Optimality score for the neurologic examination of the infant at 12 and 18 months of age☆,☆☆,★
Section snippets
SUBJECTS AND METHODS
The infants in this study were part of a cohort of 249 infants born at Queen Charlotte and Chelsea Hospital, regarded as normal after birth, who were admitted with their mothers to the postnatal ward; their mothers consented to an assessment during the first 2 days after delivery.3 Details of perinatal data and neonatal neurologic investigation were available for all. The project was approved by the Research Ethical Committee of the Royal Postgraduate Medical School.
When the children in this
Clinical Examination
The details of the results are shown in Figs 1 to 5 (Appendix).
DISCUSSION
Since the pioneering work of Saint-Anne Dargassies,8 who developed an examination based on the evaluation of active and passive tone, there have been a number of methods used for the neurologic examination of the infant after the neonatal period.8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 Probably the most widely used are those described by Amiel-Tison et al16, 19 and Touwen,8 both providing useful information on the maturation of tone, reflexes, and reactions. Although both authors gave very
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From the Department of Paediatrics, Imperial College School of Medicine, Hammersmith Hospital, London, United Kingdom.
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Reprint requests: Lilly Dubowitz, MD, FRCPCH, Department of Paediatrics, Imperial College School of Medicine, Hammersmith Hospital, Du Cane Rd, London W12 ONN, United Kingdom.
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0022-3476/99/$8.00 + 0 9/21/98798