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[Hyperkinetic syndrome (attention deficit-/hyperactivity disorder) in adulthood]
K H Krause1, J Krause, G E Trott
1Friedrich-Baur-Institut bei der Medizinischen Klinik Innenstadt und der Neurologischen Klinik der Ludwig-Maximilians-Universität München.
Der Nervenarzt
|August 26, 1998
Summary
Adults with hyperkinetic syndrome (HKS), or attention deficit/hyperactivity disorder, often experience disorganization and emotional issues. Early diagnosis and treatment are crucial for managing residual symptoms and comorbidities.
Area of Science:
- Neuroscience
- Psychiatry
- Genetics
Context:
- Hyperkinetic syndrome (HKS), or attention deficit/hyperactivity disorder (ADHD), is underdiagnosed in Germany.
- Approximately one-third of children with HKS/ADHD continue to exhibit symptoms into adulthood.
Purpose:
- To describe the clinical presentation of HKS/ADHD in adults.
- To highlight diagnostic challenges and differential diagnoses.
- To review neurobiological findings and treatment options.
Summary:
- Adult HKS/ADHD presents with inattention, hyperactivity, and impulsivity, often accompanied by disorganization, emotional disturbances, and stress intolerance.
- Residual learning disorder symptoms (dyslexia, dyscalculia, dysgraphia) are common.
- Differential diagnosis must consider affective, anxiety, and antisocial personality disorders, which frequently co-occur with HKS/ADHD.
Impact:
- Understanding adult HKS/ADHD is vital for accurate diagnosis and effective management.
- Genetic and neurobiological factors underscore the syndrome's biological basis.
- Evidence-based treatments include stimulants, antidepressants, and other psychotropic medications.