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Neurological examination of the infant: A Comprehensive Review
Sonja Salandy1, Rabjot Rai1, Santiago Gutierrez2
1Department of Anatomical Sciences, St. George's University, St. George's, Grenada, West Indies.
Insights
Performing a neurological examination on infants is crucial for assessing developmental milestones. This guide offers practical strategies for clinicians to effectively evaluate infant neurological function, ensuring accurate developmental pathology assessment.
Area of Science:
- Pediatric Neurology
- Developmental Pediatrics
- Clinical Anatomy
Background:
- Neurological examinations are essential for assessing infant development and identifying potential pathologies.
- Evaluating motor and sensory function, cranial nerves, and primitive reflexes are key components.
- Infant cooperation during examinations presents a significant challenge for clinicians.
Purpose of the Study:
- To provide clinicians with practical guidance for conducting comprehensive infant neurological examinations.
- To enhance the effectiveness of developmental assessments in infants.
- To address the challenges of maintaining infant cooperation during neurological evaluations.
Main Methods:
- Literature review focusing on established techniques for infant neurological assessment.
- Compilation of methods for evaluating motor, sensory, cranial nerve, and reflex development.
- Strategies for adapting examination techniques to ensure infant engagement and cooperation.
Main Results:
- A structured approach to infant neurological examination is presented.
- Techniques for assessing primitive reflexes and atypical responses are detailed.
- Methods to facilitate clinician resourcefulness in managing infant examinations are outlined.
Conclusions:
- Effective infant neurological examination requires specific adaptations and clinician resourcefulness.
- This guide aims to improve the accuracy and efficiency of developmental assessments.
- Consistent application of these methods supports early identification of developmental pathologies.
Abstract:
Clinicians are required to perform neurological examinations on infants to ensure they meet developmental milestones. A full neurological examination includes evaluating motor and sensory function, assessing the status of the cranial nerves, testing primitive reflexes, and atypical responses to further evaluate any developmental pathologies. The difficulty in maintaining infants' cooperation requires resourcefulness on the clinician's part to understand what is being tested and in what way to complete the examination. This literature will provide clinicians with guidance on the way to conduct a thorough neurological examination of infants. Clin. Anat. 32:770-777, 2019. © 2019 Wiley Periodicals, Inc.
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