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巨脑回-毛细血管畸形-多小脑回综合征患儿的自闭症谱系障碍:一例报告

Autism Spectrum Disorder in a Child with Megalencephaly-capillary Malformation-polymicrogyria Syndrome: A Case Report.

作者信息

Kaan Hüsna, Coskun Murat

机构信息

Department of Child and Adolescent Psychiatry, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

出版信息

Clin Psychopharmacol Neurosci. 2025 Aug 31;23(3):516-519. doi: 10.9758/cpn.24.1233. Epub 2025 Jan 17.

Abstract

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by deficits in social communication and social interaction as well as repetitive behaviors and restricted interests. The genetic mechanism underlying ASD is as complex and heterogeneous as the clinical presentation of the disorder itself. Megalencephaly-capillary malformation syndrome (MCAP) is a rare genetic disorder that is associated with mutations in the ADGRV1 and PIK3CA genes. To the best of our knowledge, there is only one case report in the literature that documents the coexistence of MCAP and ASD. In this case study, we present the case of a 14-year-old girl diagnosed with both ASD and MCAP who was admitted to our clinic. Diagnosing ASD in patients with genetic syndromes can be challenging due to pre-existing cognitive and medical issues. This case underscores the importance of regular child psychiatry follow-ups for children with genetic syndromes to ensure timely and accurate diagnosis of ASD.

摘要

自闭症谱系障碍(ASD)是一种神经发育障碍,其特征是社交沟通和社交互动存在缺陷,以及重复行为和兴趣受限。ASD背后的遗传机制与该疾病本身的临床表现一样复杂且具有异质性。巨头畸形-毛细血管畸形综合征(MCAP)是一种罕见的遗传疾病,与ADGRV1和PIK3CA基因的突变有关。据我们所知,文献中仅有一例记录了MCAP和ASD共存的病例报告。在本病例研究中,我们介绍了一名14岁女孩的病例,她被诊断患有ASD和MCAP,并入住了我们的诊所。由于存在先前的认知和医疗问题,在患有遗传综合征的患者中诊断ASD可能具有挑战性。该病例强调了对患有遗传综合征的儿童进行定期儿童精神病学随访的重要性,以确保及时、准确地诊断ASD。

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