具有挑战性的案例:患有自闭症谱系障碍的儿童新发幻觉和发育回归
Aanchal Sharma1, Demetra Pappas1, Joseph Gonzalez-Heydrich2
1Division of Developmental Medicine, Boston Children's Hospital, Harvard Medical School, Brookline, MA.
Journal of developmental and behavioral pediatrics : JDBP
|April 11, 2024
概括
一个患有自闭症谱系障碍的5岁男孩患上了带有幻觉的精神病,导致语言衰退. 医学评估发现了特定的异常,促使人们寻找先进的干预措施.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿科精神病学 儿科精神病学
- 行为科学 行为科学
背景情况:
- 一名被诊断患有自闭症谱系障碍 (ASD) 的5岁男孩最初对应用行为分析 (ABA) 治疗反应良好.
- 他后来患上精神病,经历幻觉,表达语言和社交互动显著下降.
- 尽管尝试了各种药物和疗法,但他的挑战性行为和症状仍然存在.
研究的目的:
- 介绍一个患有自闭症谱系障碍和并发性精神病的孩子的复杂案例.
- 详细说明诊断过程,包括广泛的医学评估.
- 探索潜在的干预措施和这些病例的预期发展轨迹.
主要方法:
- 病例报告详细介绍了一个5岁男孩的临床表现,诊断和治疗史.
- 综述广泛的医学评估,包括MRI,尿液有机酸和抗体检测.
- 描述当前的教育和治疗干预措施,包括ABA,语言,职业和音乐治疗.
主要成果:
- 医学评估显示,周血管空间膨胀,症,乳酸增加,抗核抗体阳性最小,维生素B12水平升高.
- 其他广泛的研究,包括基因测试和EEG,正常.
- 孩子继续表现出显著的行为挑战,包括头,过度活跃,侵略和自我照顾缺陷,以及对内部刺激的持续反应.
结论:
- 这一案例凸显了在儿童中管理自闭症谱系障碍与并发性精神病症状的复杂性.
- 确定的医学发现需要进一步调查潜在的潜在疾病或治疗目标.
- 多学科干预和持续评估对于管理发展和行为挑战以及规划未来发展轨迹至关重要.
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