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Abstract

Perinatal factors assume an uncertain role in neuropsychological development. We know that labor is a significant fetal stressor. Drastic shifts in oxygen level during gestation and labor are linked to a continuum of casualty from severe neurological impairments to more subtle disabilities. It is this latter set of disabilities, those of intangible origins, that remain the confounding chapter in developmental neuropsychology. Moreover, it is the infant who experiences perinatal stress, but who will not manifest developmental symptoms of disability until some years later, that causes early identification to be such a difficult task. This endeavor is undertaken by developmental neuropsychological studies of perinatal events. When the clinical neuropsychologist is involved in assessing a child with a benign developmental history who exhibits distinct deficits of an organic nature, pre- or perinatal hypoxia should be suspected. This prescription is grounded in the variable consequences of hypoxic injury and its tendency to produce subclinical, asymptomatic, and latent manifestations during early childhood (Scholz, 1956; Towbin, 1973).

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Emory, E.K., Savoie, T.M., Ballard, J., Eppler, M., O’Dell, C. (1992). Perinatal. In: Puente, A.E., McCaffrey, R.J. (eds) Handbook of Neuropsychological Assessment. Critical Issues in Neuropsychology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0682-3_2

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