Trastornos del Espectro Autista o Esquizofrenia Infantil: Presentación de un caso clínico

  1. I. Sánchez Lorenzo 1
  2. M.S. Geijo Uribe 1
  3. M.C. Ballesteros Alcalde 1
  4. C. Ímaz Roncero 1
  5. C. Domínguez Martín 1
  1. 1 Hospital Clínico Universitario de Valladolid. Valladolid
Revista:
Revista de Psiquiatría Infanto-Juvenil

ISSN: 2660-7271 1130-9512

Ano de publicación: 2011

Volume: 28

Número: 3

Páxinas: 64-68

Tipo: Artigo

Outras publicacións en: Revista de Psiquiatría Infanto-Juvenil

Resumo

Objetive:Differential diagnosis between Autistic Spectrum Disorder and Schizophrenia. Methods:The case of a sixteen-year old boy who presents psychiatric antecedents since he was 5 years old is presented. His clinical evolution and the different diagnoses are revised. Results:A patient with difficulties in social interaction was diagnosed of Attention-Deficit Hyperactivity Disorder and Pervasive Developmental Disorders Not specified some years ago. Later the subsequent clinical evolution with presence of psychotic symptoms, disorganized behavior and cognitive eterioration made it possible to carry out the diagnosis of Schizophrenia Disorganized in his adolescence. Conclusion:The differential diagnosis between Autistic Spectrum Disorders and Schizophrenia is complicated in the first years of life. Only the later evolution, with the presence of psychotic symptoms in strict sense, will make it possible to define a diagnosis of certainty. The symptoms of different types of schizophrenia have been compared in the literature with Autistic Spectrum Disorder, and it has been observed that they are very similar, specially, with the schizophrenia, disorganized subtype.

Referencias bibliográficas

  • American Psychiatric Association. (1994). Diagnostic and stadistical manual of mental disorder (4th ed.), Washitngton, DC, Autghor.
  • Volkmar, F. R., & Cohen, D. J. Comorbid association of autism and schizophrenia. American Journal of Psychiatry 1991; 148: 1705-1707.
  • Baron- Cohen, S. (1995). Mindblindness: An Essay on Autism and Theroy of Mind Bradford/MIT Press, Cambridge, MA.
  • Skokauskas N, Gallagner L. Psychosis, Affective Disorder and Anxiety in Autistic Spectrum Disorder: Prevalence and Nosological Considerations. Psychopathology 2010; 43 :8-16.
  • Konstantareas MM, Hewitt T: Autistic disorder and Schizophrenia: diagnostic overlap. J Autism Dev Disord 2001; 31: 19-28.
  • Brüne M. Theroy of mind and the role of IQ in chronic disorganized schizophrenia. Schizophrenia Reseach 2003; 60: 57-64.
  • Kaplan, R. & Tanguay, P. (2002). Development of psychotic thingking. In M. Lewis (Ed.), Child and adolescent psychiatriy. Philadelphia, PA: Lippincott Williams & Wilkins.