March 1983

The Neurological Assessment of the Preterm and Full-term Newborn Infant

Author Affiliations

716 Monaco Pkwy Denver, CO 80220


by Lilly and Victor Dubowitz, 103 pp, $6.50, London, Spastics International Medical Publications, 1981.

Am J Dis Child. 1983;137(3):298. doi:10.1001/archpedi.1983.02140290080025

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The Dubowitzes have accomplished in this little book the same task they undertook with quantitating the estimate of gestational age in the newborn (Dubowitz LMS, Dubowitz V, Goldberg C: "Clinical Assessment of Gestational Age," J Pediatr 1970;77:1-10). They have reviewed in this book the available data on neurologic examinations of newborns, compiled them into an orderly arrangement, tested them for interobserver accuracy and practicality, and given us their revised and finished product. The Dubowitzes' previous article on gestational age has been accepted as the "gold standard" for this procedure, and it would seem that this book might fulfill the same need for the neurologic examination of full-term and premature infants. However, the predictability of newborn neurologic examinations has been disappointing, at best. Even though the Dubowitzes have refined the tests, added allowances for premature infants, and given a few case histories that have been documented with computed tomographic (CT) scans