1043-3155 Pediatr Neurol Briefs pedneurbriefs Pediatr Neurol Briefs Pediatric Neurology Briefs Pediatr Neurol Briefs 2166-6482 1043-3155 2166-3155 Pediatric Neurology Briefs Publishers Chicago, IL, USA PNB-9-72-b 10.15844/pedneurbriefs-9-9-14 Developmental Disabilities Neurology Pediatrics Nervous System Diseases Child Development Brain Diseases Neurosurgery Child Infant Neurological Assessment of Developmental Delay http://orcid.org/0000-0002-0173-7931 Millichap J. Gordon MD 1 2 * Division of Neurology, Children's Memorial Hospital, Chicago, IL Departments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL Correspondence: Dr. J. Gordon Millichap, E-mail: jgmillichap@northwestern.edu 09 1995 01 06 2016 9 9 72 72 Copyright: © 1995 The Author(s) 1995 This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Diagnostic yield of the neurologic assessment of the developmentally delayed child

The etiologic or diagnostic yield of the neurologic examination in 60 children referred to a pediatric neurologist for evaluation of global developmental delay was determined at the Montreal Children’s Hospital-McGill University, Quebec, Canada.

 Pediatric Neurologist Metabolic Screens Etiologic Diagnosis

The etiologic or diagnostic yield of the neurologic examination in 60 children referred to a pediatric neurologist for evaluation of global developmental delay was determined at the Montreal Children’s Hospital-McGill University, Quebec, Canada. Examination at a mean age of 3.58 years revealed mild delay in development in 25, moderate delay in in 23, and severe delay in 12. EEG, MRI, metabolic screens, fragile X test and karyotype established an etiologic diagnosis in 38 (63%), including cerebral dysgenesis (17%), HIE (10%), chromosomal anomalies (10%), toxins (8%), and metabolic disorders (5%). [1]

COMMENT. Optimal management of children with developmental delay should include a neurologic examination and selected laboratory tests. An etiologic diagnosis provides physician and family with important information regarding risks of recurrence and choice of therapeutic intervention.

Majnemer A Shevell MI Diagnostic yield of the neurologic assessment of the developmentally delayed child J Pediatr 1995 Aug 127 2 193 9 7543566 10.1016/S0022-3476(95)70294-6