A syndrome that involves significant features related to speech or language development that do not fulfill the diagnostic requirements of any of the specific Transtornos do desenvolvimento da fala ou linguagem that is judged to be a direct pathophysiological consequence of a health condition not classified under mental and behavioural transtornos, based on evidence from the history, physical examination, or laboratory findings. Possible etiologies include a disease of the nervous system, sensory impairment, brain injury or infection.