Document Detail


Neurodevelopmental delays in children with deformational plagiocephaly.
MedLine Citation:
PMID:  16404269     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The purpose of this study was to determine whether, in fact, infants with deformational plagiocephaly, or plagiocephaly without synostosis, demonstrated cognitive and psychomotor developmental delays when compared with a standardized population. Through this study, we chose to expand upon our earlier findings from 2001 on patients with deformational plagiocephaly.
METHODS: The study population includes a total of 110 consecutive patients, prospectively followed then retrospectively reviewed. Each infant was assessed using the Bayley Scales of Infant Development-II scoring system. The developmental analysis was categorized as either mental or psychomotor using the mental developmental index or the psychomotor developmental index, respectively. These infants were subcategorized into four groups: accelerated, normal, mild, or severely delayed. The groups were then compared with a standardized Bayley's age-matched population, using chi-square test goodness-of-fit tests.
RESULTS: Infants with deformational plagiocephaly were found to have significantly different psychomotor development indexes and mental developmental indexes when compared with the standardized population (p < 0.0001; p < 0.0001). With regards to the mental developmental index scores, none of the infants with deformational plagiocephaly were accelerated, 90 percent were normal, 7 percent were mildly delayed, and 3 percent were severely delayed. With regards to the psychomotor development index scores, none of infants were accelerated, 74 percent were normal, 19 percent were mildly delayed, and 7 percent were severely delayed.
CONCLUSIONS: This study indicates that before any intervention, infants with deformational plagiocephaly show significant delays in both mental and psychomotor development. Also of particular note is that no child with deformational plagiocephaly showed accelerated development.
Authors:
Rouzbeh K Kordestani; Shaurin Patel; David E Bard; Robin Gurwitch; Jayesh Panchal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  117     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2006 Jan 
Date Detail:
Created Date:  2006-01-11     Completed Date:  2006-02-17     Revised Date:  2011-02-16    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  207-18; discussion 219-20     Citation Subset:  AIM; IM    
Affiliation:
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Oklahoma School of Medicine, Health Science Center, Oklahoma City, Oklahoma, USA. shark4rk@aol.com
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MeSH Terms
Descriptor/Qualifier:
Alcohol Drinking
Cognition Disorders / etiology*
Confounding Factors (Epidemiology)
Developmental Disabilities / etiology*
Female
Humans
Infant
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Male
Multivariate Analysis
Neuropsychological Tests
Plagiocephaly, Nonsynostotic / complications*
Pregnancy
Pregnancy, Multiple
Prospective Studies
Psychomotor Disorders / etiology*
Substance-Related Disorders
Comments/Corrections
Comment In:
Plast Reconstr Surg. 2006 Sep;118(3):808-9; author reply 809-10   [PMID:  16932202 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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