Shevell Michael
Departments of Neurology/Neurosurgery and Pediatrics, McGill University, Montreal, Quebec, Canada.
Pediatr Clin North Am. 2008 Oct;55(5):1071-84, xi. doi: 10.1016/j.pcl.2008.07.010.
Global developmental delay and mental retardation or intellectual disability offer challenges to the practitioner at several different levels. Accurate recognition of these most common of subtypes of neurodevelopmental disabilities is a central precondition to their correct evaluation and management. Proper evaluation is a time- and labor-intensive process that emphasizes several different goals. Guidelines now exist to assist the practitioner in selecting the appropriate investigation path to be pursued, and these guidelines should be used to inform the selections of investigations made. Although challenging and time consuming, the evaluation of these children offers many professional rewards and is a necessary first step in a family's adaptation to their child's chronic condition.
全球发育迟缓以及智力迟钝或智力残疾在多个不同层面给从业者带来了挑战。准确识别这些最常见的神经发育障碍亚型是对其进行正确评估和管理的核心前提条件。恰当的评估是一个耗时费力的过程，它强调几个不同的目标。目前已有指南可协助从业者选择合适的调查路径，这些指南应用于为调查选择提供参考依据。尽管对这些儿童的评估具有挑战性且耗时，但它能带来诸多专业回报，并且是家庭适应孩子慢性病状的必要第一步。
