关键词: Behavioral modification Encephalitis Psychosis Seizure disorder Special health needs

来  源:   DOI:10.5005/jp-journals-10005-2532   PDF(Pubmed)

Abstract:
UNASSIGNED: This is a case report presenting the behavioral and dental management of a 9-year-old child recently diagnosed with autoimmune encephalitis, seizure disorder, and psychosis and treated with anticonvulsant and antidepressant medications. In this case, seizure semiology was presented as eye blinking during the attack, and the child was usually not conscious. It is absorbed by itself and associated with a post-sleeping attack that lasts for minutes.
UNASSIGNED: Parents presented to the pediatric dental clinic with a chief complaint of decayed teeth that needs to be restored. The child has mixed dentition and is diagnosed with anterior crossbite and single posterior crossbite. The child was cleared by the pediatric neurologist and psychiatrist and had no contraindications to dental treatment under local anesthesia. The child\'s treatment was completed on the dental chair without any seizure attacks, and the patient\'s chief complaint was resolved.
UNASSIGNED: Pediatric dentists should be educated about dental precautions and consider drug interactions when treating children with autoimmune encephalitis. Various types of non-pharmacological behavior guidance techniques and pharmacological methods of behavior management techniques can aid in the behavioral management of children with psychosis.
UNASSIGNED: Alowi WA, Baghlaf K. Behavioral and Dental Management of a Pediatric Patient Diagnosed with Autoimmune Encephalitis: A Case Report. Int J Clin Pediatr Dent 2023;16(2):416-419.
摘要:
这是一个案例报告,介绍了最近被诊断患有自身免疫性脑炎的9岁儿童的行为和牙科管理,癫痫症,和精神病,并用抗惊厥和抗抑郁药物治疗。在这种情况下,癫痫发作符号学表现为发作期间眨眼,孩子通常没有意识。它本身被吸收,并与持续几分钟的睡眠后攻击相关联。
父母向儿科牙科诊所提出了需要修复的腐烂牙齿的主诉。该孩子的牙列混合,被诊断为前牙合和后牙合。该孩子被儿科神经科医生和精神科医生清除,并且在局部麻醉下没有牙科治疗的禁忌症。孩子的治疗是在牙科椅上完成的,没有任何癫痫发作,病人的主诉得到了解决。
儿科牙医在治疗患有自身免疫性脑炎的儿童时,应接受有关牙科预防措施的教育,并考虑药物相互作用。各种类型的非药理学行为指导技术和药理学方法的行为管理技术可以帮助精神病儿童的行为管理。
AlowiWA,BaghlafK.诊断为自身免疫性脑炎的儿科患者的行为和牙科管理:一例病例报告。IntJClinPediatrDent2023;16(2):416-419。
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