Eighteen children with diplegic form of cerebral palsy (CP) underwent magne
tic resonance imaging (MRI) because of the enlarged occipital horns of both
lateral ventricles found on previous computerized tomography (CT). In 16 o
f them squint was present. MRI in flow attenuated inversion recovery (FLAIR
) and turbo spin echo (TSE) modes (T2 weighted images) best showed white ma
tter lesions in occipital areas in all patients with squint, while no white
matter changes could be detected in CT (in retrospect), thus proving the s
uperiority of MRI in examining CP children. The authors postulate that the
hemispheric occipital lesion causing impairment of visual co-ordination may
result in squint. (C) 2001 Elsevier Science B.V. All rights reserved.