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自闭症谱系障碍学龄前儿童的脑电图异常与临床表型。

EEG abnormalities and clinical phenotypes in pre-school children with autism spectrum disorder.

机构信息

Hospital Universitario Regional de Málaga, IBIMA, Avenida Carlos Haya, 84, 29010 Málaga, Spain; Universidad de Málaga, Unidad de Salud Cerebral, Facultad de Medicina, Centro de Investigaciones Médico Sanitarias, C/Marqués de Beccaria, 3, 29010 Málaga, Spain.

Universidad de Málaga, Unidad de Salud Cerebral, Facultad de Medicina, Centro de Investigaciones Médico Sanitarias, C/Marqués de Beccaria, 3, 29010 Málaga, Spain.

出版信息

Epilepsy Behav. 2022 Apr;129:108619. doi: 10.1016/j.yebeh.2022.108619. Epub 2022 Mar 15.

Abstract

BACKGROUND

Abnormalities on electroencephalography (EEG) results have been reported in a high percentage of children with Autism Spectrum Disorder (ASD). The purpose of this study was to explore the prevalence of EEG abnormalities in a clinical population of pre-school children with Autism Spectrum Disorder and the differences in terms of the following phenotypic characteristics: adaptive behavior, executive functioning, severity of Autism Spectrum Disorder core symptoms, and comorbidity symptoms.

METHODS

A cross-sectional analysis of 69 children who attended the Autism Spectrum Disorder early diagnosis program with electroencephalography and clinical diagnosis was performed. A battery of questionnaires was also made to parents to evaluate emotions, behavior, and functional skills for daily living.

RESULTS

Out of 69 pre-school children with Autism Spectrum Disorder, twenty nine (42%) had abnormalities in electroencephalography results. The group with abnormal epileptiform electroencephalography exhibited more impairment in executive functioning and social-relationship coexisting symptoms.

CONCLUSIONS

The presence of an abnormal epileptiform electroencephalography in pre-school children with ASD already suggests a worse development in clinical features.

摘要

背景

自闭症谱系障碍(ASD)患儿的脑电图(EEG)结果异常发生率较高。本研究旨在探讨学龄前自闭症谱系障碍患儿临床人群中 EEG 异常的发生率,并探讨以下表型特征方面的差异:适应行为、执行功能、自闭症谱系障碍核心症状严重程度和共病症状。

方法

对 69 名接受自闭症谱系障碍早期诊断计划并进行脑电图和临床诊断的儿童进行了横断面分析。还向家长发放了一套问卷,以评估情绪、行为和日常生活的功能技能。

结果

在 69 名学龄前自闭症谱系障碍儿童中,有 29 名(42%)脑电图结果异常。出现异常癫痫样脑电图的组在执行功能和社会关系共存症状方面表现出更严重的损害。

结论

ASD 学龄前儿童出现异常癫痫样脑电图已经提示临床特征发育更差。

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