• DOI:10.1016/j.ejpn.2012.11.005
• Corpus ID: 463732

DTI correlates of cognition in term children with spastic diplegic cerebral palsy.

@article{Rai2013DTICO,
  title={DTI correlates of cognition in term children with spastic diplegic cerebral palsy.},
  author={Yogita Rai and Saurabh Chaturvedi and Vimal Kumar Paliwal and Puneet Goyal and Ankita Chourasia and Ram Kishore Singh Rathore and Abhishek Yadav and Chandra Mani Pandey and Rakesh Lalla and Ravindra Kumar Garg and Rakesh K. Gupta},
  journal={European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society},
  year={2013},
  volume={17 3},
  pages={
          294-301
        }
}

• Y. Rai, Saurabh Chaturvedi, +8 authors Rakesh K. Gupta
• Published 1 May 2013
• Psychology, Medicine
• European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society

BACKGROUND AND AIMS
Presently, there is no published study that shows association between cognition and white matter injury in spastic cerebral palsy. We aimed to correlate cognitive functions with diffusion tensor imaging derived metrics in spastic diplegic children.

METHODS
Twenty-two term children with spastic diplegia and 22 healthy controls were recruited. All patients were graded on the basis of gross motor function. The Indian children intelligence Test was used to quantify cognition and diffusion tensor imaging was used to quantify microstructural changes in various white matter regions. Diffusion tensor imaging metrics were quantified by placing regions of interests in different white matter regions like corona radiata, anterior limb of internal capsule, posterior limb of internal capsule, mid brain, pons, medulla, genu, splenium, temporal white matter, parietal white matter, frontal white matter and occipital white matter.

RESULTS
Spastic diplegic children showed significantly lower neuropsychological test scores as compared to controls. A significantly decreased fractional anisotropy values were observed in corona radiata, anterior limb of internal capsule, posterior limb of internal capsule, mid brain, pons, medulla, genu, splenium and occipital white matter; however significantly increased mean diffusivity values were observed in corona radiata, anterior limb of internal capsule, posterior limb of internal capsule, mid brain, pons and genu in spastic diplegic as compared to controls. A significant positive correlation in fractional anisotropy and negative correlation in mean diffusivity was observed with neuropsychological test scores.

CONCLUSION
These results suggest that these imaging metrics may be used as a biomarker of cognitive functions in term children with spastic diplegia.