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《自闭症综述》

AUTISM IN REVIEW.

作者信息

Khalifeh Simone, Yassin Walid, Kourtian Silva, Boustany Rose-Mary

出版信息

J Med Liban. 2016 Aug;64(2):110-115.

Abstract

Autism spectrum disorders are a group of neurodevelopmental disorders characterized by impaired verbal and/or nonverbal communication in addition to repeti- tive stereotypical behaviors. We present a review article on this topic. Criteria for diagnosis are defined by the Diagnos- tic and Statistical Manual of Mental Disorders Fifth Edition (DSM 5). Abnormalities at the level of synapses, including newly described genetic perturbations, have been implicated in the pathogenesis of autism. Non-invasive modalities like Diffusion Tensor Magnetic Resonance Imaging have identi- fied white matter tract involvemeht in the brains of autistic in- dividuals. Early and intensive intervention impact prognosis. Risperidone and aripiprazole are FDA approved for irritability in autism although no known medication relieves core symp- toms of social and communication impairment. Fluoxetine is used to decrease anxiety in autistic patients.

摘要

自闭症谱系障碍是一组神经发育障碍,其特征除了重复刻板行为外,还伴有言语和/或非言语交流受损。我们发表了一篇关于该主题的综述文章。诊断标准由《精神疾病诊断与统计手册》第五版(DSM-5)定义。包括新描述的基因扰动在内的突触水平异常与自闭症的发病机制有关。像扩散张量磁共振成像这样的非侵入性检查方法已确定自闭症个体大脑中的白质束受累。早期强化干预会影响预后。利培酮和阿立哌唑已获美国食品药品监督管理局(FDA)批准用于治疗自闭症患者的易怒症状,不过尚无已知药物能缓解社交和沟通障碍的核心症状。氟西汀用于减轻自闭症患者的焦虑。

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