Neurologic Findings in Infants With Deformational Plagiocephaly

This study evaluates the neurologic profiles of infants with deformational plagiocephaly. Forty-nine infants with deformational plagiocephaly between the ages of 4 and 13 months (mean age, 8.1 months) are evaluated, along with 50 age-matched control subjects (mean age, 8.1 months). A modified versio...

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Bibliographic Details
Published in:Journal of child neurology 2008-07, Vol.23 (7), p.742-747
Main Authors: Fowler, Elizabeth A., Becker, Devra B., Pilgram, Thomas K., Noetzel, Michael, Epstein, Jay, Kane, Alex A.
Format: Article
Language:English
Subjects:
Case-Control Studies
Child Development - physiology
Humans
Infant
Matched-Pair Analysis
Motor Skills - physiology
Muscle Hypotonia - complications
Muscle Hypotonia - diagnosis
Muscle Tonus - physiology
Neurologic Examination
Plagiocephaly, Nonsynostotic - complications
Plagiocephaly, Nonsynostotic - physiopathology
Posture
Reference Values
Social Behavior
Statistics, Nonparametric
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Summary:This study evaluates the neurologic profiles of infants with deformational plagiocephaly. Forty-nine infants with deformational plagiocephaly between the ages of 4 and 13 months (mean age, 8.1 months) are evaluated, along with 50 age-matched control subjects (mean age, 8.1 months). A modified version of the Hammersmith infant neurologic assessment was performed on each infant. A caregiver completed a questionnaire regarding the infant's prematurity, development, and health to date. Results are analyzed using t test. There is a statistically significant difference in overall neurologic assessment scores of infants with deformational plagiocephaly vs their healthy peers (P = .002). This difference is predominately in tone, whereby infants with deformational plagiocephaly have significantly more abnormal tone than nonplagiocephalic infants (P = .003). This abnormality is not one of decreased tone but one of variable tone, deflecting abnormally high and low tone. Infants with deformational plagiocephaly are more likely to have altered tone but not exclusively decreased tone.
ISSN:0883-0738
1708-8283
DOI:10.1177/0883073808314362