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[Demand for neuropediatric services at a general referral hospital. IV. Psychomotor development and physical examination].
- Source :
-
Revista de neurologia [Rev Neurol] 1997 Dec; Vol. 25 (148), pp. 1905-7. - Publication Year :
- 1997
-
Abstract
- Introduction and Objective: Diagnosis in neuropediatrics requires a detailed personal and family history and thorough physical examination. In this paper we study the psychomotor development and physical examination of children evaluated during a 5 year period, from May 1990 to May 1995 by a neuropediatrician newly appointed to the Hospital Miguel Servet in Zaragoza, which previously did not have such a specialist.<br />Results: Psychomotor retardation was seen in 19% of the children. In 50% of the children evaluated, significant data was obtained from the physical examination. The commonest finding, observed in 14% of the children, was of anomalous behaviour or an impression of mental deficiency. In decreasing order of frequency other data were: Diffuse pyramidal involvement, cranial nerve involvement, anomalous phenotype, microcephaly, microsomy, signs of neuromuscular involvement, hemiparesia, macrocephaly, skin markings, scoliosis, signs of extrapyramidal involvement, signs of cerebellar involvement, macrosomy and sensory disorders.<br />Conclusions: Diagnosis in neuropediatrics is directed or established, sometimes exclusively, by an extensive personal and family history and adequate interpretation of this, which in the end depends on the skill of the clinician.
- Subjects :
- Child
Child, Preschool
Humans
Infant
Physical Examination
Psychomotor Disorders epidemiology
Referral and Consultation
Retrospective Studies
Spain epidemiology
Health Services supply & distribution
Health Services Needs and Demand
Hospitals, General
Neurology
Pediatrics
Psychomotor Disorders diagnosis
Subjects
Details
- Language :
- Spanish; Castilian
- ISSN :
- 0210-0010
- Volume :
- 25
- Issue :
- 148
- Database :
- MEDLINE
- Journal :
- Revista de neurologia
- Publication Type :
- Academic Journal
- Accession number :
- 9580292