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Prevention

Posted by drouse on 20 Jan 2012 at 20:46 GMT

This otherwise well done article lacks an important facet: recognition that childhood neurologic disablity can in some cases be prevented. Rigorous randomized clinical trials demonstrate that antenatal corticosteroids and magnesium sulfate lower the risk of cerebral palsy, and that post-natal cooling of term infants with hypoxic ischemic encephalopathy lowers their combined risk of death or cerebral palsy (and not at the expense of turning the former into the latter). A burden of disease article should at least give a passing nod as to how the burden might be lowered.

No competing interests declared.