title: [Definition and diagnostic principles of encephalopathy].
abstract: Definition of the collecting terms "early infantile brain damages" and "encephalopathy" as well as temporal delimination of the prenatal, perinatal and postnatal injury period. The diagnostical value of anamnesis, of neurological findings (tone, reflex-mechanisms in the different infantile developmental stages), motometric examinations, radiographs of cranial and hand skeleton, electroencephalogram, pneumoencephalogram and liquor is discussed thoroughly. The termed slighter early infantile brain damages are somatic the easier to demonstrate the earlier after birth this is performed. If the children are prejudged not till 4-6 years, the diagnostical pains transpose first of all to psychosomatic methods, except some basic somatic examinations. By reason of a review of the infantile patients in the children's department for neuropsychiatry at Rostock during the the last five years, the main point of diagnosis is formed by turns: a very profound and detailed developmental anamnesis, extensive examinations of the motoric function and coordination, radiographs of cranial and hand skeleton, electroencephalograms at several course-controls and at provocation-controls, examinations of the corporal proportions, vegetative and endocrine function tests as well as a pneumencephalogram may be called in additional. This methods are fewer suitable for routine examinations. They demand to express a strict opinion on indication. Non of the mentioned examinations has a reliability of 100%. The more extensive the diagnostical base, the more frequent controls are performed, the more reliable are the results.
mesh_terms: D001921:Brain / Q000473:pathology; D001925:Brain Damage, Chronic / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D002508:Cephalometry; D002556:Cerebrospinal Fluid Proteins / Q000032:analysis; D002648:Child; D002657:Child Development; D002675:Child, Preschool; D004569:Electroencephalography; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009129:Muscle Tonus; D019965:Neurocognitive Disorders / Q000175:diagnosis; D009460:Neurologic Examination; D011011:Pneumoencephalography; D011597:Psychomotor Performance; D012021:Reflex, Abnormal / Q000175:diagnosis
chemical_list: D002556:Cerebrospinal Fluid Proteins
vernacular_title: Begriffsabgrenzung und diagnostische Grundlagen einer Encephalopathie.