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自闭症谱系障碍与癫痫患者之间及相互之间相似性的文献综述

A Literature Review of Similarities Between and Among Patients With Autism Spectrum Disorder and Epilepsy.

作者信息

Assuah Freda B, Emanuel Bryce, Lacasse Brianna M, Beggs John, Lou Jennie, Motta Francis C, Nemzer Louis R, Worth Robert, Cravens Gary D

机构信息

Osteopathic Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Clearwater, USA.

Halmos College of Arts and Sciences, Nova Southeastern University, Fort Lauderdale, USA.

出版信息

Cureus. 2023 Jan 18;15(1):e33946. doi: 10.7759/cureus.33946. eCollection 2023 Jan.

Abstract

Autism spectrum disorder (ASD) has been shown to be associated with various other conditions, and most commonly, ASD has been demonstrated to be linked to epilepsy. ASD and epilepsy have been observed to exhibit high rates of comorbidity, even when compared to the co-occurrence of other disorders with similar pathologies. At present, nearly one-half of the individuals diagnosed with ASD also have been diagnosed with comorbid epilepsy. Research suggests that both conditions likely share similarities in their underlying disease pathophysiology, possibly associated with disturbances in the central nervous system (CNS), and may be linked to an imbalance between excitation and inhibition in the brain. Meanwhile, it remains unclear whether one condition is the consequence of the other, as the pathologies of both disorders are commonly linked to many different underlying signal transduction mechanisms. In this review, we aim to investigate the co-occurrence of ASD and epilepsy, with the intent of gaining insights into the similarities in pathophysiology that both conditions present with. Elucidating the underlying disease pathophysiology as a result of both disorders could lead to a better understanding of the underlying mechanism of disease activity that drives co-occurrence, as well as provide insight into the underlying mechanisms of each condition individually.

摘要

自闭症谱系障碍(ASD)已被证明与多种其他病症相关,最常见的是,ASD已被证明与癫痫有关。即使与具有相似病理的其他疾病同时出现的情况相比,ASD和癫痫的共病率也很高。目前,近一半被诊断为ASD的个体也被诊断患有共病性癫痫。研究表明,这两种病症在其潜在的疾病病理生理学上可能有相似之处,可能与中枢神经系统(CNS)的紊乱有关,并且可能与大脑中兴奋与抑制之间的失衡有关。同时,目前尚不清楚一种病症是否是另一种病症的结果,因为这两种疾病的病理通常与许多不同的潜在信号转导机制相关。在本综述中,我们旨在研究ASD和癫痫的共病情况,以期深入了解这两种病症在病理生理学上的相似之处。阐明这两种疾病导致的潜在疾病病理生理学,可能有助于更好地理解驱动共病的疾病活动的潜在机制,并为每种病症各自的潜在机制提供见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b432/9937677/810eba8f570e/cureus-0015-00000033946-i01.jpg

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