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KMID : 0897520150200020048
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Journal of Korean Association of Social Psychiatry
2015 Volume.20 No. 2 p.48 ~ p.53
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Missed Clues for Early Detection of Asperger Syndrome :A Comparison Between Younger and Older Visitors
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Park Jin-Keon
Hong Min-Ha
Lee Yeon-Jung
Han Ju-Hee
Hwang Bo-Ram
Bahn Geon-Ho
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Abstract
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We investigated clinical clues retrospectively that would be valuable for the early diagnosis of Asperger syndrome. Subjects were 31 patients, mean age 14.3±6.6 years old on the first visit, at one university hospital from 1998 to 2013. The main reason of the hospital visit was the difficulty in peer relationship. As indirect methods to investigate the neurologic deficits, we checked the absolute value of the difference between verbal and performance IQ and the epileptiform discharge of the electroencephalograpy (EEG). 51.7% showed higher than 15 of the absolute value of IQ difference. Among 17 patients who had taken EEG, eight (47.0%) subjects revealed focal epileptiform discharge. After the analysis of whole subjects, we divided the subjects into two groups by the age of 13 on the first visit. The older than 13 years old group revealed significantly more comorbidities (p=0.036) and used more antidepressants (p=0.025) than the younger ones. Attention deficit/hyperactivity disorder was the most common comorbidity in both groups. These results suggest that health professionals have to keep in mind that peer relationship issue is one of the critical clues in order to not miss Asperger syndrome for young kids and adolescents. Thorough status checkup including neurophysiologic examinations should be considered for individuals with developmental delay.
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KEYWORD
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Asperger syndrome, Language development, Comorbidity, Medication, Adjustment, Electroencephalography
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