Gender differences in cognitive outcome were examined in children born
prematurely who had incurred early cerebral lesions and in a high-ris
k comparison group. The boys and girls, who had suffered perinatal int
racranial hemorrhage-the most common neurological insult in the preter
m infant-were similar in their antenatal, perinatal, and postnatal cou
rse, as well as in their socio-familial attributes. After statistical
adjustment to account for the extent of the insult, a significant gend
er difference in cognitive recovery was observed in the lesion group.
Girls outperformed boys by about half a standard deviation on standard
ized intelligence tests. No gender differences were observed in the co
mparison group. The implications of the results for theories and empir
ical findings on gender differences in vulnerability to deviation from
normal development are discussed.