Letters Section Editor: Robert M. Golub, MD, Senior Editor.
In Reply: The letter by Dr Caspi and colleagues raises 3 critical points in understanding the complexity of the CP syndromes.
First, regarding practice recommendations, Ashwal et al1 explicitly stated “In order to establish that a brain abnormality exists in children with CP that may, in turn, suggest an etiology and prognosis, neuroimaging is recommended with MRI preferred to CT (Level A),” as well as “Large prospective cohorts of children with CP should be studied to identify features based on CP subtypes that can improve specific evaluation strategies and enhance etiologic yield.” Bax et al2 carried out this most important task.
Msall ME. MRI Findings and Cerebral Palsy—Reply. JAMA. 2007;297(5):465-467. doi:10.1001/jama.297.5.467-a