Cano-Villagrasa Alejandro, Porcar-Gozalbo Nadia, López-Chicheri García Isabel, López-Zamora Miguel
UCAM Universidad Católica de Murcia, Murcia, Spain.
Facultad de Ciencias de la Salud, Universidad Internacional de Valencia (VIU), Valencia, Spain.
Front Psychol. 2024 Jan 12;14:1307578. doi: 10.3389/fpsyg.2023.1307578. eCollection 2023.
Autism Spectrum Disorder (ASD) and epilepsy pose significant challenges for early diagnosis during childhood. Current scientific literature does not reflect robust action protocols that allow for a detailed screening of difficulties in this population, especially in areas such as language, cognition, and sensory profile. Additionally, detecting epilepsy before the age of 4 is established as a major current public health challenge in our society.
The aim was to evaluate a patient exhibiting symptoms compatible with both ASD and epilepsy, determining the linguistic, cognitive, and sensory profile through a clinical assessment protocol. Furthermore, the objective included establishing a diagnosis of ASD.
This single-case study ( = 1) presents the evaluation of a 7-year-old patient with suspected ASD, experiencing a decline in linguistic and cognitive competencies following a documented epileptic episode. Evaluation was conducted using instruments such as CELF-5, PROLEC-R, WISC-V, ENFEN, PS-2, ADI-R, and ADOS-2.
Following assessment of language, cognition, sensory aspects, and behaviors associated with ASD, the diagnosis of ASD was confirmed in the patient, along with impairments in expressive and receptive language, executive functioning, and alterations in the sensory profile.
Diagnosing ASD and epilepsy, as well as their evaluation, is a complex process requiring interdisciplinary assessment involving a detailed exploration of all functional competencies in individuals with this comorbidity. Future studies should focus on creating and improving existing protocols to develop optimal and effective evaluation strategies for assessing this population during childhood.
自闭症谱系障碍(ASD)和癫痫给儿童早期诊断带来了重大挑战。当前的科学文献并未反映出强有力的行动方案,无法对这一人群的困难进行详细筛查,尤其是在语言、认知和感觉特征等方面。此外,在4岁之前检测出癫痫是当今社会一项重大的公共卫生挑战。
旨在评估一名表现出与ASD和癫痫均相符症状的患者,通过临床评估方案确定其语言、认知和感觉特征。此外,目标还包括确诊ASD。
这项单病例研究(n = 1)呈现了对一名7岁疑似ASD患者的评估,该患者在有记录的癫痫发作后语言和认知能力出现下降。评估使用了诸如CELF - 5、PROLEC - R、WISC - V、ENFEN、PS - 2、ADI - R和ADOS - 2等工具。
在对与ASD相关的语言、认知、感觉方面及行为进行评估后,该患者被确诊为ASD,同时存在表达性和接受性语言障碍、执行功能受损以及感觉特征改变。
诊断ASD和癫痫及其评估是一个复杂的过程,需要跨学科评估,包括对患有这种共病的个体所有功能能力进行详细探究。未来的研究应专注于创建和改进现有方案,以制定最佳和有效的评估策略,用于在儿童期评估这一人群。