CT Head Few studies describe the utility of CT in identifying intracranial calcifications in specific conditions such as Cockayne syndrome, which can present with chronic progressive ataxia in children [14,28]. Although CT may identify major structural abnormalities or intracranial mass lesions, MRI is more sensitive for this purpose. CT Complete Spine There is no relevant literature to support the use of CT complete spine in the initial evaluation of a child with chronic progressive ataxia. CTA Head and Neck There is no relevant literature to support the use of CTA head and neck in the initial evaluation of a child with chronic progressive ataxia. CTA Head There is no relevant literature to support the use of CTA head in the initial evaluation of a child with chronic progressive ataxia. CTA Neck There is no relevant literature to support the use of CTA neck in the initial evaluation of a child with chronic progressive ataxia. CTV Head There is no relevant literature to support the use of CTV head in the initial evaluation of a child with chronic progressive ataxia. MRI Head MRI of the head is useful in the clinical workup of children with chronic progressive ataxia and can identify brain tumors and hereditary neurodegenerative disorders [1,4,11,28,39-47]. In a study of 82 patients with spinocerebellar ataxia type 1, 3, or 6, and 32 normal controls, Schulz et al [46] identified significant atrophy of the brainstem, Ataxia-Child cerebellar vermis, and cerebellar hemispheres in affected children. Contrast-enhanced MRI of the head is useful in characterization of brain tumors that are a common cause of chronic progressive ataxia in children [1,4,5,25]. MRI Complete Spine MRI of the spine may be helpful in children with chronic progressive ataxia due to certain causes, such as central nervous system tumors and spinocerebellar ataxias. Postcontrast imaging may be required depending on case specifics, such as in the setting of central nervous system tumors to identify spinal metastatic disease.
Ataxia Child. CT Head Few studies describe the utility of CT in identifying intracranial calcifications in specific conditions such as Cockayne syndrome, which can present with chronic progressive ataxia in children [14,28]. Although CT may identify major structural abnormalities or intracranial mass lesions, MRI is more sensitive for this purpose. CT Complete Spine There is no relevant literature to support the use of CT complete spine in the initial evaluation of a child with chronic progressive ataxia. CTA Head and Neck There is no relevant literature to support the use of CTA head and neck in the initial evaluation of a child with chronic progressive ataxia. CTA Head There is no relevant literature to support the use of CTA head in the initial evaluation of a child with chronic progressive ataxia. CTA Neck There is no relevant literature to support the use of CTA neck in the initial evaluation of a child with chronic progressive ataxia. CTV Head There is no relevant literature to support the use of CTV head in the initial evaluation of a child with chronic progressive ataxia. MRI Head MRI of the head is useful in the clinical workup of children with chronic progressive ataxia and can identify brain tumors and hereditary neurodegenerative disorders [1,4,11,28,39-47]. In a study of 82 patients with spinocerebellar ataxia type 1, 3, or 6, and 32 normal controls, Schulz et al [46] identified significant atrophy of the brainstem, Ataxia-Child cerebellar vermis, and cerebellar hemispheres in affected children. Contrast-enhanced MRI of the head is useful in characterization of brain tumors that are a common cause of chronic progressive ataxia in children [1,4,5,25]. MRI Complete Spine MRI of the spine may be helpful in children with chronic progressive ataxia due to certain causes, such as central nervous system tumors and spinocerebellar ataxias. Postcontrast imaging may be required depending on case specifics, such as in the setting of central nervous system tumors to identify spinal metastatic disease.