title: Obstetric brachial plexus lesions and central developmental disability.
abstract: OBJECTIVE
  First, to assess whether children with an Obstetric Brachial Plexus Lesion (OBPL) have a higher incidence of Central Developmental Disability (CDD) compared to the general population. Second, to test the ability of General Movements (GMs) to identify CDD children already at three months of age.
  
  
  METHODS
  A prospective cohort study for infants referred to our tertiary nerve lesion clinic.
  
  
  METHODS
  A prospective cohort study of 38 infants with OBPL followed until 5 years (mean age).
  
  
  RESULTS
  Measures quality of fidgety GMs at 3 months; presence or absence of CDD at a mean age of 5 years; severity of the brachial plexus lesion.
  
  
  RESULTS
  Five patients (13%) had CDD: one patient had a cerebral palsy and four showed definite other motor and/or mental problems. There was no correlation between the quality of the GMs at three months and CDD. There was no correlation between the severity of the nerve lesion and CDD. We found a correlation between quality of the GMs and severity of the nerve lesion.
  
  
  CONCLUSIONS
  Children with OBPL have a high incidence of CDD. In our cohort fidgety GMs had no predictive value for CDD at a later age.
authors: Department of Neurosurgery, Leiden University Medical Center, Leiden, The Netherlands. S.M.Buitenhuis@lumc.nl
authors: Sonja
authors: S
authors: Buitenhuis
authors: Rietje S
authors: RS
authors: van Wijlen-Hempel
authors: Willem
authors: W
authors: Pondaag
authors: Martijn J A
authors: MJ
authors: Malessy
mesh_terms: D001720:Birth Injuries / Q000150:complications*; D020516:Brachial Plexus Neuropathies / Q000150:complications*; D002675:Child, Preschool; D002658:Developmental Disabilities / Q000150:complications / Q000453:epidemiology*; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009048:Motor Skills; D009068:Movement; D011446:Prospective Studies