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GUIDELINES
Guidelines for Identifying and Referring Persons with Fetal
Alcohol Syndrome
Link: http://www.cdc.gov/ncbddd/fas/documents/FAS_guidelines_accessible.pdf
CRITERIA
FOR FAS DIAGNOSIS
Requires
ALL THREE of the following finding:
1. Documentation of all three facial abnormalities (smooth
philtrum, thin vermillion border, and small palpebral
fissures)
2. Documentation of growth deficits
3. Documentation of CNS abnormality
Note:
Confirmed prenatal alcohol use can strengthen the evidence
for and FAS diagnosis, but is not necessary in the presence
of all other criteria. |
1.
Facial Features
Based on racial norms, individual exhibits all three characteristic
facial features:
2.
Growth Problems
Confirmed prenatal or postnatal height or weight, or both,
at or below the 10th percentile, documented at any one point
in time (adjusted for age, sex, gestational age, and race
or ethnicity)
http://www.cdc.gov/nchs/about/major/nhanes/growthcharts/clinical_charts.htm
3.
Central Nervous System Abnormalities
Structural
1. Head circumference at or below the 10th percentile adjusted
for age and sex.
2. Clinically significant brain abnormalities observable through
imaging.
Neurological
Neurological problems not due to a postnatal insult or fever,
or other soft neurological signs outside normal limits.
Functional
Performance substantially below that expected for an individual’s
age, schooling, or circumstances, as evidenced by:
1. Global
cognitive or intellectual deficits representing multiple domains
of deficit (or significant developmental delay in younger
children) with performance below the 3rd percentile (2 standard
deviations below the mean for standardized testing)
OR
2. Functional deficits below the 16th percentile (1 standard
deviation below the mean for standardized testing) at least
three of the following domains
a.
Cognitive or developmental deficits or discrepancies
b. Executive functioning deficits
c. Motor functioning delays
d. Problems with attention or hyperactivity
e. Social skills
f. Other, such as sensory problems, pragmatic language problems,
memory deficits, etc.
4.
Maternal Alcohol Exposure
- Confirmed prenatal alcohol exposure
- Unknown prenatal alcohol exposure
**These
guidelines were developed for fetal alcohol syndrome only
and do not address other prenatal alcohol-related disorders
because there is currently insufficient evidence on which
to base diagnostic criteria for these related conditions.**
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