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SPECTRUM
DISORDERS
• EARLY DIAGNOSIS
• Under the age of two years
• Means early intervention
• Best results if given before 5-years of age
• The earlier the better
• DIAGNOSIS
• Shared the following characters:
. Is hypereactive/uncooperative or oppositional
. Does not know how to play with toys
. Gets stuck on things over and over
. Toe-walks
. Has unusual attachments to toys (holding certain
object)
. Lines things up
. Is over sensitive to certain sounds or textures
. Has odd movement patterns
• 4. Absolute indications for immediate further
evaluation
. No babbling by 12 months
. No gesturing (pointing, waving bye-bye, etc) by
12 months
. No single word by 16 months
. No two-word spontaneous (and not just echolalic) by
24 months
• . ANY lost of ANY language or social skills at ANY
• age
• A multidisipinary approach to diagnostic assessment
is required. The teams varies across centres, but
commonly includes:
• - Neuro-paediatrician
• - Child-psychiatrist
• - Clinical psychologist
• - Speech and Language therapist
• - Occupational therapist
• - Physiotherapist
The informations necessary for a diagnosis
includes:
• detailed development history
• parents’ descriptions of the everyday behaviour
and activities of the child
• direct assessment of the child’s social
interaction style and communicative and
intellectual function.
RECOMMENDATIONS FOR INVESTIGATIONS
• 1. Routine Investigations for all cases
• - Speech and language assessment
• - Cognitive / developmental assessment
• - Basic neurological examination
• - Fragile-X and basic chromosome screen (low IQ and dysmorphic
• cases)
• - Wood light
• - Hearing test (BERA)
• - EEG
• 2. Additional test (to be conducted only
when indicated)
- Sleep EEG
- Full neurological examination
- Brain imaging (Ct-scan,MRI)
- Metabolic / immunological tests
- Fulll chromosome screen
- Lead screening
• MANAGEMENT
- Maximize the child’s social , communicative and intellectual
functioning.
- Whatever the underlying approach, structure and an
emphasis on developing communication skills are
important aspects of the preschool and school curriculum
for children with ASD
- Behavioural interventions are needed to reduced
repetitive, stereotyped, self injurious and chalanging
behaviours.
• Medication :
Current pharmacological treatment does not treat the
cores features of ASD
. Neuroleptics (fluoroperazine and haloperidol)
stereotyped and hyperactivity
SE : dystonic reaction and drowsiness
. SSRIs
Adolescents and adult with Aspergers’ syndrome
. Clomipramine, 5-HT uptake inhibitor
obsessional and compulsive behavours