11 doctors weighed in:

My son has pvl born at 28 week weighing 2lb 12oz has pvl and cerebal palsy nrly 4 not talking will he ever talk?

11 doctors weighed in
Dr. William Singer
Pediatrics - Neurology
2 doctors agree

In brief: Probably will talk

Many children with brain injuries as premature infants have dellayed spoken language skills.
Early intervention and preschool programs use many approaches including sign language, pics, computer based technology to allow communication. Using technology does not prevent ultimate development of spoken language.

In brief: Probably will talk

Many children with brain injuries as premature infants have dellayed spoken language skills.
Early intervention and preschool programs use many approaches including sign language, pics, computer based technology to allow communication. Using technology does not prevent ultimate development of spoken language.
Dr. William Singer
Dr. William Singer
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Dr. James Ferguson
Pediatrics
2 doctors agree

In brief: Age now ?

Every case of CP is unique, with a life plan we can't know for sure.
The infant brain has more flexability to rewire injured parts than adults.Pvl is a description of the damage causing the leg stiffness & to some degree that will stay. The language centers are positioned separately. No speach @this point is worisome but not definite.I have seen amaising progress in some by teen yrs, keep up hope.

In brief: Age now ?

Every case of CP is unique, with a life plan we can't know for sure.
The infant brain has more flexability to rewire injured parts than adults.Pvl is a description of the damage causing the leg stiffness & to some degree that will stay. The language centers are positioned separately. No speach @this point is worisome but not definite.I have seen amaising progress in some by teen yrs, keep up hope.
Dr. James Ferguson
Dr. James Ferguson
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David Escobar
Family Medicine
2 doctors agree

In brief: Hard to say

Periventricular leukomalacia is a very difficult diagnosis, and i empathize with your situation.
If you have not already done so, have your son be seen/followed by a developmental and behavioral health pediatrician or pediatric neurologist; he/she can more readily assess your son's prognosis and whether he will be able to speak. This may depend on which portions of the brain have been affected.

In brief: Hard to say

Periventricular leukomalacia is a very difficult diagnosis, and i empathize with your situation.
If you have not already done so, have your son be seen/followed by a developmental and behavioral health pediatrician or pediatric neurologist; he/she can more readily assess your son's prognosis and whether he will be able to speak. This may depend on which portions of the brain have been affected.
David Escobar
David Escobar
Answer assisted by David Escobar, Medical Student
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1 comment
David Escobar
looloo262, you are very welcome. If it's possible in the NHS, I would pursue seeing a specialist as I've suggested above to get a more nuanced prognosis.
Dr. Johanna Fricke
Pediatrics - Developmental & Behavioral

In brief: The window of oppor-

tunity for developing language is birth-5.
If you can afford private SLT to augment Early Childhood Special Ed Services, do so. Does he desire to communicate & does he use signing or an iPad picture exchange app to communicate? Either will reduce behavior problems. Global Developmental Delay, termed Intellectual Disability at school age, can co-occur with Autistic Spectrum Disorder. Test for ASD..

In brief: The window of oppor-

tunity for developing language is birth-5.
If you can afford private SLT to augment Early Childhood Special Ed Services, do so. Does he desire to communicate & does he use signing or an iPad picture exchange app to communicate? Either will reduce behavior problems. Global Developmental Delay, termed Intellectual Disability at school age, can co-occur with Autistic Spectrum Disorder. Test for ASD..
Dr. Johanna Fricke
Dr. Johanna Fricke
Thank
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