RESOLUTION OF NEUROLOGICAL SYMPTOMS IN HIGH‐RISK INFANTS DURING THE FIRST TWO YEARS OF LIFE

Martha C. Piper*, Barbara Mazer, Kenneth M. Silver, Maria Ramsay

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

47 Citations (Scopus)

Abstract

115 high‐risk infants were identified and followed prospectively over the first 24 months of life. All infants underwent neurological assessments at 12 and 24 months and developmental assessments at six and 12 months. Approximately one‐quarter of the infants were considered to be ‘neurologically suspicious’ at 12 months of age, of whom slighly more than one‐half were deemed normal by 24 months. Children who were classified as being either normal or abnormal at 12 months were highly likely to have their classification confirmed at 24 months. Abnormal and suspicious neurological outcomes at 12 and 24 months were inversely correlated with birthweight and were not affected by the infants being given early physical therapy. Children who were suspicious at 12 months and who either remained suspicious or became abnormal at 24 months had lower personal–social quotients at six and 12 months and lower hearing–speech quotients at 12 months than the suspicious children who became normal. Réolution des symptômes neurologiques durant les deux premiéres années de vie chez les nourrissons à haut risque Cent quinze nourrissons à haut risque ont été identifyés et suivis prospectivement durant leurs 24 premiers mois. Tous les nourrissons bénéficiérent d'une évaluation neurologique à 12 et 24 mois et d'une évaluation du développement à six et 12 mois. Aproximativement un quart des nourrisson étaient considérés comme ‘neurologiquement suspects’à l'âge de 12 mois et parmi eux, un peu plus de la moitié paraissaient normaux à 24 mois. Les enfants classés normaux ou anormaux à 12 mois avaient toute chance de voir leur classification confirmée. à 24 mois. Les devenirs Neurologiques anormaux ou suspects à 12 et 24 mois étaient inversement corrélés avec le poids de naissance et le devenir n'était pas affecté pour les nourrissons ayant bénéficié d'une rééducation kinésithérapique. Les enfants suspects à 12 mois restant suspects ou devenant anormaux à 24 mois avaient des quotients socio‐personnels plus bas à six et 12 mois et des quotients audio‐verbaux plus bas à 12 mois que les enfants suspects devenant ultérieurement normaux.

Original languageEnglish
Pages (from-to)26-35
Number of pages10
JournalDevelopmental Medicine and Child Neurology
Volume30
Issue number1
DOIs
Publication statusPublished - Feb 1988
Externally publishedYes

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