Faculty Opinions recommendation of Antidepressant use during pregnancy and childhood autism spectrum disorders.

Author(s):  
Deborah Kim
2016 ◽  
Vol 170 (7) ◽  
pp. 710
Author(s):  
Adrienne Einarson ◽  
Carly Snyder ◽  
Gail Robinson

2016 ◽  
Vol 170 (7) ◽  
pp. 712 ◽  
Author(s):  
Yusuf Cem Kaplan ◽  
Elif Keskin-Arslan ◽  
Selin Acar

2018 ◽  
Vol 17 (8) ◽  
pp. 626-639 ◽  
Author(s):  
Heidi Ormstad ◽  
Vesna Bryn ◽  
Robert Verkerk ◽  
Ola H. Skjeldal ◽  
Bente Halvorsen ◽  
...  

Background: There is evidence that changes in neuro-immune responses coupled with dysfunctions in serotonin metabolism underpin the pathophysiology of autism spectrum disorders (ASD). Objective: This study aimed to delineate whether ASD subgroups or characteristics show aberrations in tryptophan and brain-derived neurotrophic factor (BDNF) metabolism. Methods: 65 individuals with ASD (diagnosed according to ICD criteria) and 30 healthy control patients were included. Measured were serum levels of tryptophan, kynurenine (KYN), kynurenic acid (KA), quinolinic acid (QA), BDNF and PRO-BDNF and total blood 5-HT and 5-OH-tryptophan (5-HTP). Results: Elevated BDNF levels and lower tryptophan and KA levels were characteristics of both childhood autism and intellectual disability disorder, whilst elevated tryptophan and lower 5-HT synthesis were hallmarks of Asperger syndrome. A pathological MRI was associated with elevated tryptophan and lowered KA. Abnormal EEG results and dysmorphology were both associated with an elevated BDNF/ PRO-BDNF ratio. Any brain pathology and gastro-intestinal symptoms were accompanied by lowered KA. Conclusions: Increased BDNF production and changes in the metabolism of tryptophan are associated with many ASD characteristics, showing particularly strong associations with childhood autism and Intellectual and Developmental Disabilities. Peripheral BDNF and tryptophan metabolism appear to take part in the pathophysiology of autism spectrum disorders and their phenotypes.


2016 ◽  
Vol 47 (1) ◽  
pp. 58-67 ◽  
Author(s):  
Eric R. Murphy ◽  
Megan Norr ◽  
John F. Strang ◽  
Lauren Kenworthy ◽  
William D. Gaillard ◽  
...  

2019 ◽  
Vol 14 (1) ◽  
pp. 40-48
Author(s):  
G. V. Kuzmich ◽  
A. N. Sinelnikova ◽  
K. Yu. Mukhin

Early childhood autism, or autism spectrum disorders, is an extremely heterogeneous group of conditions that share similar symptoms of dysontogenesis. The most significant comorbidity in patients with autism is epilepsy, which is still associated with a variety of controversies. The present article covers the most controversial aspects of comorbidity between autism and epilepsy, including the impact of psychopharmacotherapy on the risk of epilepsy, clinical significance of epileptiform activity on the electroencephalogram in patients without epilepsy, and criteria for and prevalence of autistic epileptiform regression syndrome. We found that there is still a lack of reliable evidence for the majority of issues related to the combination of autism and epilepsy. We emphasize the need for further studies. We also provide a detailed description of the history, criteria, prevalence, and clinical examples of autistic epileptiform regression syndrome.


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