title: [Demand for neuropediatric services at a general referral hospital. IV. Psychomotor development and physical examination].
abstract: OBJECTIVE
  Diagnosis in neuropediatrics requires a detailed personal and family history and thorough physical examination. In this paper we study the psychomotor development and physical examination of children evaluated during a 5 year period, from May 1990 to May 1995 by a neuropediatrician newly appointed to the Hospital Miguel Servet in Zaragoza, which previously did not have such a specialist.
  
  
  RESULTS
  Psychomotor retardation was seen in 19% of the children. In 50% of the children evaluated, significant data was obtained from the physical examination. The commonest finding, observed in 14% of the children, was of anomalous behaviour or an impression of mental deficiency. In decreasing order of frequency other data were: Diffuse pyramidal involvement, cranial nerve involvement, anomalous phenotype, microcephaly, microsomy, signs of neuromuscular involvement, hemiparesia, macrocephaly, skin markings, scoliosis, signs of extrapyramidal involvement, signs of cerebellar involvement, macrosomy and sensory disorders.
  
  
  CONCLUSIONS
  Diagnosis in neuropediatrics is directed or established, sometimes exclusively, by an extensive personal and family history and adequate interpretation of this, which in the end depends on the skill of the clinician.
authors.affiliation: Sección de Neuropediatría, Hospital Miguel Servet, Zaragoza, España.
authors.forename: J
authors.initials: J
authors.lastname: López-Pisón
authors.forename: A
authors.initials: A
authors.lastname: Baldellou
authors.forename: V
authors.initials: V
authors.lastname: Rebage
authors.forename: T
authors.initials: T
authors.lastname: Arana
authors.forename: M P
authors.initials: MP
authors.lastname: Lobera
authors.forename: J L
authors.initials: JL
authors.lastname: Peña-Segura
mesh_terms: D002648:Child; D002675:Child, Preschool; D006296:Health Services / Q000600:supply & distribution*; D006301:Health Services Needs and Demand; D006769:Hospitals, General; D006801:Humans; D007223:Infant; D009462:Neurology; D010372:Pediatrics; D010808:Physical Examination; D011596:Psychomotor Disorders / Q000175:diagnosis* / Q000453:epidemiology; D012017:Referral and Consultation; D012189:Retrospective Studies; D013030:Spain / Q000453:epidemiology
vernacular_title: Estudio de la demanda asistencial de Neuropediatría en un hospital de referencia regional. IV. Desarrollo psicomotor y examen físico.