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Croatian Medical Journal, Vol. 62 No. 4, 2021.

Original scientific paper

https://doi.org/10.3325/cmj.2021.62.367

The applicability of magnetic resonance imaging classification system (MRICS) for cerebral palsy and its association with perinatal factors and related disabilities in a Croatian population-based sample

Sanja Lovrić Kojundžić orcid id orcid.org/0000-0002-9975-2100 ; University Hospital of Split, Department of Health Studies, University of Split School of Medicine, Split, Croatia
Danijela Budimir Mršić orcid id orcid.org/0000-0003-1362-2901 ; University Hospital of Split, Department of Health Studies, University of Split School of Medicine, Split, Croatia
Ivana Jelovina ; University Hospital Split, Split, Croatia
Benjamin Benzon orcid id orcid.org/0000-0003-3681-8499 ; Department of Anatomy, Histology and Embryology and Neuroscience, University of Split School of Medicine, Split, Croatia
Maja Tomasović ; University Hospital Split, Split, Croatia

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Abstract

Aim To investigate the association of cerebral palsy motor disorders, perinatal factors, and related disabilities with
brain magnetic resonance imaging classification score
(MRICS)-based groups in a population-based sample.
Methods The study enrolled children with cerebral palsy
born from 2003 to 2015 treated at Split University Hospital
who underwent brain MRI scanning. Perinatal data (plurality, birth weight, gestational age, and Apgar score) were
collected from hospital records. Motor disorders of cerebral palsy (gross and fine motor function) and the related
disabilities (intellectual status, speech and eating ability,
epilepsy, vision and hearing status) were evaluated with
neurological status assessment. Neuroimaging findings
were presented as MRICS-based groups.
Results Of 115 enrolled children, an abnormal finding on
brain MRI was confirmed in 95%, including white matter
injury (66%), maldevelopments (13.9%), gray matter injury (9.6%), and miscellaneous findings (6.1%). Gross and
fine motor function were not significantly associated with
MRICS-based group. All related disabilities and perinatal
factors, except Apgar score, were significantly associated
with MRICS-based group.
Conclusion Brain MRICS-based groups were associated
with perinatal risk factors and related disabilities of cerebral palsy, but not with common motor disorders. MRI classification score is a reliable diagnostic tool, which strongly
correlates with perinatal factors and related disabilities of
cerebral palsy

Keywords

Hrčak ID:

278449

URI

https://hrcak.srce.hr/278449

Publication date:

26.8.2021.

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