Neurological sequelae in children surviving mechanical ventilation in the neonatal period.

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Abstract
The incidence of mental defect, visual and hearing disability, major neurological handicap and such minor neurological handicap as could be detected on examination at 2-9 yr without formal intelligence testing, was presented among survivors of neonatal mechanical ventilation. Of 367 children, 77 (21%) survived, over 3/4 being born elsewhere. Three died before the age of 6 mo., 2 suddenly and unexpectedly at home, the 3rd accidentally. One child was lost to follow up. Of the remaining 73 children, 11 (15%) had neurological sequelae as defined. In 2/3 this was moderate to severe. Spastic diplegia may no longer be the commonest form of cerebral palsy among those of low birthweight, particularly those surviving severe neonatal illness.