[MRI of the brain in the evaluation of children with developmental delay].
OBJECTIVE
To analyze the diagnostic value of MRI in children with developmental delay. Materials and Methods. From 1991 to 1997, 224 examinations were performed. Retrospective analysis of clinical findings and diagnostic yield was carried out.


RESULTS
MRI was abnormal in 109 cases. It never resulted in any patient care modification. 55 malformations, 12 cases of cerebral atrophy, 7 cases of white matter disease and 2 patients with phakomatose were identified. Myelination delay (26 cases), increased signal of posterior white matter on T2-weighted images (9 cases) or widened Virchow-Robin spaces (3 cases) were frequently encountered, but it remained unclear whether they represented normal variants or true abnormalities. Post ischemic lesions were identified in 10 cases. Frequency of abnormal studies was significantly lower in children with developmental delay and behavioral disorders than in patients with other clinical presentation.


CONCLUSIONS
Diagnostic yield of cerebral MRI can justify its performance by comparison to other imaging modalities. It should be correlated with other investigations performed in a specialized unit. Its main interest is for classification and research. Risk of sedation or anesthesia should also be taken in account. Risk can be lowered using adequately equipped MR units and organizing procedures in collaboration with anesthesiologists.
Bouhadiba
Z
Z
Service de Radiologie Pédiatrique, CHU Charles Nicolle, Rouen, France.
Dacher
J
J
Monroc
M
M
Vanhulle
C
C
Ménard
J F
JF
Kalifa
G
G
D000293:Adolescent; D001284:Atrophy; D001921:Brain / Q000002:abnormalities / Q000473:pathology; D001927:Brain Diseases / Q000175:diagnosis* / Q000473:pathology; D002524:Cerebellar Ataxia / Q000175:diagnosis; D002648:Child; D002675:Child, Preschool; D002658:Developmental Disabilities; D004827:Epilepsy / Q000175:diagnosis; D005260:Female; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D020752:Neurocutaneous Syndromes / Q000175:diagnosis; D011597:Psychomotor Performance; D012189:Retrospective Studies; D014402:Tuberous Sclerosis / Q000175:diagnosis