诊断2岁以下儿童自闭症的临床分析:一个案例报告
Maria Fernandez1, Augusta Soyele2, Toritseju Arenyeka3
1Pediatric Medicine, Florida International University, Miami, USA.
Cureus
|August 28, 2024
概括
在幼儿中早期诊断自闭症谱系障碍 (ASD) 是至关重要的. 总运动延迟,遗传因素和MCHAT查工具的局限性是准确识别ASD的关键考虑因素.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿科神经学 儿科神经学
- 遗传学 遗传学 是一个
背景情况:
- 自闭症谱系障碍 (ASD) 是一种复杂的神经发育状况,患病率越来越高.
- 早期诊断和干预对于改善ASD儿童的结果至关重要.
- 目前的诊断方法可能会在非常年幼的儿童中面临挑战.
研究的目的:
- 检查2岁以下儿童的ASD临床诊断方法.
- 在这个年龄组中确定早期ASD诊断的潜在关键指标.
- 突出现有查工具 (如MCHAT) 的局限性.
主要方法:
- 对5名被诊断患有自闭症的2岁以下儿童的案例报告分析.
- 强调临床观察,包括运动发育,遗传因素和身体特征.
- 对现有文献进行系统审查,以验证发现.
主要成果:
- 在所有五个案例中都观察到毛发动机延迟,这表明它是潜在的关键诊断指标.
- 两个案例最初呈现出虚假阴性MCHAT结果.
- 在两名患者中发现了19号染色体异常,其中一人患有大脑症和氨基酸代谢障碍.
- 观察到非典型的ASD行为,如手拍.
结论:
- 早期运动延迟,遗传因素 (例如,染色体19异常) 和早产在ASD诊断中具有重要意义.
- 在早期发现ASD方面,MCHAT可能存在局限性,需要进行全面的评估.
- 需要改进的查工具,遗传调查和彻底的评估,以加强早期ASD检测和干预.
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