Developmental Medicine & Child Neurology

• A standardized classification enables the description of the events contributing to postneonatal cerebral palsy (CP).
• The first chronological event in complex pathway leading to CP is coded.
• Category choice and coding of the primary event identify preventable situations.
• The detailed 2-level classification is easy to use in various settings.
• Substantial overall interrater reliability shows that main categories can be consistently differentiated.

This original article is commented on by Waight on pages 146–147 of this issue.

Video Podcast: https://youtu.be/Ae785dWamZc

• Many children with conservatively managed neonatal brachial plexus palsy have good long-term shoulder and elbow outcomes.
• Early referral to multidisciplinary clinics may maximize long-term shoulder and elbow recovery and optimize outcomes.

• A new scoring system to quantify results of electrodiagnostic and magnetic resonance imaging (MRI) studies is presented.
• Severity of denervation has good prognostic value for childhood brachial plexus injuries (BPIs).
• Composite electromyography scores have good prognostic value for childhood BPIs.
• Brachial plexus MRI has good prognostic value for childhood BPIs.

Childhood brachial plexus injury can have significant consequences and it is important to determine prognosis so that key decisions such as whether and when to consider surgical options can be made in an informed manner. This study examines the comparative utility of clinical, electrophysiologic, and imaging measures for determining prognosis in this setting.

This original article is commented on by Bahm on pages 1186–1187 of this issue.

Video Podcast: https://youtu.be/_MkPvRXaV0c