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Diagnosis of Cerebral Palsy

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Neurodevelopmental Pediatrics
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Abstract

Cerebral palsy (CP) describes a spectrum of motor disorders secondary to a non-progressive abnormality in the developing brain. This chapter reviews cerebral palsy’s history, definition, etiologic and individualized evaluation, functional classification, co-existent conditions, and classic clinical “syndromes.” A section on early diagnosis of cerebral palsy presents guidelines on diagnosing infants with early risk factors using neuroimaging and validated clinical instruments. An approach to understanding the individual person with cerebral palsy, and cerebral palsy’s inherent heterogeneity are highlighted. The diagnostic process is iterative and follows the child’s growth, development, and learning over time. The ultimate significance of a cerebral palsy diagnosis is its therapeutic value and the opportunity to modify the child’s developmental trajectory.

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References

  1. Morris C. Definition and classification of cerebral palsy: a historical perspective. Dev Med Child Neurol Suppl. 2007;109:3–7.

    Article  Google Scholar 

  2. Longo LD, Ashwal S. William Osler, Sigmund Freud and the evolution of ideas concerning cerebral palsy. J Hist Neurosci. 1993;2(4):255–82.

    Article  CAS  Google Scholar 

  3. Rosenbaum PL, Palisano RJ, Bartlett DJ, Galuppi BE, Russell DJ. Development of the Gross Motor function classification system for cerebral palsy. Dev Med Child Neurol. 2008;50(4):249–53.

    Article  Google Scholar 

  4. Novak I, Morgan C, Adde L, Blackman J, Boyd RN, Brunstrom-Hernandez J, et al. Early, accurate diagnosis and early intervention in cerebral palsy: advances in diagnosis and treatment. JAMA Pediatr. 2017;171(9):897–907.

    Article  Google Scholar 

  5. Einspieler C, Prechtl HF. Prechtl's assessment of general movements: a diagnostic tool for the functional assessment of the young nervous system. Ment Retard Dev Disabil Res Rev. 2005;11(1):61–7.

    Article  Google Scholar 

  6. Colver A. Classification of cerebral palsy: paediatric perspective. Dev Med Child Neurol. 2007;49:15–6.

    Article  Google Scholar 

  7. Graham HK. Classification of cerebral palsy: the surgeon's perspective. Dev Med Child Neurol. 2007;49:21–3.

    Article  Google Scholar 

  8. Gilles FH. Classification of cerebral palsy: neuropathologist's perspective. Dev Med Child Neurol. 2007;49:19–21.

    Article  Google Scholar 

  9. Damiano DL. Classification of cerebral palsy: clinical therapist's perspective. Dev Med Child Neurol. 2007;49:16–7.

    Article  Google Scholar 

  10. Dammann O, Kuban KCK. ‘Cerebral palsy’–rejected, refined, recovered. Dev Med Child Neurol. 2007;49:17–8.

    Article  Google Scholar 

  11. Hirtz D. Classification of cerebral palsy: collaborative study perspective. Dev Med Child Neurol. 2007;49:23.

    Article  Google Scholar 

  12. Mantovani JF. Classification of cerebral palsy: clinical genetic perspective. Dev Med Child Neurol. 2007;49:26–7.

    Article  Google Scholar 

  13. O’Brien G. Classification of cerebral palsy: behavioural perspective. Dev Med Child Neurol. 2007;49:28–9.

    Article  Google Scholar 

  14. O’Shea TM. Definition and classification of cerebral palsy–an epidemiologist perspective. Dev Med Child Neurol. 2007;49:29–30.

    Article  Google Scholar 

  15. Sanger TD, Russman B, Ferriero DM. A neurological perspective on definition and classification. Dev Med Child Neurol. 2007;49:30–1.

    Article  Google Scholar 

  16. Rosenbaum P, Stewart D. The World Health Organization international classification of functioning, disability, and health: a model to guide clinical thinking, practice and research in the field of cerebral palsy. Semin Pediatr Neurol. 2004;11(1):5–10.

    Article  Google Scholar 

  17. Mutch L, Alberman E, Hagberg B, Kodama K, Perat MV. Cerebral-palsy epidemiology–where are we now and where are we going. Dev Med Child Neurol. 1992;34(6):547–51.

    Article  CAS  Google Scholar 

  18. Badawi N, Watson L, Petterson B, Blair E, Slee J, Haan E, et al. What constitutes cerebral palsy? Dev Med Child Neurol. 1998;40(8):520–7.

    Article  CAS  Google Scholar 

  19. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109:8–14.

    Google Scholar 

  20. Shevell MI. The terms diplegia and quadriplegia should not be abandoned. Dev Med Child Neurol. 2010;52(6):508–9.

    Article  Google Scholar 

  21. Colver AF, Sethumadhavan T. The term diplegia should be abandoned. Arch Dis Child. 2003;88(4):286–90.

    Article  CAS  Google Scholar 

  22. Sellier E, Horber V, Krageloh-Mann I, De La Cruz J, Cans C, Scpe C. Interrater reliability study of cerebral palsy diagnosis, neurological subtype, and gross motor function. Dev Med Child Neurol. 2012;54(9):815–21.

    Article  Google Scholar 

  23. Shevell MI, Majnemer A, Morin I. Etiologic yield of cerebral palsy: a contemporary case series. Pediatr Neurol. 2003;28(5):352–9.

    Article  Google Scholar 

  24. Michel GF, Campbell JM, Marcinowski EC, Nelson EL, Babik I. Infant hand preference and the development of cognitive abilities. Front Psychol. 2016;7:410.

    Article  Google Scholar 

  25. Black P. Visual disorders associated with cerebral palsy. Br J Ophthalmol. 1982;66(1):46–52.

    Article  CAS  Google Scholar 

  26. Cooper J, Majnemer A, Rosenblatt B, Birnbaum R. The determination of sensory deficits in children with hemiplegic cerebral-palsy. J Child Neurol. 1995;10(4):300–9.

    Article  CAS  Google Scholar 

  27. Eliasson AC, Holmefur M. The influence of early modified constraint-induced movement therapy training on the longitudinal development of hand function in children with unilateral cerebral palsy. Dev Med Child Neurol. 2015;57(1):89–94.

    Article  Google Scholar 

  28. Shah DK, Doyle LW, Anderson PJ, Bear M, Daley AJ, Hunt RW, et al. Adverse neurodevelopment in preterm infants with postnatal sepsis or necrotizing enterocolitis is mediated by white matter abnormalities on magnetic resonance imaging at term. J Pediatr. 2008;153(2):170–5. 5 e1

    Article  Google Scholar 

  29. Glass HC, Bonifacio SL, Chau V, Glidden D, Poskitt K, Barkovich AJ, et al. Recurrent postnatal infections are associated with progressive white matter injury in premature infants. Pediatrics. 2008;122(2):299–305.

    Article  Google Scholar 

  30. Salinas S, Proukakis C, Crosby A, Warner TT. Hereditary spastic paraplegia: clinical features and pathogenetic mechanisms. Lancet Neurol. 2008;7(12):1127–38.

    Article  CAS  Google Scholar 

  31. Wynter M, Gibson N, Kentish M, Love S, Thomason P, Kerr GH. The consensus statement on hip surveillance for children with cerebral palsy: Australian standards of care. J Pediatr Rehabil Med. 2011;4(3):183–95.

    Article  CAS  Google Scholar 

  32. Wynter M, Gibson N, Willoughby KL, Love S, Kentish M, Thomason P, et al. Australian hip surveillance guidelines for children with cerebral palsy: 5-year review. Dev Med Child Neurol. 2015;57(9):808–20.

    Article  Google Scholar 

  33. Graham HK, Selber P. Musculoskeletal aspects of cerebral palsy. J Bone Joint Surg Br. 2003;85B(2):157–66.

    Article  Google Scholar 

  34. Berker AN, Yalcin MS. Cerebral palsy: orthopedic aspects and rehabilitation. Pediatr Clin N Am. 2008;55(5):1209.

    Article  Google Scholar 

  35. Shevell MI, Dagenais L, Hall N, Consortium R. Comorbidities in cerebral palsy and their relationship to neurologic subtype and GMFCS level. Neurology. 2009;72(24):2090–6.

    Article  Google Scholar 

  36. Martinez-Biarge M, Diez-Sebastian J, Kapellou O, Gindner D, Allsop JM, Rutherford MA, et al. Predicting motor outcome and death in term hypoxic-ischemic encephalopathy. Neurology. 2011;76(24):2055–61.

    Article  CAS  Google Scholar 

  37. Benini R, Dagenais L, Shevell MI, Registry QCP. Normal imaging in patients with cerebral palsy: what does it tell us? J Pediatr-Us. 2013;162(2):369.

    Article  Google Scholar 

  38. Lisi EC, Cohn RD. Genetic evaluation of the pediatric patient with hypotonia: perspective from a hypotonia specialty clinic and review of the literature. Dev Med Child Neurol. 2011;53(7):586–99.

    Article  Google Scholar 

  39. Zwicker JG, Missiuna C, Harris SR, Boyd LA. Developmental coordination disorder: a review and update. Eur J Paediatr Neuro. 2012;16(6):573–81.

    Article  Google Scholar 

  40. Spittle AJ, Orton J. Cerebral palsy and developmental coordination disorder in children born preterm. Semin Fetal Neonatal Med. 2014;19(2):84–9.

    Article  Google Scholar 

  41. McIntyre S, Morgan C, Walker K, Novak I. Cerebral palsy-don’t delay. Dev Disabil Res Rev. 2011;17(2):114–29.

    Article  Google Scholar 

  42. Beaino G, Khoshnood B, Kaminski M, Pierrat V, Marret S, Matis J, et al. Predictors of cerebral palsy in very preterm infants: the EPIPAGE prospective population-based cohort study. Dev Med Child Neurol. 2010;52(6):e119–25.

    Article  Google Scholar 

  43. McIntyre S, Blair E, Badawi N, Keogh J, Nelson KB. Antecedents of cerebral palsy and perinatal death in term and late preterm singletons. Obstet Gynecol. 2013;122(4):869–77.

    Article  Google Scholar 

  44. McIntyre S, Taitz D, Keogh J, Goldsmith S, Badawi N, Blair E. A systematic review of risk factors for cerebral palsy in children born at term in developed countries. Dev Med Child Neurol. 2013;55(6):499–508.

    Article  Google Scholar 

  45. Nelson KB, Ellenberg JH. Antecedents of cerebral palsy. Multivariate analysis of risk. N Engl J Med. 1986;315(2):81–6.

    Article  CAS  Google Scholar 

  46. Ashwal S, Russman BS, Blasco PA, Miller G, Sandler A, Shevell M, et al. Practice parameter: diagnostic assessment of the child with cerebral palsy–report of the quality standards Subcommittee of the American Academy of neurology and the practice committee of the child neurology society. Neurology. 2004;62(6):851–63.

    Article  CAS  Google Scholar 

  47. Bax M, Tydeman C, Flodmark O. Clinical and MRI correlates of cerebral palsy: the European cerebral palsy study. JAMA. 2006;296(13):1602–8.

    Article  CAS  Google Scholar 

  48. Oskoui M, Gazzellone MJ, Thiruvahindrapuram B, Zarrei M, Andersen J, Wei J, et al. Clinically relevant copy number variations detected in cerebral palsy. Nat Commun. 2015;6:7949.

    Article  CAS  Google Scholar 

  49. Segel R, Ben-Pazi H, Zeligson S, Fatal-Valevski A, Aran A, Gross-Tsur V, et al. Copy number variations in cryptogenic cerebral palsy. Neurology. 2015;84(16):1660–8.

    Article  Google Scholar 

  50. O'Callaghan ME, Maclennan AH, Gibson CS, McMichael GL, Haan EA, Broadbent JL, et al. Genetic and clinical contributions to cerebral palsy: a multi-variable analysis. J Paediatr Child Health. 2013;49(7):575–81.

    Article  Google Scholar 

  51. McMichael G, Bainbridge MN, Haan E, Corbett M, Gardner A, Thompson S, et al. Whole-exome sequencing points to considerable genetic heterogeneity of cerebral palsy. Mol Psychiatry. 2015;20(2):176–82.

    Article  CAS  Google Scholar 

  52. Himmelmann K, Beckung E, Hagberg G, Uvebrant P. Gross and fine motor function and accompanying impairments in cerebral palsy. Dev Med Child Neurol. 2006;48(6):417–23.

    Article  CAS  Google Scholar 

  53. Shevell MI, Dagenais L, Hall N, Repacq C. The relationship of cerebral palsy subtype and functional motor impairment: a population-based study. Dev Med Child Neurol. 2009;51(11):872–7.

    Article  Google Scholar 

  54. Shikako-Thomas K, Bogossian A, Lach LM, Shevell M, Majnemer A. Parents’ perspectives on the quality of life of adolescents with cerebral palsy: trajectory, choices and hope. Disabil Rehabil. 2013;35(25):2113–22.

    Article  Google Scholar 

  55. Shikako-Thomas K, Shevell M, Lach L, Law M, Schmitz N, Poulin C, et al. Are you doing what you want to do? Leisure preferences of adolescents with cerebral palsy. Dev Neurorehabil. 2015;18(4):234–40.

    Article  Google Scholar 

  56. Shikako-Thomas K, Shevell M, Lach L, Law M, Schmitz N, Poulin C, et al. Picture me playing-a portrait of participation and enjoyment of leisure activities in adolescents with cerebral palsy. Res Dev Disabil. 2013;34(3):1001–10.

    Article  Google Scholar 

  57. Shikako-Thomas K, Shevell M, Schmitz N, Lach L, Law M, Poulin C, et al. Determinants of participation in leisure activities among adolescents with cerebral palsy. Res Dev Disabil. 2013;34(9):2621–34.

    Article  Google Scholar 

  58. Platt MJ, Krageloh-Mann I, Cans C. Surveillance of cerebral palsy in Europe: reference and training manual. Med Educ. 2009;43(5):495–6.

    Article  Google Scholar 

  59. Sanger TD, Chen D, Delgado MR, Gaebler-Spira D, Hallett M, Mink JW, et al. Definition and classification of negative motor signs in childhood. Pediatrics. 2006;118(5):2159–67.

    Article  Google Scholar 

  60. Sanger TD, Chen D, Fehlings DL, Hallett M, Lang AE, Mink JW, et al. Definition and classification of hyperkinetic movements in childhood. Mov Disord. 2010;25(11):1538–49.

    Article  Google Scholar 

  61. Sanger TD, Delgado MR, Gaebler-Spira D, Hallett M, Mink JW, Force T, on Childhood Motor D. Classification and definition of disorders causing hypertonia in childhood. Pediatrics. 2003;111(1):e89–97.

    Article  Google Scholar 

  62. Sanger TD, Bastian A, Brunstrom J, Damiano D, Delgado M, Dure L, et al. Prospective open-label clinical trial of trihexyphenidyl in children with secondary dystonia due to cerebral palsy. J Child Neurol. 2007;22(5):530–7.

    Article  Google Scholar 

  63. Elia AE, Bagella CF, Ferre F, Zorzi G, Calandrella D, Romito LM. Deep brain stimulation for dystonia due to cerebral palsy: a review. Eur J Paediatr Neurol. 2018;22(2):308–15.

    Article  Google Scholar 

  64. Alhusaini AAA, Dean CM, Crosbie J, Shepherd RB, Lewis J. Evaluation of spasticity in children with cerebral palsy using Ashworth and Tardieu scales compared with laboratory measures. J Child Neurol. 2010;25(10):1242–7.

    Article  Google Scholar 

  65. Haugh AB, Pandyan AD, Johnson GR. A systematic review of the Tardieu scale for the measurement of spasticity. Disabil Rehabil. 2006;28(15):899–907.

    Article  CAS  Google Scholar 

  66. Yam WKL, Leung MLSM. Interrater reliability of modified Ashworth scale and modified Tardieu scale in children with spastic cerebral palsy. J Child Neurol. 2006;21(12):1031–5.

    Article  Google Scholar 

  67. Compagnone E, Maniglio J, Camposeo S, Vespino T, Losito L, De Rinaldis M, et al. Functional classifications for cerebral palsy: correlations between the gross motor function classification system (GMFCS), the manual ability classification system (MACS) and the communication function classification system (CFCS). Res Dev Disabil. 2014;35(11):2651–7.

    Article  Google Scholar 

  68. Coleman A, Weir K, Ware RS, Boyd R. Predicting functional communication ability in children with cerebral palsy at school entry. Dev Med Child Neurol. 2015;57(3):279–85.

    Article  Google Scholar 

  69. Vos RC, Dallmeijer AJ, Verhoef M, Van Schie PE, Voorman JM, Wiegerink DJ, et al. Developmental trajectories of receptive and expressive communication in children and young adults with cerebral palsy. Dev Med Child Neurol. 2014;56(10):951–9.

    Article  Google Scholar 

  70. Eliasson AC, Krumlinde-Sundholm L, Rosblad B, Beckung E, Arner M, Ohrvall AM, et al. The manual ability classification system (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability. Dev Med Child Neurol. 2006;48(7):549–54.

    Article  Google Scholar 

  71. Morris C, Kurinczuk JJ, Fitzpatrick R, Rosenbaum PL. Reliability of the manual ability classification system for children with cerebral palsy. Dev Med Child Neurol. 2006;48(12):950–3.

    Article  Google Scholar 

  72. Oskoui M, Majnemer A, Dagenais L, Shevell MI. The relationship between Gross Motor function and manual ability in cerebral palsy. J Child Neurol. 2013;28(12):1646–52.

    Article  Google Scholar 

  73. Wood E, Rosenbaum P. The gross motor function classification system for cerebral palsy: a study of reliability and stability over time. Dev Med Child Neurol. 2000;42(5):292–6.

    Article  CAS  Google Scholar 

  74. McCormick A, Brien M, Plourde J, Wood E, Rosenbaum P, McLean J. Stability of the Gross Motor function classification system in adults with cerebral palsy. Dev Med Child Neurol. 2007;49(4):265–9.

    Article  Google Scholar 

  75. Palisano RJ, Cameron D, Rosenbaum PL, Walter SD, Russell D. Stability of the gross motor function classification system. Dev Med Child Neurol. 2006;48(6):424–8.

    Article  Google Scholar 

  76. Shevell MI, Dagenais L, Hall N, Consortium R. The relationship of cerebral palsy subtype and functional motor impairment: a population-based study. Dev Med Child Neurol. 2009;51(11):872–7.

    Article  Google Scholar 

  77. Newman CJ. Sleep: the other life of children with cerebral palsy. Dev Med Child Neurol. 2014;56(7):610–1.

    Article  Google Scholar 

  78. Newman CJ, O'Regan M, Hensey O. Sleep disorders in children with cerebral palsy. Dev Med Child Neurol. 2006;48(7):564–8.

    Article  Google Scholar 

  79. Novak I, Hines M, Goldsmith S, Barclay R. Clinical prognostic messages from a systematic review on cerebral palsy. Pediatrics. 2012;130(5):e1285–312.

    Article  Google Scholar 

  80. Sellier E, Uldall P, Calado E, Sigurdardottir S, Torrioli MG, Platt MJ, et al. Epilepsy and cerebral palsy: characteristics and trends in children born in 1976-1998. Eur J Paediatr Neurol. 2012;16(1):48–55.

    Article  Google Scholar 

  81. Brossard-Racine M, Hall N, Majnemer A, Shevell MI, Law M, Poulin C, et al. Behavioural problems in school age children with cerebral palsy. Eur J Paediatr Neurol. 2012;16(1):35–41.

    Article  Google Scholar 

  82. Brossard-Racine M, Waknin J, Shikako-Thomas K, Shevell M, Poulin C, Lach L, et al. Behavioral difficulties in adolescents with cerebral palsy. J Child Neurol. 2013;28(1):27–33.

    Article  Google Scholar 

  83. Bjorgaas HM, Hysing M, Elgen I. Psychiatric disorders among children with cerebral palsy at school starting age. Res Dev Disabil. 2012;33(4):1287–93.

    Article  CAS  Google Scholar 

  84. Reilly S, Skuse D, Poblete X. Prevalence of feeding problems and oral motor dysfunction in children with cerebral palsy: a community survey. J Pediatr. 1996;129(6):877–82.

    Article  CAS  Google Scholar 

  85. Greenstein D, Tychsen L. Prevalence of gaze apraxia in children with cerebral palsy. Invest Ophth Vis Sci. 2014;55(13)

    Google Scholar 

  86. Glass HC, Fujimoto S, Ceppi-Cozzio C, Bartha AI, Vigneron DB, Barkovich AJ, et al. White-matter injury is associated with impaired gaze in premature infants. Pediatr Neurol. 2008;38(1):10–5.

    Article  Google Scholar 

  87. Hubermann L, Boychuck Z, Shevell M, Majnemer A. Age at referral of children for initial diagnosis of cerebral palsy and rehabilitation: current practices. J Child Neurol. 2016;31(3):364–9.

    Article  Google Scholar 

  88. Australian Cerebral Palsy Register Group T, Badawi N, Balde I, Goldsmith S, Karlsson P, McIntyre S, et al. Australian cerebral palsy register report 20162016.

    Google Scholar 

  89. Ashwal S. Historical aspects of the neonatal neurological examination: why child neurologists are not ‘little’ adult neurologists. J Hist Neurosci. 1995;4(1):3–24.

    Article  CAS  Google Scholar 

  90. Cioni G, Prechtl HF, Ferrari F, Paolicelli PB, Einspieler C, Roversi MF. Which better predicts later outcome in full-term infants: quality of general movements or neurological examination? Early Hum Dev. 1997;50(1):71–85.

    Article  CAS  Google Scholar 

  91. Ferrari F, Cioni G, Einspieler C, Roversi MF, Bos AF, Paolicelli PB, et al. Cramped synchronized general movements in preterm infants as an early marker for cerebral palsy. Arch Pediatr Adolesc Med. 2002;156(5):460–7.

    Article  Google Scholar 

  92. Ferrari F, Cioni G, Prechtl HF. Qualitative changes of general movements in preterm infants with brain lesions. Early Hum Dev. 1990;23(3):193–231.

    Article  CAS  Google Scholar 

  93. Guzzetta A, Mercuri E, Rapisardi G, Ferrari F, Roversi MF, Cowan F, et al. General movements detect early signs of hemiplegia in term infants with neonatal cerebral infarction. Neuropediatrics. 2003;34(2):61–6.

    Article  CAS  Google Scholar 

  94. Prechtl HF, Ferrari F, Cioni G. Predictive value of general movements in asphyxiated fullterm infants. Early Hum Dev. 1993;35(2):91–120.

    Article  CAS  Google Scholar 

  95. Maitre NL, Chorna O, Romeo DM, Guzzetta A. Implementation of the Hammersmith infant neurological examination in a high-risk infant follow-up program. Pediatr Neurol. 2016;65:31–8.

    Article  Google Scholar 

  96. Romeo DM, Ricci D, Brogna C, Mercuri E. Use of the Hammersmith infant neurological examination in infants with cerebral palsy: a critical review of the literature. Dev Med Child Neurol. 2016;58(3):240–5.

    Article  Google Scholar 

  97. Romeo DMM, Cioni M, Scoto M, Mazzone L, Palermo F, Romeo MG. Neuromotor development in infants with cerebral palsy investigated by the Hammersmith infant neurological examination during the first year of age. Eur J Paediatr Neuro. 2008;12(1):24–31.

    Article  Google Scholar 

  98. Bosanquet M, Copeland L, Ware R, Boyd R. A systematic review of tests to predict cerebral palsy in young children. Dev Med Child Neurol. 2013;55(5):418–26.

    Article  Google Scholar 

  99. Martin JH, Chakrabarty S, Friel KM. Harnessing activity-dependent plasticity to repair the damaged corticospinal tract in an animal model of cerebral palsy. Dev Med Child Neurol. 2011;53(Suppl 4):9–13.

    Article  Google Scholar 

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Kim, YM., Ashwal, S. (2023). Diagnosis of Cerebral Palsy. In: Eisenstat, D.D., Goldowitz, D., Oberlander, T.F., Yager, J.Y. (eds) Neurodevelopmental Pediatrics. Springer, Cham. https://doi.org/10.1007/978-3-031-20792-1_32

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