Caracterización clínica y estado actual de los pacientes con Síndrome de Asperger de 0 a 16 años, atendidos en la Fundación Liga Central Contra la Epilepsia y el Hospital de la Misericordia de Bogotá, Colombia.

Clinical characterization and current status of the patients with Asperger's Syndrome from 0 to 16 years, served by the Foundation Central League Against Epilepsy and the Hospital of Mercy, Bogotá, Colombia

El objetivo del presente estudio fue determinar los hallazgos clínicos, paraclínicos, epidemioló-gicos, y de pruebas de tamizaje y de diagnóstico en el síndrome de Asperger, en los casos que se detectaron en la Fundación Liga Central Contra La Epilepsia y la Fundación Hospital de la Mise-ricordia entre los años 2004 y 2007. Hasta la fecha existen pocos artículos de series clínicas sobre este síndrome en la literatura médica, se ha informado que es un trastorno sub-diagnosticado en Colombia. Este estudio describe el síndrome con detalle, mostrando sus características en nuestra población, con el fin de ofrecer una mejor información para diagnóstico, tratamiento, seguimien-to y prevención.

1. Wolff Sula. The history of autism. European children and ado-lescence psychiatry. 2004; 13:201-308.
2. Klin Ami, Asperger syndrome: an update. Revista Brasilera de psiquiatría. 2003; 25(2): 103-109.
3. Klin Ami. Asperger syndrome, Infant mental health Journal. 2001; 22 (6): 676.
4. Asperger syndrome coalition of the United States. Asperger syndrome, Harvard mental health letter. 2005.
5. Volkmar, F. Asperger´s Disorder. American Journal of Psychia-try. 2000; 157: 2.
6. Atwood, Tony, Asperger syndrome. Orphanet enciclopedia. 2003.
7. Charman, Tony, The prevalence of autism spectrum disorders, European child and adolescence psychiatry. 2011; 249-256.
8. Wing Lorna, The epidemiology of Autistic Spectrum disor-ders: is the prevalence rising?. Mental retardation and developmental disabilities research reviews. 2002; (8) 151-161.
9. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
10. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
11. World Health Organization. The ICD-10 classification of mental and behavioural disorders. Geneva: World Health Organization; 1992.
12. Attwood Tony, Síndrome de asperger una guía para los padres y los profesionales l997 editor Jessica Kingsly, pág. 176.
13. Webb, E. Prevalence of autistic spectrum disorder in children at-tending mainstream schools in a welsh education authority, De-velopmental Medicine and Child neurology 2003; 15: 377-381.
14. Fombonne, E, What is the prevalence of Asperger Disorder?, Journal of autism and Developmental disorders. 2001; 31:3.
15. Howlin P, The diagnosis of autism and Asperger Syndrome; findings from a survey of 770 families, Developmental Medi-cine and child Neurology. 1999; 41:831-839.
16. Foster B, Asperger syndrome: to be or not to be? Current opi-nion in Paediatrics. 2003;15: 491-494.
17. Aviva F, Characterization and comparison of autistic subgroups: 10 years experience with autistic children, Develo-pmental medicine and child Neurology. 1999; 41:21-25.
18. Klin Ami, Asperger syndrome; Guidelines for assessment and Diagnosis, 1995, Learning Disabilities Association of America.
19. Smith Myles B, Introduction to the special Issue on Asper-ger, Focus on Autism and other developmental disabilities. 2002;17(3):130-131.
20. Bax M, Diagnoses made too late, Developmental medicine and child neurology. 1999; 41: 795.
21. Blacher J, Asperger syndrome and high functioning autism, Current Opinion in Psychiatry 2003; 16: 535-542.
22. Mats C and Gillberg C. One hundred males with asperger syn-drome, Developmental medicine and child neurology. 2004; 46:652-660.
23. Smith Myles B, Asperger syndrome: An overview of characte-ristics, Focus on Autism and other developmental disabilities. 2002; 17(3): 132-137.
24. Szatmari P, two year outcome of preschool children with au-tism and asperger syndrome, American journal of Psychiatry. 2000; 157: 1980-1987.
25. Naidu A, Diagnosis of Asperger syndrome in a 66yearold male presenting with depression, International psycho geriatrics. 2006; 18(1):171-173.
26. Kadesjö, B, Brief report: Autism and Asperger syndrome in seven year old children: a total population study, Journal of autism and developmental disorders.1999; 29(4): 327-331.
27. Walker D. Specifying PDD-NOS; a comparison of PDD-NOS, asperger syndrome, and autism, Journal of American academy o child and adolescence psychiatry. 2004; 43(2):172-180.
28. Eaton William, obstetric complications and risk for severe psychopathology en childhood, Journal of autism and developmental disorders. 2001;31(3):279-285.
29. Oktem F, functional Magnetic Resonance Image in chil-dren with asperger syndrome, Journal of Child Neurology. 2001;16(4): 252-256.
30. Hower K, Voxel-based morphometry elucidates structural neuroanatomy of high-functioning autism and Asperger syndrome, Developmental medicine and child neurology. 2004. 46: 760-764.
31. Casanova M, Asperger syndrome and cortical neuropathology, Journal of Child Neurology. 2002. 17:142-144.
32. Justin B, Forensic aspects of Asperger syndrome, the journal of forensic psychiatry and psychology. 2004;15(1): 96-197.
33. Volkmar F, Klin A, Nosological and genetic aspects of Asper-ger Syndrome, Journal of autism and developmental disorders. 1998; 28(5):457-463.
34. Tentler D A candidate region for Asperger syndrome define by two 17p breakpoints, European journal of human genetics. 2002;11:189-195.
35. Ylisaukko-oja-T, genome-wide scan for loci of Asperger syn-drome, molecular psychiatry. 2004; 9:161-168.
36. Campbell J, Diagnostis Assement of Asperger’s Disorder: a re-viw of five third-party rating scales, Journal of Austism and developmental disorders, 2005; 35(1): 25-35.
37. Ehlers S, Gillberg C, Wing L, A screening questionnaire for Asperger syndrome and otherhigh- functioning austism spe-crum disorders in school age children, Journal or autism and developmental disorder. 1999; 29(2): 129 -141.
38. Attwood Tony, El syndrome de Asperger, una guía para la fa-milia 2002, Editorial Paidós Iberica, Barcelona, España.
39. Maj-Britt P, Gillberg C, autistic features in a total population of 7-9 year old children assessed by the ASSQ (autism spec-trum screenin questionnaire), journal of child Psychology and Psychiatry. 2006; 47(2):167-175.
40. Dickerson S, Calhoun S, influence of IQ and age in childhood austism: lack of support for DSM-IV asperger’s disorder; Journal of developmental and physical disabilities. 2004; 16,3: 257-272.
41. Blacher J, et al, Asperger syndrome and high functioning au-tism: research concerns and emerging foci, Current opinion in Psychiatry. 2003;16: 535-542.
42. Ghaziuddin M, Asperger syndrome: associated psychiatric and medical conditions, Focus on autism and other developmental disabilities. 2002; 17(3): 138-144.
43. Schatz A, et al, Brief report: attention differences in asperger syndrome, Journal of autism and developmental disorders. 2002; 34: 333-336.
44. Rusell E, et al, Anxiety and social worries in children with as-perger syndrome, Australian an New Zealand journal of psy-chiatry. 2005; 39: 633-638.
45. Ghaziuddin M, Ghaziuddin N. Comorbidity of Asperger syn-drome; a preliminary report. 1998; 42(4): 279-283.
46. Gillberg C. Autism and asperger syndrome: coesistence with other clinical disorders, Acta psychiatica scandinavica. 2000; 321-330.
47. Gillberg C, Head circumference in autism, asperger syndrome and ADHD; a comparative study, Developmental medicine and chil neurology. 2002; 11: 296-300.
48. Little L. Peer victimizacion of children with asperger spectrum disorders, Journal of the American academy of child and ado-lescent psychiatry. 2001; 40(9):995-996.
49. Tara A. Lavelle, Milton C. Weinstein, Joseph P. Newhouse, Kerim Munir, Karen A. Kuhlthau, and Lisa A. Prosser. Econo-mic Burden of Childhood Autism Spectrum Disorders. Pedia-trics 2014; 133: 520-529.
50. El-Fishawy P., State M. The Genetics of autismo: Key Issues, Recent Findings, and Clinical Implications. Psychiatr Clin N Am. 2010; (33): 83-105.
51. Sarabeth Broder-Fingert, Amy Shui, Christian D. Pulcini, Da-niel Kurowski, and James M. Perrin. Racial and Ethnic Differences in Subspecialty Service Use by Children With Autism, Pediatrics. 2013; 132: 94-100.
52. Trastornos del espectro autista. Puesta al dia (I): introduccion, epidemiologia y etiologia. D. Martin Fernandez-Mayoralas, et al. Acta Pediatr Esp. 2013; 71(8): 217-223.
53. Kiah Bertoglio, Robert L. Hendren, New Development in Au-tism. Psychiatric Clinics of North America 2009; (32): 1-14.
54. Plauche C., Myers J. Identification and Evaluation of Children With Autism Spectrum Disorders. Pediatrics. 2007; 120; 118.
55. Rich Stoner, Ph.D., Maggie L. Chow, Ph.D., Maureen P. Bo-yle, Ph.D., Susan M. Sunkin, Ph.D., Peter R. Mouton, Ph.D., Subhojit Roy, M.D., Ph.D., Anthony Wynshaw-Boris, M.D., Ph.D., Sophia A. Colamarino, Ph.D., Ed S. Lein, Ph.D., and Eric Courchesne, Ph.D. Patches of Disorganization in the Neocortex of Children with Autism. New England Journal. 2014; 370: 1209-1219.
56. Chawarska K, Campbell D, Chen L, Shic F, Klin A, Chang J. generalized overgrowth in boys with autism. Archives of Gene-ral Psychiatry. Jama Phsychiatry. 2011; 68: 1021-31.
57. Hazlett HC, Poe MD, Gerig G, et al. Early brain overgrowth in autism associ- ated with an increase in cortical surface area before age 2 years. Archives of General Psychiatry. Jama. 2011; 467-76.
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59. DOI: http://dx.doi.org/10.22490/24629448.995