealed disruption of the more affected CST at the PVL level and sparing of the less affected CST through the cortex.

Tables

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  • Comparison of hemiplegic and diplegic groups

    Hemiplegia (n = 59)Diplegia (n = 54)P Value
    GA at birth (wk)31.31 ± 1.8030.91 ± 2.08.61
    Age at exam (mo)34.19 ± 8.5931.07 ± 6.34.38
    Male3027.55
    PROMa4744.30
    PIHb1812.17
    Placenta problem1815.88
    ROP3229.12
    Heart problem3127.12
    GMFCS2.74 ± 0.933.14 ± 0.77.09
    AA46.788.21.00
    AD20.146.72.00
    • Note:—PROM indicates prolonged rupture of membranes; ROP, retinopathy of prematurity; PIH, pregnancy-induced hypertension; AA, asymmetric anistropy index; AD, asymmetric mean diffusivity index; GA, gestational age; GMFCS; Gross Motor Function Classification System.

    • ↵a Defined as rupture for ≥18 hours.

    • ↵b Defined as a systolic blood pressure of >140 mm Hg and a diastolic blood pressure of >90 mm Hg plus proteinuria with or without edema.

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American Journal of Neuroradiology: 34 (3)
American Journal of Neuroradiology
Vol. 34, Issue 3
1 Mar 2013
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Cite this article
H.K. Cho, S.H. Jang, E. Lee, S.Y. Kim, S. Kim, Y.H. Kwon, S.M. Son
Diffusion Tensor Imaging–Demonstrated Differences between Hemiplegic and Diplegic Cerebral Palsy with Symmetric Periventricular Leukomalacia
American Journal of Neuroradiology Mar 2013, 34 (3) 650-654; DOI: 10.3174/ajnr.A3272

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Diffusion Tensor Imaging–Demonstrated Differences between Hemiplegic and Diplegic Cerebral Palsy with Symmetric Periventricular Leukomalacia
H.K. Cho, S.H. Jang, E. Lee, S.Y. Kim, S. Kim, Y.H. Kwon, S.M. Son
American Journal of Neuroradiology Mar 2013, 34 (3) 650-654; DOI: 10.3174/ajnr.A3272
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