2010, Number 1
<< Back Next >>
Rev Med MD 2010; 1.2 (1)
Neurological examination in children from 0 to 1 year
Soto-Vargas J, Fajardo-Fregoso BF
Language: Spanish
References: 15
Page: 43-51
PDF size: 599.78 Kb.
ABSTRACT
Since neuroimaging and other new techniques of diagnosis appeared, the detection of factors of risk for neurological
abnormalities in the newborn and the infant have been improved. In consequence, the physical exam has been displaced,
probably because some of the physical techniques are complicated, leading this to practice them only in a superficial way, for
example analyzing state of conscience and primitive reflexes.
It is fundamental to obtain an early diagnosis in order to prevent irreversible complications; this is why neurologic exam is so
vital in the first ages. Neurological exam in an infant is divided in three parts: evaluation of the position and muscular tone,
evaluation of primitive reflexes and postural reactions and last, the rest of exams that do not vary from age to age. In order to
systematize results many scales can be used, being Dubowitz a very good example.
REFERENCES
Mercuri, E., Ricci, D., Pane, M., & Baranello, G. The neurological examination of the newborn baby. Early Human Development 2005, 947-956.
Menkes, J. H., & Moser, F. Introduction: Neurologic Examination of the Child and Infant. En J. Menkes, H. Sarnat, & B. Maria, Child Neurology (págs. 5-27). Lippincott Williams & Wilkins 2006.
Sender, P., & Jayawant, S. Evaluation of the floppy infant. Curr Paed, (13) 345-349.
Gowda, V., Parr, J., & Jayawant, S. Evaluation of the floppy infant. Paediatrics and Child Health 2008, 17-21.
Zafeiriou, D. Primitive Reflexes and Postural Reactions in the Neurodevelopmental Examination. Pediatr Neurol 2004, 1-8.
Ricci D, Romeo D, Haataja L, van Haastert I, Cesarini L, Maunu J, y otros. Neurological examination of preterm infants at term equivalent age. Early Human Development 2008, 751-761.
Woodward L, Mogridge N, Wells S, & Inder T. Can Neurobehavioral Examination Predict the Presence of Cerebral Injury in the Very Low Birth Weight Infant? JDBP 2004, 326-334
El-Dib M, Massaro A, Glass P, & Aly H. Neurodevelopmental assessment of the newborn: An opportunity for prediction of outcome. Brain & Development 2010.
Lundqvist C, & Sabel KG. Brief Report: The Brazelton Neonatal Behavioral Assessment Scale Detects Differences Among Newborn Infants of Optimal Health. Journal of Pediatric Psychology 2000, 577-582.
Medoff-Cooper B, & Ratcliffe S. Development of Preterm Infants: Feeding Behaviors and Brazelton Neonatal Behavioral Assessment Scale at 40 and 44 Weeks' Postconceptional Age. Advances in Nursing Science 2005, 356-363.
Boatella-Costa E, Costas-Moragas C, Botet-Mussons F, Fornieles-Deu A, & De Cáceres-Zurita M. Behavioral gender differences in the neonatal period according to the Brazelton scale. Early Human Development 2007; 83:91-97.
Romeo DM, Cioni M, Scoto M, Mazzone L, Palermo F, & Romeo MG. Neuromotor development in infants with cerebral palsy investigated by the Hammersmith Infant Neurological Examination during the first year of age. Europ J Paed Neurol 2008, (12):24-31.
Maurizio-Romeo DM, Guzzetta A, Scoto M, Cioni M, Patusi P, Mazzone D, y otros. Early neurologic assessment in preterm-infants: Integration of traditional neurologic examination and observation of general movements. Europ J Paed Neurol 2008, (12):183 - 189.
Hadders-Algra M. Evaluation of Motor Function in Young Infants by Means of the Assessment of General Movements: A Review. Pediatr Phys Ther 2001; 27-36.
Wanga IJ, Lee PI, Huang LM, Chen CJ, Chen CL, & Lee WT. The correlation between neurological evaluations and neurological outcome in acute encephalitis: A hospital-based study. Europ J Paed Neurol 2007; 63-69.