关键词: ASD childhood cognition epilepsy language sensory profile

来  源:   DOI:10.3389/fpsyg.2023.1307578   PDF(Pubmed)

Abstract:
UNASSIGNED: Autism Spectrum Disorder (ASD) and epilepsy pose significant challenges for early diagnosis during childhood. Current scientific literature does not reflect robust action protocols that allow for a detailed screening of difficulties in this population, especially in areas such as language, cognition, and sensory profile. Additionally, detecting epilepsy before the age of 4 is established as a major current public health challenge in our society.
UNASSIGNED: The aim was to evaluate a patient exhibiting symptoms compatible with both ASD and epilepsy, determining the linguistic, cognitive, and sensory profile through a clinical assessment protocol. Furthermore, the objective included establishing a diagnosis of ASD.
UNASSIGNED: This single-case study (N = 1) presents the evaluation of a 7-year-old patient with suspected ASD, experiencing a decline in linguistic and cognitive competencies following a documented epileptic episode. Evaluation was conducted using instruments such as CELF-5, PROLEC-R, WISC-V, ENFEN, PS-2, ADI-R, and ADOS-2.
UNASSIGNED: Following assessment of language, cognition, sensory aspects, and behaviors associated with ASD, the diagnosis of ASD was confirmed in the patient, along with impairments in expressive and receptive language, executive functioning, and alterations in the sensory profile.
UNASSIGNED: Diagnosing ASD and epilepsy, as well as their evaluation, is a complex process requiring interdisciplinary assessment involving a detailed exploration of all functional competencies in individuals with this comorbidity. Future studies should focus on creating and improving existing protocols to develop optimal and effective evaluation strategies for assessing this population during childhood.
摘要:
自闭症谱系障碍(ASD)和癫痫对儿童时期的早期诊断提出了重大挑战。目前的科学文献没有反映出强有力的行动方案,可以对这一人群的困难进行详细的筛查。尤其是在语言等领域,认知,和感官轮廓。此外,在我们的社会中,在4岁之前检测癫痫已成为当前主要的公共卫生挑战。
目的是评估表现出与ASD和癫痫一致的症状的患者,确定语言,认知,和通过临床评估方案的感官概况。此外,目的包括建立ASD的诊断。
这项单病例研究(N=1)对一名7岁疑似ASD患者进行了评估,有记录的癫痫发作后,语言和认知能力下降。使用CELF-5、PROLEC-R、WISC-V,恩芬,PS-2,ADI-R,ADOS-2
在语言评估之后,认知,感官方面,以及与ASD相关的行为,患者确诊为ASD,伴随着表达性和接受性语言的障碍,执行功能,和感官轮廓的改变。
诊断ASD和癫痫,以及他们的评价,是一个复杂的过程,需要跨学科评估,涉及对患有这种合并症的个人的所有功能能力的详细探索。未来的研究应侧重于创建和改进现有的协议,以制定最佳和有效的评估策略,以评估童年时期的该人群。
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