A variety of neurologic injuries may occur to the fetus in utero or in the newborn infant after delivery. These may result from intraventricular hemorrhage, hypoxia, infection or other cause. The injuries may result in long term disability.
Evaluation:
(1) determination of developmental status using the Gesell scales or other manner, with the calculating of the adaptive developmental quotient
(2) neurologic examination
Adaptive Developmental Quotient
Neurologic Examination
Status
>= 85
normal
normal
>= 85
low developmental subscale in language and/or motor
mild handicap
>= 85
significant neurologic or sensory deficit compensated for by use of aids
moderate handicap
71 - 84
moderate handicap
71 - 84
significant neurologic or sensory deficit not compensated for by use of aids
severe handicap
<= 70
severe handicap
where:
• The adaptive development quotient is a measure of functional age relative to chronological age, and is described in the chapter on pediatrics.
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