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February 7, 2007

MRI Findings and Cerebral Palsy

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2007;297(5):465-467. doi:10.1001/jama.297.5.466-a

To the Editor: The study of clinical and MRI findings by Dr Bax and colleagues1 helps in understanding the neuroanatomical correlates of CP. However, we are concerned with their conclusion that all children with CP should have an MRI scan. That goes beyond the recommendation of the American Academy of Neurology: neuroimaging should be a part of the evaluation of a child with CP if the etiology has not been established (Level A, class I and II evidence).2 Indeed, current definition and classification of CP3 does not mandate neurocorrelates because most children with CP have abnormal brain structure, and MRI findings in these children have strong correlations with clinical findings.