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Brain Magnetic Resonance Imaging(MRI) in Neurologic Disorders of Children

Journal of the Korean Pediatric Society 1995;38(8):1132-1140.
Published online August 15, 1995.
Brain Magnetic Resonance Imaging(MRI) in Neurologic Disorders of Children
Jin Hee Yun1, Jae Guk Cha1, Ki Sic Min1, Jong Wan Kim1, Kwang Nam Kim1, Ki Yang Ryoo1, Ho Chul Kim2
1Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea
2Department of Diagnostic Radiology, College of Medicine, Hallym University, Seoul, Korea
중추신경계 이상증상을 주소로 내원한 환아의 자기공명영상의 의의
윤진희1, 차재국1, 민기식1, 김종완1, 김광남1, 유기양1, 김호철2
1한림대학교 강동성심병원 소아과학교실
2한림대학교 강동성심병원 방사선과학교실
Abstract
Purpose
: This study was performed to be helpful in early diagnosis and treatment of the children with neurologic disorders.
Methods
: One hundred and eighty-five pediatric patients with neurologic disorder were studied from May 1991 to March 1994, ranging in age from neonate to 15 years old. All patients were imaged with MRI. We observed age and sex distribution, frequency and type of positive MRI findings and correlation between MRI findings and age, chief complaints and final diagnosis.
Results
: 1) Eighty(43.2%) of the 185 patients(107 boys, 78 girls) had positive MRI findings. The frequency of abnormality was highest in newborn 2) Abnormalities(80) included white matter lesion(21), atropy(10), benign cystic lesion(8), tumor(8) and miscellaneous(33) 3) Among the 87 patients who had seizures, 33(37.9%) had abnormal MRI results. Eight(22.2%) of 36 patients with headache had abnormal MRI results. The incidene of abnormal MRI results according to chief complaints was high in limb paresis(63.6%), developmental delay (63.2%), visual disturbance(62.5%) and consciousness change(50.0%). 4) MRI was especially useful in diagnosis of tumor, Moyamoya disease, hydrocephalus, congenital anomaly, subdural hematoma and neurocysticercosis, but we did not detect abnormalities on MRI of Guillain-Barre?syndrome and facial nerve palsy.
Conclusion
: We consider MRI to be the sensitive method of evaluating intracranial lesions in neurologic disorders of children.
Key Words: MRI, Central Nervous System Disorder


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