Diagnosis, treatment and management of epilepsy in children with autism spectrum disorder

CHEN Wen-xiong

doi:10.11852/zgetbjzz2019-0373

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Chinese Journal of Child Health Care ›› 2019, Vol. 27 ›› Issue (4) : 351-354. DOI: 10.11852/zgetbjzz2019-0373

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Diagnosis, treatment and management of epilepsy in children with autism spectrum disorder

CHEN Wen-xiong

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Abstract

Although comorbidity between autism spectrum disorder (ASD) and epilepsy has been recognized for several years, the exact mechanism of the interaction is still not clear.There are few studies on the impact of epilepsy on mental and behavioral disorders in ASD children, but it is reported that ASD children comorbid with epilepsy are prone to having difficulty in growth and development, social communication as well as self-care.So it is required to give comprehensive assessment before treatment, including etiological investigation, cognitive, linguistic, emotional, social and behavioral functions.And the treatment is mainly based on psychosocial intervention combined with drugs.Antiepileptic drugs are selected according to the type of epilepsy and drug tolerance, taking into account the behavioral side effects of drugs.Seizures-like behaviors are common in children with ASD and need to be carefully identified.Suspected epileptic seizures should be promptly diagnosed and treated or referred.There is some evidence that ASD is associated with increasing refractory epilepsy and mortality.Therefore, strengthening multidisciplinary communication is an important link to improve the early identification and long-term management of ASD comorbidity epilepsy.

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autism spectrum disorder / epilepsy / comorbidity / diagnosis and treatment / management / children

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CHEN Wen-xiong. Diagnosis, treatment and management of epilepsy in children with autism spectrum disorder[J]. Chinese Journal of Child Health Care. 2019, 27(4): 351-354 https://doi.org/10.11852/zgetbjzz2019-0373

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