DOI: 10.36347/sjams.2013.v01i06.0082

Pages: 1026-1030

Objective: To make evidence-based recommendations concerning the evaluation of the child with a non-progressive global developmental delay. Material and Methods: This is prospective and observational study conducted at Department of Radiodiagnosis, Subbaiah Institute of Medical Sciences, Shimoga, where in thirty consecutive children aged between 1 month to 13 years with clinical diagnosis of developmental delay, who were referred for magnetic resonance imaging of the brain were included in the study. The study was conducted between the months of February 2013 to August 2013. Intravenous sedation using midazolam in appropriate doses were administered when required. Results: In our study total 30 children with developmental delay were enrolled. Among them 17 were males and 13 were females. Maximum number of abnormalities were detected in age group of 7 to 10 years in 40 % of children, followed by 11 to 13 years age in 23.3% of children. Out of 30 children 19 (63.3%) had abnormal MRI findings and 11 (36.6%) has normal MRI brain. Maximum number of patients were atrophic changes 20%, followed by Congenital malformations and least were infection, vascular lesions, CSF disorder. Conclusions: A specific aetiology can be determined in the majority of children with global developmental delay. Certain routine screening tests are indicated and depending on history and examination findings, additional specific testing may be performed.