Özalp EKİNCİ, Tanju ÇELİK, Fevziye TOROS

Görme kaybı olan bir olguda yüksek fonksiyonlu otizm

Doğuştan görme kaybı olan çocuk ve ergenlerde davranış sorunlarına sık olarak rastlanmaktadır. Görme engelli çocuklarda otizm benzeri belirtiler de bildirilmiştir. Bu olgu sunumunda konjenital bilateral görme kaybı olan 10 yaşındaki bir kızda yüksek fonksiyonlu otizm semptomlarının klinik görüntüsü ve psikotrop ilaçların kullanımı ile ilgili deneyimler tartışılacaktır.

Anahtar Kelimeler:

Görme kaybı, çocuk, otizm

High functioning autism in a visually impaired case

Behavioral problems are commonly encountered in children and adolescents with congenital visual impairment. Autism-like symptoms were also reported in visually impaired children. In this case report, the clinical picture of high functioning autism and the psychotropic medication use in a 10 years old girl with congenital bilateral visual impairment will be discussed.

Keywords:

Visual impairment, child, autism,

PDF

___

American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders, 4th ed (DSM-IV). Washington, DC: American Psychiatric Association, 1994.
Volkmar FR, Lord C, Bailey A, Schultz RT, Klin A. Au- tism and pervasive developmental disorders. J Child Psychol Psychiatry 2004; 45: 135-70.
Ek U, Fernell E, Jacobson L. Cognitive and behavioural characteristics in blind children with bilateral optic nerve hypoplasia. Acta Paediatr 2005; 94: 1421-6.
Hobson RP, Lee A, Brown R. Autism and congenital blindness. J Autism Dev Disord 1999; 29: 45-56.
Mukaddes NM, Kilincaslan A, Kucukyazici G, Sevketo- glu T, Tuncer S. Autism in visually impaired individu- als. Psychiatry Clin Neurosci 2007; 61: 39-44.
Parr JR, Dale NJ, Shaffer LM, Salt AT. Social communi- cation difficulties and autism spectrum disorder in young children with optic nerve hypoplasia and/or septo-optic dysplasia. Dev Med Child Neurol 2010; 52: 917-21.
Tadić V, Pring L, Dale N. Are language and social communication intact in children with congenital vi- sual impairment at school age? J Child Psychol Psychi- atry 2010; 51: 696-705.
Taylor K, Preece D. Using aspects of the TEACCH structured teaching approach with students with mul- tiple disabilities and visual impairment: Reflections on practice. British Journal of Visual Impairment 2010; 28: 244.
Mesibov GB, Shea V, Schopler E. The TEACCH Ap- proach to Autism Spectrum Disorders. New York: Kluwer. 2005.
Howley M, Preece D. Structured Teaching for Indivi- duals with Visual Impairments. British Journal of Visu- al Impairment 2003; 21: 78–83.
Absoud M, Parr JR, Salt A, Dale N. Developing a schedule to identify social communication difficulties and autism spectrum disorder in young children with visual impairment. Dev Med Child Neurol 2011; 53: 285-8.