15 doctors weighed in:

My son was born at 28 weeks and has mild pvl.Cp global delay. He cannot talk at nearly 4yrs old. Could doctors be overlooking autism in favor of global delay?

15 doctors weighed in
Dr. Jon Ahrendsen
Family Medicine
6 doctors agree

In brief: Certainly Possible

There can be some degree of overlap between the two conditions.
Many of the featured behaviors of both can be shared. I would look at other symptoms he has and try to address any GI problems, any adhd type symptoms, sleep issues, allergies. Look into the group: maps. Medical academy of pediatric special needs. Doesn't hurt to get more than one opinion.

In brief: Certainly Possible

There can be some degree of overlap between the two conditions.
Many of the featured behaviors of both can be shared. I would look at other symptoms he has and try to address any GI problems, any adhd type symptoms, sleep issues, allergies. Look into the group: maps. Medical academy of pediatric special needs. Doesn't hurt to get more than one opinion.
Dr. Jon Ahrendsen
Dr. Jon Ahrendsen
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Dr. Johanna Fricke
Pediatrics - Developmental & Behavioral
3 doctors agree

In brief: They can co-occur

Is he in an early childhood program through your school district? Does he try to communicate, verbally or non-verbally? How does he show you what he wants? Can he share attention when you point at something? How has he responded to speech/language therapy? Can he " sign" any words? An evaluation by a pediatric neuropsychologist or developmental pediatrician is in order to help answer your question.

In brief: They can co-occur

Is he in an early childhood program through your school district? Does he try to communicate, verbally or non-verbally? How does he show you what he wants? Can he share attention when you point at something? How has he responded to speech/language therapy? Can he " sign" any words? An evaluation by a pediatric neuropsychologist or developmental pediatrician is in order to help answer your question.
Dr. Johanna Fricke
Dr. Johanna Fricke
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Dr. Jay Park
Pediatrics
3 doctors agree

In brief: Unlikely

Typical autistic child is expected to have poor language and social skills with age-appropriate gross and fine motor development.
Global developmental delay is more consistent with pvl (periventricular leukomalacia) involving significant compromise of germinal matrix.

In brief: Unlikely

Typical autistic child is expected to have poor language and social skills with age-appropriate gross and fine motor development.
Global developmental delay is more consistent with pvl (periventricular leukomalacia) involving significant compromise of germinal matrix.
Dr. Jay Park
Dr. Jay Park
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Dr. James Ferguson
Pediatrics
2 doctors agree

In brief: Labels confuse many

Your son's problems are sadly an outcome likely of both pvl, the bleed that caused it and the issues that led to his premi birth.
The broad umbrella of autism was expanded years ago to include pervasive developmental delay/not otherwise specified.The nos means there was no stroke, trauma or other DX to explain the delays. Your rx would not change by adding this label.

In brief: Labels confuse many

Your son's problems are sadly an outcome likely of both pvl, the bleed that caused it and the issues that led to his premi birth.
The broad umbrella of autism was expanded years ago to include pervasive developmental delay/not otherwise specified.The nos means there was no stroke, trauma or other DX to explain the delays. Your rx would not change by adding this label.
Dr. James Ferguson
Dr. James Ferguson
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3 comments
Dr. Johanna Fricke
Sadly, in our school district & many others, it would be. Instead of 2 hrs 45 min/day in "DD" ECSE, he'd get 6 hrs/day, 4 days/wk in " KIDS"
Dr. Johanna Fricke
Sadly, in our school district & many others, it would be. Instead of 2 hrs 45 min/day in "DD" ECSE, he'd get 6 hrs/day, 4 days/wk in " KIDS"
Dr. Carla Enriquez
Pediatrics
1 doctor agrees

In brief: Specific diagnosis

Autism refers to a constellation of clinical& developmental signs.
These are thought to occur because of genetic vulnerability to intrauterine neurotoxins. Your child had many powerful neurotraumas to cause his problems. Once brain is injured there only so many ways the injury can be expressed. Ad kids start out with normal development then regress. Your child was delayed from birth.

In brief: Specific diagnosis

Autism refers to a constellation of clinical& developmental signs.
These are thought to occur because of genetic vulnerability to intrauterine neurotoxins. Your child had many powerful neurotraumas to cause his problems. Once brain is injured there only so many ways the injury can be expressed. Ad kids start out with normal development then regress. Your child was delayed from birth.
Dr. Carla Enriquez
Dr. Carla Enriquez
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2 comments
Dr. Johanna Fricke
Again, the unfortunate existence of diagnosis -specific services & funding makes it worth evaluating this little one's intent to communicate
Dr. Carla Enriquez
Yes, but he clearly has a static encephalopathy. This dx should derive even more services than an AD child.
Dr. William Goldie
Pediatrics - Neurology
1 doctor agrees

In brief: Not autism

This is a very common issue with these children.
They often have poor mouth control with drooling and chocking that will cause problems with production of language. They often understand much better than they can speak.

In brief: Not autism

This is a very common issue with these children.
They often have poor mouth control with drooling and chocking that will cause problems with production of language. They often understand much better than they can speak.
Dr. William Goldie
Dr. William Goldie
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Dr. William Singer
Pediatrics - Neurology

In brief: Not likely

Recently, there has been a great deal of attention to autism.
Despite this there are many other issues affecting child's life. In your case there is a significant difference between CP and autism. If you are concerned, a second opinion from a pediatric neurologist should clarify things for you.

In brief: Not likely

Recently, there has been a great deal of attention to autism.
Despite this there are many other issues affecting child's life. In your case there is a significant difference between CP and autism. If you are concerned, a second opinion from a pediatric neurologist should clarify things for you.
Dr. William Singer
Dr. William Singer
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