Magnetic resonance imaging findings and the clinical characteristics of children with cerebral palsy at a public sector hospital in Gauteng Province, South Africa

dc.contributor.authorNel. C.
dc.contributor.authorBezuidenhout, J.K.
dc.contributor.authorThomson, H.C.
dc.contributor.authorMeyer, Pieter Willem Adriaan
dc.date.accessioned2023-02-15T10:57:59Z
dc.date.available2023-02-15T10:57:59Z
dc.date.issued2022-12
dc.descriptionThe research for this study was done in partial fulfilment of the requirements for CN’s master’s degree from the University of the Witwatersrand.en_US
dc.description.abstractBACKGROUND. Cerebral palsy (CP) is a common cause of physical impairment in children. Brain magnetic resonance imaging (MRI) can define different neuropathological patterns of brain injury in CP. There are limited data available on MRI findings of children with CP in Africa. Objective. To describe the clinical characteristics, risk factors and MRI findings of children with CP attending a developmental clinic at a tertiary hospital in South Africa; and to assess possible associations between the clinical characteristics and pathogenic neuro-imaging patterns. METHODS. This was a retrospective cross-sectional study. The cohort of 112 children was identified from the clinic’s REDcap database. Clinical information was obtained from existing medical records of the patients. Findings from brain MRI reports were classified according to the MRI classification system (MRICS) for CP. The MRI reports were rated independently by two study investigators. A descriptive analysis was conducted. RESULTS. A total of 112 patient files and MRI brain reports were reviewed. Spastic CP was the most common type of CP (n=75%). The most common perinatal risk factors included prematurity (31%) and low birthweight (28%). Nineteen (17%) children acquired CP after the neonatal period. CP sub-type showed a significant association with functional motor impairment classified as per the gross motor function classification system (GMFCS), p<0.001. Predominant grey matter injury (PGMI) was the most common pathogenic MRI pattern identified (30%). The radiological findings (per MRICS) had a significant association with both the CP sub-type (p<0.005) and functional impairment according to the GMFCS (p<0.001). CONCLUSION. Standardised classification of neuro-imaging findings can assist in defining the pathogenesis and clinical manifestations of CP.en_US
dc.description.departmentImmunologyen_US
dc.description.librarianam2023en_US
dc.description.urihttp://www.sajch.org.za/index.php/SAJCHen_US
dc.identifier.citationNel, C., Bezuidenhout, J.K., Thomson, H.C. et al. 2022, 'Magnetic resonance imaging findings and the clinical characteristics of children with cerebral palsy at a public sector hospital in Gauteng Province, South Africa', South African Journal of Child Health, vol. 16, no. 4, pp. 232-238, doi : 10.7196/SAJCH.2022.v16i4.1900.en_US
dc.identifier.issn1994-3032 (print)
dc.identifier.issn1999-7671 (online)
dc.identifier.other10.7196/SAJCH.2022.v16i4.xx
dc.identifier.other10.7196/SAJCH.2022.v16i4.1900
dc.identifier.urihttps://repository.up.ac.za/handle/2263/89582
dc.language.isoenen_US
dc.publisherHealth and Medical Publishing Groupen_US
dc.rights© This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.en_US
dc.subjectCerebral palsyen_US
dc.subjectChildrenen_US
dc.subjectPatienten_US
dc.subjectMagnetic resonance imaging (MRI)en_US
dc.titleMagnetic resonance imaging findings and the clinical characteristics of children with cerebral palsy at a public sector hospital in Gauteng Province, South Africaen_US
dc.typeArticleen_US

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