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Application of a scorable neurologic examination in healthy term infants aged 3 to 8 months

  • Leena Haataja
    Affiliations
    Department of Paediatrics, Hammersmith Hospital, London W12 OHN, United Kingdom, Department of Paediatrics and Paediatric Neurology, Turku University Hospital, Turku, Finland, Department of Paediatric Neurology and Psychiatry, Catholic University, Rome, Italy
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  • Frances Cowan
    Affiliations
    Department of Paediatrics, Hammersmith Hospital, London W12 OHN, United Kingdom, Department of Paediatrics and Paediatric Neurology, Turku University Hospital, Turku, Finland, Department of Paediatric Neurology and Psychiatry, Catholic University, Rome, Italy
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  • Eugenio Mercuri
    Affiliations
    Department of Paediatrics, Hammersmith Hospital, London W12 OHN, United Kingdom, Department of Paediatrics and Paediatric Neurology, Turku University Hospital, Turku, Finland, Department of Paediatric Neurology and Psychiatry, Catholic University, Rome, Italy
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  • Laura Bassi
    Affiliations
    Department of Paediatrics, Hammersmith Hospital, London W12 OHN, United Kingdom, Department of Paediatrics and Paediatric Neurology, Turku University Hospital, Turku, Finland, Department of Paediatric Neurology and Psychiatry, Catholic University, Rome, Italy
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  • Andrea Guzzetta
    Affiliations
    Department of Paediatrics, Hammersmith Hospital, London W12 OHN, United Kingdom, Department of Paediatrics and Paediatric Neurology, Turku University Hospital, Turku, Finland, Department of Paediatric Neurology and Psychiatry, Catholic University, Rome, Italy
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  • Lilly Dubowitz
    Affiliations
    Department of Paediatrics, Hammersmith Hospital, London W12 OHN, United Kingdom, Department of Paediatrics and Paediatric Neurology, Turku University Hospital, Turku, Finland, Department of Paediatric Neurology and Psychiatry, Catholic University, Rome, Italy
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      To the Editor: We previously published a neurologic examination standardised in infants at 12 and 18 months.
      • Haataja L
      • Mercuri E
      • Regev R
      • Cowan F
      • Rutherford M
      • Dubowitz V
      • et al.
      Optimality score for the neurologic examination of the infant at 12 and 18 months of age.
      • Dubowitz L.M.S
      • Dubowitz V
      • Mercuri E
      The neurological assessment of the preterm and full-term newborn infant.
      An optimality score based on the frequency distribution of individual items in this age range has also been developed. We also demonstrated that the optimality scores obtained after 9 months can predict neuromotor outcome in premature and full term infants.
      • Haataja L
      • Mercuri E
      • Guzzetta A
      • Rutherford M
      • Counsell S
      • Frisone M.F
      • et al.
      Neurologic examination in infants with hypoxic-ischemic encephalopathy at age 9 to 14 months: use of optimality scores and correlation with MRI findings.
      • Frisone M.F
      • Mercuri E
      • Laroche S
      • Foglia C
      • Maalouf E.F
      • Haataja L
      • et al.
      Prognostic value of the neurologic optimality score at 9 and 18 months in preterm infants born before 31 weeks' gestation.
      To establish whether our scoring system could also be used in younger infants we have assessed 74 healthy term infants between 12 and 32 weeks of age. The scores were analysed subdividing the cohort into four-week time brackets (12-15.9, 16-19.9, 20-23.9, 24-27.9, and 28-31.9), and compared to the optimal scores at 12 months.
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      References

        • Haataja L
        • Mercuri E
        • Regev R
        • Cowan F
        • Rutherford M
        • Dubowitz V
        • et al.
        Optimality score for the neurologic examination of the infant at 12 and 18 months of age.
        J Pediatr. 1999; 135: 153-161
        • Dubowitz L.M.S
        • Dubowitz V
        • Mercuri E
        The neurological assessment of the preterm and full-term newborn infant.
        Clinics in developmental medicine. No. 148. 2nd ed. Mac Keith Press, London1999
        • Haataja L
        • Mercuri E
        • Guzzetta A
        • Rutherford M
        • Counsell S
        • Frisone M.F
        • et al.
        Neurologic examination in infants with hypoxic-ischemic encephalopathy at age 9 to 14 months: use of optimality scores and correlation with MRI findings.
        J Pediatr. 2001; 138: 332-337
        • Frisone M.F
        • Mercuri E
        • Laroche S
        • Foglia C
        • Maalouf E.F
        • Haataja L
        • et al.
        Prognostic value of the neurologic optimality score at 9 and 18 months in preterm infants born before 31 weeks' gestation.
        J Pediatr. 2002; 140: 57-60