ESTUDO DE CASO DE UMA PACIENTE COM TRANSTORNO DO ESPECTRO AUTISTA, COM BASE NO PRONTUÁRIO ODONTOLÓGICO DA FAESA

2021 ◽  
Vol 17 (2) ◽  
pp. 07-26
Author(s):  
Giulia Koehler Miranda Simões ◽  
Henrique de Souza Chaves ◽  
Marina Bragatto Rangel Nunes ◽  
Danielle Karla Garioli Santos Schneider

Autism Spectrum Disorders (ASD) are complex disorders that involve a patient's neurological development. They are characterized by changes in social interaction, language and motricity, as well as stereotypical and repetitive behaviors. Patients may also present hypersensitivity to loud noises and bright lights. To answer specific anamnesis for patients with ASD, also taking into account patients' information that don't fit in Kanner's classic description. The chosen method was the Descriptive Case Study model, established through filling a specific anamnesis directed at a patient with ASD. The Odontological Medical Record of the clinic at FAESA was the basis for the data collection. It was not possible to answer many of the questions in the anamnesis from the data available on the medical records. Most of the questions were answered through previous contact with the patient. Other questions could not be answered by any means. A specific anamnesis for ASD patients should be included during treatment at FAESA's clinics for Patients with Special Needs. Treatment of patients with autism is still a great challenge for dental surgeons, since it requires knowledge of the problem and specific, objective techniques to cause the least possible trauma.

2015 ◽  
Vol 46 (4) ◽  
pp. 1282-1296 ◽  
Author(s):  
Eva Troyb ◽  
Kelley Knoch ◽  
Lauren Herlihy ◽  
Michael C. Stevens ◽  
Chi-Ming Chen ◽  
...  

2021 ◽  
Vol 27 (3) ◽  
pp. 3939-3946
Author(s):  
Sevginar Ibryamova ◽  
◽  
Veselin Petkov ◽  
Tsveteslava Ignatova-Ivanova ◽  
Georgi Kolev ◽  
...  

Autism is a complex disorder without a specific diagnosis, so the disease is defined by its specific characteristics described in the literature as cognitive defects, social, communication and behavioral problems, repetitive behaviors, unusual sensitivity to stimuli such as noise, restricted interests, and self stimulation. There are many models in the literature explaining the biology of autism, which are based on genetics, immunity, various environmental factors and diet. There is a lot of literature data that people with Autism Spectrum Disorders (ASD) often have gastrointestinal problems that also affect their behavior. ASD suffer developmental disabilities from an early age, which can be both physical and psychological. Often people suffer these problems even throughout their lives. This review aims to provide basic information on definitions, historical data, diagnostic methods, behavioral etiology, gastrointestinal and social problems in adults and children with ASD.


Author(s):  
Christine Brennan ◽  
Haley Weintraub ◽  
Sherri Tennant ◽  
Christina Meyers

Purpose The current literature on pediatric autoimmune encephalitis (AE) focuses on medical identification/diagnosis and medical treatments. Data about the identification and treatment of communication disorders in these children are limited. This clinical focus article provides an example of the speech, language, and communication characteristics, intervention, and recovery of a single child with medical diagnoses of pediatric AE and pediatric acute-onset neuropsychiatric syndrome (PANS) and special education eligibility under the autism spectrum disorder category. Method This is an in-depth illustrative/descriptive case study. Medical, educational, and speech-language documentation of one child diagnosed with AE at age 7 years was reviewed. Methods included interviews with family members, teachers, and the school speech-language pathologist and reviews of documentation including evaluations, reports, and Individualized Education Programs. Results This child received special education and therapy services through his public school and a university speech-language clinic. He concurrently received medical treatment for AE and PANS. Comprehensive augmentative and alternative communication (AAC) intervention included the use of core words, modeling, parallel talk, self-talk, expansive recasts, shared book reading, family counseling, and collaboration with the parents and the school speech-language pathologist. The child made progress on all goals despite irregular attendance to therapy due to medical complications. Discussion Because experimental research including this population is currently limited, this descriptive case study provides valuable information to clinicians, educators, pediatricians, medical diagnosticians, and anyone providing services to a child with a complex neuropsychological disorder like AE. Future research is needed with more children who have AE, especially experimental investigations of the intervention methods utilized here. Additional research of more children with AE can provide information about the scope and severity of speech, language, and communication needs and the trajectory of recovery given AAC intervention.


2019 ◽  
Vol 20 (9) ◽  
pp. 2134 ◽  
Author(s):  
Ann Katrin Sauer ◽  
Juergen Bockmann ◽  
Konrad Steinestel ◽  
Tobias M. Boeckers ◽  
Andreas M. Grabrucker

Autism spectrum disorders (ASD) are a group of neurodevelopmental disorders characterized by deficits in social interaction and communication, and repetitive behaviors. In addition, co-morbidities such as gastro-intestinal problems have frequently been reported. Mutations and deletion of proteins of the SH3 and multiple ankyrin repeat domains (SHANK) gene-family were identified in patients with ASD, and Shank knock-out mouse models display autism-like phenotypes. SHANK3 proteins are not only expressed in the central nervous system (CNS). Here, we show expression in gastrointestinal (GI) epithelium and report a significantly different GI morphology in Shank3 knock-out (KO) mice. Further, we detected a significantly altered microbiota composition measured in feces of Shank3 KO mice that may contribute to inflammatory responses affecting brain development. In line with this, we found higher E. coli lipopolysaccharide levels in liver samples of Shank3 KO mice, and detected an increase in Interleukin-6 and activated astrocytes in Shank3 KO mice. We conclude that apart from its well-known role in the CNS, SHANK3 plays a specific role in the GI tract that may contribute to the ASD phenotype by extracerebral mechanisms.


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