Haidvogl M, Rosegger H, Höfler G
Wien Klin Wochenschr. 1975 Oct 3;87(18):595-600.
The development of 131 infants at risk was followed up at three-month intervals during the first year of life. In mature babies positive neurological findings in the newborn period corresponded closely with the development of infantile cerebral palsy. 89% of the infants who subsequently developed cerebral palsy showed pathological signs in the newborn period. However, abnormal postnatal neurological findings were also observed in 26% of the infants showing normal development. No such correlation was demonstrable in regard to the premature infants. This is probably a consequence of the numerous pitfalls in the neurological evaluation of premature babies. Only those mature babies showing abnormal neurological signs in the newborn period should be alloted to an at-risk group in respect to the development of cerebral palsy. Premature infants should be included, irrespective of the neurological findings.
对131名高危婴儿在出生后的第一年每隔三个月进行一次随访。在足月婴儿中，新生儿期的阳性神经学检查结果与婴儿期脑瘫的发展密切相关。随后发展为脑瘫的婴儿中，89%在新生儿期出现病理体征。然而，在发育正常的婴儿中，也有26%出现了出生后异常的神经学检查结果。对于早产儿，没有发现这种相关性。这可能是由于早产儿神经学评估存在诸多陷阱所致。就脑瘫的发展而言，只有那些在新生儿期出现异常神经体征的足月婴儿才应被归入高危组。无论神经学检查结果如何，早产儿都应被纳入。
