识别和治疗神经发育障碍儿童的白内障:一个案例系列
Nadine Nejati1, Selene Etches1
1Dalhousie University Department of Psychiatry, Halifax, Nova Scotia.
概括
患有神经发育障碍 (NDD) 的儿童的白内障带来了独特的挑战,但可以治疗. 双边电疗法 (ECT) 在三个对类药物无反应的儿科病例中显示出显著改善.
科学领域:
- 神经科学是一个神经科学.
- 儿科精神病学 儿科精神病学
- 发展心理学 发展心理学
背景情况:
- 卡塔托尼是一种神经精神综合征,在患有神经发育障碍 (NDD) 的儿童和青少年中引起急性行为变化.
- 在这个人群中,表现可能会有所不同,导致诊断的掩盖和治疗的延迟.
- 及时识别和管理对于预防严重的医疗并发症至关重要.
研究的目的:
- 突出诊断和管理细微差别的儿科NDD中catatonia.
- 为了提高临床医生对NDD患者急性行为变化中白内障的认识.
- 鼓励考虑全方位的治疗方案,包括电疗法 (ECT).
主要方法:
- 三名患有自闭症谱系障碍,唐氏综合征和普拉德-威利综合征的儿童 (7,14,10岁) 的病例系列.
- 患者呈现急性行为回归和触动性症状.
- 治疗涉及对二类药物的试验,随后由于反应不足而进行双边ECT.
主要成果:
- 这三名患者在双边ECT后均显著改善.
- 在ECT后没有观察到明显的不良影响.
- 在这些情况下,佐地亚类药物治疗显示出不充分的反应.
结论:
- 在NDD中,儿科性猫通症需要提高临床意识.
- 双边ECT是一种有效的治疗选择,用于NDD儿童的catatonia,特别是当类药物失败时.
- 对这一群体的诊断工具和治疗反应的进一步研究是有必要的.
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