Attention deficit hyperactivity disorder and specific learning disability co-occurring in a case with Silver-Russell syndrome

Year 2024, Volume: 37 Issue: 3, 384 - 388, 30.10.2024

Nagehan Deniz Varol Borte Gurbuz Ozgur Ahmet Anik Hatice Bağdatlı Aksu

https://doi.org/10.5472/marumj.1572553

Abstract

This case presentation discusses the management of comorbid attention deficit hyperactivity disorder (ADHD) and specific learning
disability (SLD) in a female adolescent diagnosed with Silver-Russell syndrome (SRS).
A 13-year-old female patient presented to the child psychiatry outpatient clinic eight months ago with complaints of reading and
writing difficulties and forgetfulness. When she was four years old, she was diagnosed with SRS. Somatotropin therapy was initiated for
the patient. Based on psychiatric examination, family interviews, psychometric assessments, and information obtained from school,
the patient was diagnosed with ADHD and SLD. The patient was started on methylphenidate treatment, gradually titrated to a dose of
27 mg/day. She was also referred for special education for the SLD diagnosis. In the literature, it has been reported that in most children
with SRS, intelligence is within the normal range, and they often receive diagnoses of ADHD and/or SLD. Studies have shown that
although, executive function disorders are not significantly associated with SRS in comparison to control groups, there is an increased
risk. Children and adolescents with this rare congenital disorder are at risk for psychiatric disorders, and periodic evaluation by a child
psychiatrist is recommended.

Keywords

Silver-Russell syndrome, Attention deficit hyperactivity disability, Specific learning disorder, Child, Neurodevelopmental disorders

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