JAMA Paediatrics: Early, Accurate Diagnosis and Early Intervention in Cerebral Palsy

Question  What are the most accurate evaluations for diagnosing cerebral palsy early?

Findings  In this systematic review of the literature, we found diagnosis can be accurately made before 6 months’ corrected age. Before 5 months’ corrected age, magnetic resonance imaging plus the General Movements Assessment or the Hammersmith Infant Neurological Examination are recommended; after 5 months’ corrected age, magnetic resonance imaging (where safe and feasible), the Hammersmith Infant Neurological Examination, and the Developmental Assessment of Young Children are recommended.

Meaning  Early diagnosis should be the standard of care because contemporary early interventions optimize neuroplasticity and functional outcomes.

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