Abstract
Of nine developmentally delayed preschool children with macrccephaly identified at an inner city developmental evaluation clinic, eight were still macrccephalic on follow up. Evaluations consisted of parental and child interviews, assessment of academic progress, and physical and neurodevelopmental examinations.
Follow up examinations revealed an unexpected finding of acceleration of growth in height for the group as a whole. Academic placement of children initially diagnosed as having borderline intelligence was at grade level with performance above expectations in reading and spelling and below in arithmetic on the Wide Range Achievement Test (WRAT) and on the Test of Early Language Development (TELD). These children were without major behavior problems. Children who initially tested as mildly retarded were in special classes receiving added therapies, tested below grade and age expectations on the WRAT and TELD, and had significant emotional difficulties. Those who initially tested as moderately or severely retarded were in special classes, had no academic gains and were noted to have significant behavior problems.
Our data suggests that: (1) Macrocephaly tends to persist; (2) These children surprisingly display an accelerated rate of growth in height; (3) Initial intelligence testing was prognostically discriminating; (4) Emotional and behavior problems were common in this cohort of children.
Article PDF
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Bergoffen, J., Kaminer, R. FOLLOW UP STUDY OF MACRO CEPHALIC DEVELOPMENTALLY DELAYED PRESCHOOLERS. Pediatr Res 21 (Suppl 4), 179 (1987). https://doi.org/10.1203/00006450-198704010-00076
Issue Date:
DOI: https://doi.org/10.1203/00006450-198704010-00076