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Review
. 2016 Feb 16;188(3):191-197.
doi: 10.1503/cmaj.141593. Epub 2015 Dec 14.

Fetal alcohol spectrum disorder: a guideline for diagnosis across the lifespan

Jocelynn L Cook  1 , Courtney R Green  2 , Christine M Lilley  2 , Sally M Anderson  2 , Mary Ellen Baldwin  2 , Albert E Chudley  2 , Julianne L Conry  2 , Nicole LeBlanc  2 , Christine A Loock  2 , Jan Lutke  2 , Bernadene F Mallon  2 , Audrey A McFarlane  2 , Valerie K Temple  2 , Ted Rosales  2 ; Canada Fetal Alcohol Spectrum Disorder Research Network
Affiliations
Review

Fetal alcohol spectrum disorder: a guideline for diagnosis across the lifespan

Jocelynn L Cook et al. CMAJ. .
No abstract available

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Figures

Figure 1:
Figure 1:
Diagnostic algorithm for fetal alcohol spectrum disorder (FASD). *Assessment conclusive = clinician conducting the neurodevelopmental assessment is satisfied that the session was a true representation of the person’s ability and that any deficits reported were not due to extenuating circumstances. Assessments may be inconclusive for children under six years of age, because some domains cannot be assessed with confidence until the person is older or because of other confounding factors, such as temporary life stress or illness; see the text for more information. †Microcephaly is not the only pathway to diagnosis for infants and young children; these individuals may also receive other FASD diagnoses, as specified elsewhere in the algorithm, if they show three areas of substantial impairment on neurodevelopmental tests. ‡At risk for neurodevelopmental disorder and FASD, associated with prenatal alcohol exposure. An at-risk designation includes situations where a full neurodevelopmental assessment is not conclusive because of age or situational factors; therefore, FASD may not be the diagnosis. Clinical judgment is recommended. Note: CNS = central nervous system (yes/no impairment in ≥ 3 brain domains), SFF = sentinel facial features.
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Comment in

References

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    1. Chudley AE, Conry J, Cook JL, et al. Fetal alcohol spectrum disorder: Canadian guidelines for diagnosis. CMAJ 2005;172(Suppl 5):S1–21. - PMC - PubMed

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