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Developmental Coordination Disorder Plus: A Diagnosis by Exclusion?
Jodi Santosuosso1, Kristin Strand, Brooke B Surran
1*Department of Pediatrics, Division of Developmental and Behavioral Pediatrics, Boston University School of Medicine; †College of Health and Rehabilitation Sciences: Sargent College, Boston University; ‡Department of Pediatrics, Division of Pediatric Neurology, Boston University School of Medicine, Boston, MA.
Insights
This case study follows Cayden, a boy born prematurely who exhibited developmental delays and social withdrawal compared to his twin sister. Early intervention may be crucial for children with similar presentations.
Area of Science:
- Developmental Pediatrics
- Child Psychology
Background:
- Premature birth (35.5 weeks) in fraternal twins.
- Initial concerns regarding developmental progression in one twin.
Observation:
- Cayden presented with delayed developmental milestones compared to his sibling.
- He exhibited less social initiation and a shy disposition during toddlerhood.
Findings:
- The case highlights potential early indicators of developmental differences in prematurely born twins.
- Social interaction and developmental pace varied significantly between the twins.
Implications:
- Suggests the importance of close monitoring for developmental trajectories in high-risk infants.
- Underscores the need for tailored early intervention strategies for children exhibiting developmental delays and social-emotional challenges.
Case:
Cayden is a 6.3-year-old boy who you have been following in our practice since birth. He was born at 35.5 weeks at 6 pounds 4 ounces following a fraternal twin gestation. Both children were "on target" with their milestones, but Cayden did not seem to progress as quickly as his sister. He did not initiate play with his sister when they were toddlers and Cayden was the "shy" one.
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