CHANGING DIAGNOSIS OF CEREBRAL-PALSY IN VERY-LOW-BIRTH-WEIGHT CHILDREN

被引:27
作者
FORD, GW [1 ]
KITCHEN, WH [1 ]
DOYLE, LW [1 ]
RICKARDS, AL [1 ]
KELLY, E [1 ]
机构
[1] UNIV MELBOURNE,DEPT OBSTET & GYNAECOL,PARKVILLE,VIC 3052,AUSTRALIA
关键词
D O I
10.1055/s-2007-999475
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The stability of the diagnosis of cerebral palsy from 2 to 5 years of age was examined in 83 children of birthweight under 1000 gm, and 112 of birthweight 1000 to 1500 gm. In 20 2-year-old children with cerebral palsy, the diagnosis persisted in 11 (55%, 95% confidence intervals 35.1 to 76.9%); 2 of 175 children (1.1%) free of cerebral palsy at 2 years of age subsequently developed the condition. Severe or moderate cerebral palsy at 2 years persisted in all eightchildren (100%). In 9 of 12 children in whom cerebral palsy at 2 years had disappeared by 5 years, minor neurologic abnormalities and left-hand preference occurred frequently but mean psychologic test scores were similar to children always free of cerebral palsy. In this cohort, cerebral palsy at 2 years was not a static condition, but overestimated later prevalence. © 1990, by Thieme Medical Publishers, Inc. All rights reserved.
引用
收藏
页码:178 / 181
页数:4
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  • [1] Graham M., Levene M.I., Trounce J.Q., Prediction of cerebral palsy in very low birthweight infants: Prospective ultrasound study, Lancet, 2, pp. 593-596, (1987)
  • [2] Graziani L.J., Pasto M., Slandley C., Et al., Neouatal neurosonographic correlates of cerebral palsy in preterm infants, Pediatrics, 78, pp. 88-95, (1986)
  • [3] Nelson K.B., Ellenberg J.H., Children who ‘outgrew’ cerebral palsy, Pediatrics, 69, pp. 529-536, (1982)
  • [4] Stanley F.J., Using cerebral palsy data in the evaluation of neonatal intensive fare: A warning, Dev Med Child Neurol, 24, pp. 93-94, (1982)
  • [5] Kiely J.L., Paneth N., Stein Z., Susser M., Cerebral palsy and newborn care, 11: Mortality and neurological impairment in low birthweight infants, Dev Med Child Neurol, 23, pp. 650-659, (1981)
  • [6] Kitchen W.H., Ford G.W., Rickards A.L., Et al., Children of birthweight < 1000g: Changing outcome between ages 2 and 5 years, J Pediatr, 110, pp. 283-288, (1987)
  • [7] Wechsler D., Manual for the Wechsler Preschool and Primary Scales of Intelligence, (1967)
  • [8] Ross G., Lipper E.G., Auld P.A.M., Consistency and change in the development of premature infants weighing less than 1,501 grams al birth, Pediatrics, 76, pp. 885-891, (1985)
  • [9] Dunn H.G., Robertson A.-M., Crichton J.U., Clinical outcome: Neurological sequelae and their evolution, Clin Dev Med, 95/96, pp. 83-88, (1986)