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Articles for Doctors
Transtorno of the
Attention with
Hiperactividad
NOTE: Translated
using software of
translation of
Spanish to English
ABSTRACT: Attention deficit hyperactivity disorder (ADHD), is one of the four
syndromes of minimal brain dysfunction, recongnized by the last classification of the
Diagnostic and Statistical Manual of Mental Disorder (DSM IV). It is mainly characterized
by attention deficit, hyperactivity, a low-level frustration, impulsivity, and emotional
labilit. Although there are no doubts about its organic naure, the presence of this
syndrome does not mean a demonstrable cerebral or irreversible lesion, but an alteration
in high cerebral function, particulary in the area of behaviour. ADHD can be associated
with language, learning, and motor disabilities. Diagnosis should be made on the basis of
behaviour. ADHD can be associated with language, learning, and motor disabilities.
Neuroimaging and neurophysiological studies are required only to exclude another
phatoogies. Stimulants are the first choice in the treatment of ADHD, mainly
methylphenidate, because it is well tolerated and improves not only the attention level
and hyperactivity, but also learning and writing abilites. Prognosis varies acording to
the severity of the clinical picture, early diagnosis and the familial interaction on the
social context of child. Approximately 5% of infantile schoool pupulation have ADHD;
therefore, this diagnostic possiblity should be considered by neuropediatricians and
pediatricians for early diagnosis and treatment.
Author:
Ecuadorian
magazine of neurology
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