FERDİ KÖŞGER, Sinem SEVİL, Zafer SUBASİ, Cem KAPTANOĞLU

Erişkin Asperger Sendromu: Olgu sunumu

Asperger Sendromu (AS) sosyal etkileşim, iletişim sorunları ve stereotipik davranışlarla karakterize olan, otizmden farklı olarak dil ve bilişsel gelişimde gecikme görülmeyen bir bozukluktur. Genellikle çocukluk döneminde tanı konulmakla birlikte bazı vakalar erişkinlik döneminde tanı alabilmektedir. AS klinik özellikleri nedeniyle şizofreni, anksiyete bozuklukları, obsesif kompulsif bozukluk ve kişilik bozuklukları ile tanısal anlamda karışabilmekte ve özellikle erişkinlik döneminde AS tanısı atlanabilmektedir. Bu olgu genellikle çocukluk döneminde tanı konulan ancak o dönemde tanı konulmazsa erişkinlik döneminde tanı ve ayırıcı tanısında güçlükler olabilen erişkin AS'nun önemini vurgulamak amacıyla sunulmuştur

Asperger’s Syndrome in Adulthood: A Case Report

Asperger’s Syndrome (AS) is characterized by social deficits, communication difficulties, and stereotypical behaviors. Unlike autism, delays in language and cognitive development are not seen in Asperger’s syndrome. AS is typically diagnosed in childhood, although some cases may be diagnosed in adulthood. Due to the clinical features of AS, diagnostically it can be confused with schizophrenia, anxiety disorders, obsessive-compulsive disorder, and personality disorders; hence, diagnosis of AS may be missed, especially in adulthood. This case is presented to emphasize the importance of adult AS, given that it is generally diagnosed in childhood, which leads to difficulties in diagnosis and differential diagnosis in adulthood if the condition has not been diagnosed in childhood

PDF

___

1. World Health Organization. The ICD-10 Classification of Mental and Behavioural Disorders. Clinical descriptions and diagnostic guidelines. Ozturk MO, Ulug B (Translation Editors) First ed., Ankara: Turkiye Sinir ve Ruh Sagligi Dernegi Yayini, 1993. (Turkish)
2. Wing L. Reflections on opening Pandora’s box. J Autism Dev Disord 2005; 35:197-203. [CrossRef]
3. Tufan AE, Durukan I, Isik U. Asperger syndrome in adulthood: a review. Journal of Clinical and Analytical Medicine 2011; 2:152- 156. (Turkish) [CrossRef]
4. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Text Revision (DSM-IV-TR). Koroglu E (Translation Editor) 4. edition, Ankara: Hekimler Yayin Birligi, 2007. (Turkish)
5. Woods AG, Mahdavi E, Ryan JP. Treating clients with Asperger’s syndrome and autism. Child Adolesc Psychiatry Ment Health 2013; 7:32. [CrossRef]
6. Ozdemir DF, Iseri E. Asperger’s syndrome in adults: a review. Journal of Clinical Psychiatry 2004; 7:223-230. (Turkish)
7. Aggarwal S, Westbrook J. Prognosis of Asperger’s disorder. In Rausch JL, Johnson ME, Casanova MF (editors). Asperger’s Disorder. First ed. New York: Informa Healthcare, 2008, 327- 342. [CrossRef]
8. Tantam D. Adolescence and adulthood of individuals with Asperger syndrome. In Klin A, Volkmar FR, Sarrow SS (editors). Asperger Syndrome. New York: The Guilford Press, 2000, 367- 403.
9. Szatmari P, Bartolucci G, Bremner R, Bond S, Rich S. A follow-up study of high-functioning autistic children. J Autism Dev Disord 1989; 19:213-225. [CrossRef]
10. Venter A, Lord C, Schopler E. A follow-up study of highfunctioning autistic children. J Child Psychol Psychiatry 1992; 33:489-507. [CrossRef]
11. Volkmar F. Can you explain the difference between autism and Asperger syndrome. J Autism Dev Disord 1999; 29:185-186. [CrossRef]
12. Sigman M, McGovern CW. Improvement in cognitive and language skills from preschool to adolescence in autism. J Autism Dev Disord 2005; 35:15-23. [CrossRef]
13. Gilchrist A, Green J, Cox A, Burton D, Rutter M, Le Couteur A. Development and current functioning in adolescents with Asperger syndrome: a comparative study. J Child Psychol Psychiatry 2001; 42:227-240. [CrossRef]
14. Szatmari P, Bryson SE, Streiner DL, Wilson F, Archer L, Ryerse C. Two-year outcome of preschool children with autism or Asperger’s syndrome. Am J Psychiatry 2000; 157:1980-1987. [CrossRef]
15. Larsen FW, Mouridsen SE. The outcome in children with childhood autism and Asperger syndrome originally diagnosed as psychotic. A 30-year follow-up study of subjects hospitalized as children. Eur Child Adolesc Psychiatry 1997; 6:181-190. [CrossRef]
16. Chen PS, Chen SJ, Yang YK, Yeh TL, Chen CC, Lo HY. Asperger’s disorder: a case report of repeated stealing and the collecting behaviours of an adolescent patient. Acta Psychiatr Scand 2003; 107:73-75. [CrossRef]
17. Ozguven HD, Oner O, Olmez S. Clinical and neuropsychological evaluation of a case with adult Asperger disorder. Turk Psikiyatri Derg 2001; 12:233-240. (Turkish)