Dikkat eksikliği hiperaktivite bozukluğu ve zihinsel yetersizliği olan yedi yaşında bir çocukta muhtemelen kısa etkili metilfenidatın etki süresiyle ilişkili tik bozukluğu

Year 2024, Volume: 49 Issue: 2, 497 - 499, 30.06.2024

Çağla Çelikkol Sadıç

https://doi.org/10.17826/cumj.1369134

Abstract

Dikkat Eksikliği Hiperaktivite Bozukluğu'nun (DEHB) zihinsel engellilik tanısı almış çocuklarda normal gelişim gösteren çocuklara göre daha sık görüldüğü bilinmektedir. Metilfenidat, DEHB tedavisinde yaygın olarak kullanılan psikostimülan bir ilaçtır. Son randomize çalışmalar metilfenidat kullanımının tiklerin yeni başlaması veya kötüleşmesi ile ilişkili olmadığını bildirmiştir. Bununla birlikte, zeka geriliği olan çocuklarda metilfenidat kullanımının etkileri üzerine çalışmalar sınırlıdır. Burada, büyük olasılıkla metilfenidat tedavisine bağlı olarak yeni başlangıçlı tikler geliştiren ve metilfenidat kesilip etkileri azaldığında tikleri azalan, sınırda zihinsel engelli 7 yaşında bir erkek hasta sunulmuştur.

Keywords

Metilfenidat, Zihinsel Yetersizlik, Tik Bozukluğu, Dikkat Eksikliği Hiperaktivite Bozukluğu, Çocuk.

Ethical Statement

Ethics committee approval is not required for case report articles.

Supporting Institution

The research has no funding.

Thanks

The author wishes to thank the patient and his parents who participated in this study.

Tic disorder possibly related to the duration of action of short-acting methylphenidate in a seven-year-old child with attention deficit hyperactivity disorder and intellectual disability

Abstract

Attention Deficit Hyperactivity Disorder (ADHD) is known to be seen more frequently in children diagnosed with intellectual disability than in children with normal development. Methylphenidate is a psychostimulant drug that is widely used in the treatment of ADHD. Recent randomized studies have reported that the use of methylphenidate is not associated with new onset or worsening of tics. However, studies on the effects of methylphenidate use in children with mental retardation are limited. The case is here presented of a 7-year-old male patient with borderline intellectual disability, who developed new-onset tics most likely due to methylphenidate treatment and whose tics subsided when the methylphenidate was discontinued and its effects subsided.

Keywords

Methylphenidate, Intellectual Disability, Tic Disorder, Attention Deficit Hyperactivity Disorder, Child.

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