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Example text

If cysts develop, it is called cystic periventricular leukomalacia (PVC). 9 Again, these numbers vary between studies. The general trend is that premature infants with more severe bleeds have a worse prognosis for survival and a higher risk for developing CP; however, there are no specific parameters that fully predict risk of developing CP or, much less, predict the severity of CP in an individual child. Hypoxic events occurring around delivery, usually in full-term infants, also lead to disability.

Giving children temporizing measures to provide relief of pain is appropriate; however, doctors must be clear to families that these measures are only providing temporary pain relief and are not treatments. By giving families a little time with the use of these temporary measures, physicians can develop a relationship with the families. There are situations where medical and psychiatric treatment may be required before the surgical treatment can occur. For all these reasons, it is important to be clear about the required treatment, its expected outcomes, and then to outline the full treatment plan.

4). 5 Even children with less severe motor involvement often have a concomitant profound mental retardation. Blunt head trauma may also occur from child abuse, falls, or motor vehicle accidents, and it involves the direct injury as well as the secondary injury from brain swelling. 13 However, if there is a unilateral bleed, these children are often left with a hemiplegic pattern motor disability. The more severely involved children are usually left with a severe quadriplegic pattern involvement and do not become functional community ambulators.

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