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Yıl:2001; Cilt: 8; Sayı: 2>> Özet
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2001;8(2):94-98
Otistik Bozuklukta EEG, BBT ve MRI İnceleme Sonuçları
Ö Yorbık, F Özdağ, T Söhmen
GATA, Çocuk Ruh Sağlığı ve Hastalıkları Anabilim Dalı, Ankara.\r\n\r\n
Amaç: Bu çalışmanın amacı, klinik örneklemde otistik bozukluğa ilişkin nörolojik, nörofizyolojik ve radyolojik bulguların dökümünü yapmaktır. Yöntem: DSM-IV tanı ölçütlerine göre otistik bozukluk tanısı konulmuş 40 çocuğun dosyası geriye dönük olarak incelendi. Bulgular: Yaşları 3-13 yaşları arasında olan (ort: 6.4 ± 2.1 yıl) 33 erkek, 7 kız çalışmaya alındı. Otistik çocukların %53'ünde anormal EEG bulguları görüldü. Anormal EEG bulguları olan 11 çocuğun (%27.5) değişik tipte epileptik nöbet öyküsü vardı. BBt incelemesinde tüberosklerosis gibi çeşitli patolojiler tanımlandı (%22). 22 otistik çocuğun 5'inde (%24) beyin MRI bulguları anormaldi. 39 otistik çocuğun idrar aminoasit kromotografisi normaldi. Tartışma: otistik bozuklukta organik anormallikler sık olarak gözlenmektedir. Ancak EEG, BBT ve MRI sonuçları otistik bozukluğu olan çocuklarda özgün ve ortak patolojileri gösterememektedir.
The Results of EEG, CT, and MRI Analysis in Autistic Children
Objective: The aim of this study is to evaluate the factors that indicate the organicity in autistic disorder. Method: The records of 40 children, diagnosed as autistic disorder according to DSM-IV criteria, were examined retrospectively. Results: Seven girls and 33 boys, whose age ranged between3-13 [year]s (mean: 6.4 ± 2.1 [year]s), were included in the study. Abnormal EEG findings were observed in 53% autistic children. Eleven (27.5%) children with abnormal EEG findings had a history of different type of epileptic seizures. Cranial CT identified various pathologies (225) such as tuberosclerosis.Five of 21 autistic children (24%) showed abnormal brain MRI findings. Urine aminoacid choromatography of 39 autistic children was normal. Conclusion: The organic abnormalities are frequent in autistic disorder. However, EEG, MRI and CT results could not reveal specific and common pathologies directly related to autistic disorder.

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