Usually, the mother is the first to notice that her baby can't hold his/her head, doesn't focus, doesn't reach out to a toy like other children do. The first alarming symptoms are the very slow development of the muscle control and the synchronization of the child's movements. However, there are other symptoms that are less distinct.

The timely and accurate diagnosis by the pediatrician or the neurologist increases significantly the chances for rehabilitation. Newborns that belong to a high-risk category, such as the premature and the underweight, multiple pregnancies, children who have been treated in intensive care units, should be regularly monitored by a team of experts. What is often recommended for these children is physiotherapeutic intervention, even if there is no particular diagnosis, in order for possible problems to be prevented and for the child to normally develop.


1. High suspicion (aggravating factors) deriving from the obstetric and the
   perinatal medical record

2. Pathological behavior
3. Psychokinetic retardation
4. Persistence or asymmetry of primitive reflexes
5. Hypotonia (floppy baby syndrome) with good muscle strength
6. Increased tenond reflexes and clone
7. Abnormalities of eye movement
8. Pathological probations of posture

It is already known and commonly accepted by the entire medical field that there is no single sign, reflex or criterion that foresees the neurological examination and prognosis of an infant in danger. This is why it is safe to handsomely use the neurodevelopmental examination, which can be divided in 4 axles:

a. Typical neurological examination
b. Infant observation
c. Probations of posture
d. Primitive reflexes