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Vol. 8 No. 6, December 2002
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AAP Grand Rounds 8:63-64 (2002)
© 2002 American Academy of Pediatrics

NEUROLOGY

The Natural History of Cerebral Palsy

Source: Rosenbaum PL, Walter SD, Hanna SE, et al. Prognosis for gross motor function in cerebral palsy: creation of motor development curves. JAMA. 2002;288:1357–1363.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

Cerebral palsy is a nonspecific term for a variety of conditions characterized by motoric disability due to static encephalopathy originating during fetal development, the perinatal period, or early infancy. Because the term encompasses a broad spectrum of disability, the diagnosis is the occasion for wide-ranging parental anxiety, and pediatricians need rules for reliable prognostication. Simply describing the neurological abnormalities and functional deficits of a child with cerebral palsy at one point in time is remarkably difficult. There is, for example, a great deal of interobserver variability in the use of such familiar terms as "diplegia," "quadriplegia," and "hemiplegia."1 Describing the status of a child at future points in time in . . . [Full Text of this Article]

Joseph H. Piatt, Jr, MD, FAAP
Neurological Surgery and Pediatrics, Drexel University College of Medicine, St. Christopher’s Hospital for Children, Philadelphia, PA

 






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