Abstract

Minimal brain dysfunction encompasses a variety of different behavioral, learning, and motor problems. The etiologic factors vary, ranging from brain damage and fetal malformations to more subtle maturational delays and biochemical alterations. Environmental factors may be significant. The life history of a person with minimal brain dysfunction is characterized by disordered activity and behavioral patterns in early childhood, learning disabilities during the school years, and continued problems with adjustment in adulthood. Medications, particularly stimulants, may improve behavior and attentiveness, but as yet, there is no indication that they improve the long-range prognosis. Children with minimal brain dysfunction syndrome require comprehensive care which must include appropriate school programming, encouragement of activities to preserve self-esteem, vocational planning, and anticipatory guidance.

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