ABSTRACT
Cerebral palsy [CP] is a static encephalopathy that may be defined as non progressive disorder of posture and movement often associated with epilepsy and abnormalities of speech, vision and intelligence. The aim of our study was to assess haemodynamic alterations that might take place in children with CP using Transcranial Doppler [TCD] and to find out the correlation between Haemodynamic and structural abnormalities of the brain in CP. 40 patients with CP [age 1-10 years] were subjected to history, clinical examination and MRI brain and TCD was done for all patients and 20 children as control group to assess thmiddle cerebral artery [MCA] on both sides under sedation by chloral hydrate. Abnormal MRI findings were present in 92.5% of cases and normal MRI was found in 7.5% of cases. A significant correlation between MRI finding and clinical types was observed; atrophy was present in 50% of cases with spastic quadriplegia and periventricular leukomalacia diplegia. No significant difference between right and left side in both cases and control group in all parameters. A high statistical significant difference in the mean of flow velocities and indices was present between cases and control, the cases showed marked lowering of velocity in comparison to the control. No significant difference between different age groups of cases in TCD readings .No relation between clinical picture of CP and TCD readings. No relation between different MRI findings and TCD readings. All the hemiplegic cases showed reduction in the velocities at the affected side