21 research outputs found
Genetic and neurological evaluation in a sample of individuals with pervasive developmental disorders
Magnetic Resonance Imaging, Magnetic Resonance Spectroscopy, and Facial Dysmorphism in a Case of Lowe Syndrome with Novel OCRL1 Gene Mutation
Choroid Plexus as the Best Reference Region for Standardized Uptake Value Analysis on C11-Acetate PET/CT for Grading and Predicting Prognosis in Patients with Cerebral Gliomas
Ictal 99mTc-HMPAO Single Photon Emission Computed Tomography in Children with Temporal Lobe Epilepsy
Role of 99mTc-glucoheptonic acid brain single photon emission computed tomography in differentiation of recurrent brain tumour and post-radiation gliosis
SÃndrome de Landau-Kleffner e regressão autÃstica: a importância do diagnóstico diferencial Landau-Kleffner and autistic regression: the importance of differential diagnosis
Algumas doenças neurológicas podem apresentar sinais e sintomas psiquiátricos, portanto a exploração do diagnóstico etiológico é crucial. O objetivo deste estudo é relatar o caso de um paciente com um distúrbio neurológico, diagnosticado durante internação psiquiátrica. Um menino com desenvolvimento neuropsicomotor normal até 3 anos, quando começou a apresentar crises epilépticas, seguidas por distúrbio de comportamento e deterioração da linguagem. Durante o acompanhamento neurológico, o paciente foi encaminhado ao Departamento de Psiquiatria com a suspeita de autismo, regressão autÃstica (RA). Durante internação, o diagnóstico de sÃndrome de Landau-Kleffner (SLK) foi estabelecido em bases clÃnicas e eletrencefalográficas. A SLK é caracterizada por afasia adquirida, epilepsia, anormalidades eletrencefalográficas e distúrbios de comportamento, incluindo traços autÃsticos. A regressão da linguagem é observada na SLK e na RA. Enfatizamos as principais diferenças entre estas entidades, pois o diagnóstico errôneo adia a intervenção precoce e benefÃcios, como observado em nosso caso.<br>Some neurological disorders may present psychiatric signs and symptoms, therefore the search for an etiological diagnosis is crucial. The aim of this study is to report the case of a patient with a neurological disorder, diagnosed during a psychiatric admission. A boy with normal neuropsychomotor development until the age of 3 years, started presenting epileptic seizures, followed by behavioral disorder and language deterioration. During neurologic follow-up, the patient was referred to the Psychiatry Department with a diagnosis of autism, in this case an autistic regression (AR). During his admission, diagnosis of Landau-Kleffner syndrome (LKS) was established on clinical and EEG grounds. LKS is characterized by acquired aphasia, epilepsy, EEG abnormalities and behavioral changes, including autistic traits. Language regression is observed LKS and AR. We stress the main differences between these two entities because misdiagnosis may postpone early intervention and consequent benefits, as observed in our case