Polio Cruz, Nathalie Emperatríz (2023) Autismo en la niñez salvadoreña y el desafío que genera en la atención primaria. Other thesis, Universidad de El Salvador.

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Abstract

Resumen: Presentación del caso. Lactante mayor de 1 año 9 meses es traído por su madre a consulta, refiere que su desarrollo "no es normal", solo dice mamá, no señala objetos, juega solo, corre en círculos, se comporta de manera agresiva, se despierta en las noches y presenta mirada fija, no acata órdenes, inquieto. Intervención terapéutica. Debido a su comportamiento se refiere con diagnóstico de trastorno del habla y lenguaje a hospital de primer nivel donde evalúan y refieren a hospital de segundo nivel con diagnóstico de trastorno de comportamiento, debido a distancia de cita es evaluado por Neurólogo Pediatra privado quien toma electroencefalograma y diagnostica con Trastorno de Espectro Autista y Trastorno por Déficit de Atención e Hiperactividad, administra tratamiento Risperidona 4 gotas cada 12 horas, Citicolina 4 gotas cada día, Tiamina y Complejo B 3ml cada día además de fisioterapia. Evolución clínica. Paciente presenta evolución satisfactoria, hay más interacción con su madre y el entorno, se nota más cariñoso, presenta disminución de la agresividad e hiperactividad del paciente. Abstract: Presentation of the case. An infant older than 1 year and 9 months is brought by his mother for consultation. He reports that his development is "not normal," he only says mom, does not point to objects, plays alone, runs in circles, behaves aggressively, wakes up in the nights and has a fixed stare, does not follow orders, restless. Therapeutic intervention. Due to his behavior he is referred with a diagnosis of speech and language disorder to a first level hospital where he is evaluated and referred to a second level hospital with a diagnosis of behavioral disorder, due to the distance from the appointment he is evaluated by a private Pediatric Neurologist who takes an electroencephalogram and diagnosed with Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder, administers treatment Risperidone 4 drops every 12 hours, Citicoline 4 drops every day, Thiamine and B Complex 3ml every day in addition to physiotherapy. Clinical evolution. Patient presents satisfactory evolution, there is more interaction with his mother and the environment, he appears more affectionate, there is a decrease in the patient's aggressiveness and hyperactivity.

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