It Is Just Attention-Deficit Hyperactivity Disorder…or Is It?
Case: Carly is a 5-year-old girl who presents for an interdisciplinary evaluation due to behaviors at school and home suggestive of attention-deficit hyperactivity disorder (ADHD). Parent report of preschool teacher concerns was consistent with ADHD. Psychological testing showed verbal, visual-spati...
| Published in: | Journal of Developmental & Behavioral Pediatrics Vol. 38; no. 2; pp. 169 - 173 |
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| Main Authors: | , , , , , |
| Format: | case study Journal Article |
| Published: |
Lippincott Williams & Wilkins
Feb/Mar2017
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121252224&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121252224 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0196206X 8CM jtl: Journal of Developmental & Behavioral Pediatrics issn: 0196206X maglogo: N pubinfo: dt: Feb/Mar2017 vid: 38 iid: 2 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 121252224 121252224 NLM28079611 121252224 10.1097/DBP.0000000000000386 NLM28079611 121252224 ppf: 169 ppct: 4 formats: tig: atl: It Is Just Attention-Deficit Hyperactivity Disorder…or Is It? aug: au: Won, Dana C. Guilleminault, Christian Koltai, Peter J. Quo, Stacey D. Stein, Martin T. Loe, Irene M. affil: Division of Neonatal and Developmental Medicine, Stanford University School of Medicine Palo Alto, California sug: subj: Sleep Apnea, Obstructive Complications Attention Deficit Hyperactivity Disorder Diagnosis Sleep Apnea, Obstructive Diagnosis Sleep Apnea, Obstructive Surgery Female Child, Preschool Recurrence Tonsillectomy Funding Source Child, Preschool: 2-5 years Female ab: Case: Carly is a 5-year-old girl who presents for an interdisciplinary evaluation due to behaviors at school and home suggestive of attention-deficit hyperactivity disorder (ADHD). Parent report of preschool teacher concerns was consistent with ADHD. Psychological testing showed verbal, visual-spatial, and fluid reasoning IQ scores in the average range; processing speed and working memory were below average. Carly's behavior improved when her mother left the room, and she was attentive during testing with a psychologist. Tests of executive function (EF) skills showed mixed results. Working memory was in the borderline range, although scores for response inhibition and verbal fluency were average. Parent ratings of ADHD symptoms and EF difficulties were elevated.Carly's parents recently separated; she now lives with her mother and sees her father on weekends. Multiple caregivers with inconsistent approaches to discipline assist with child care while her mother works at night as a medical assistant. Family history is positive for ADHD and learning problems in her father. Medical history is unremarkable. Review of systems is significant for nightly mouth breathing and snoring, but no night waking, bruxism, or daytime sleepiness. She has enlarged tonsils and a high-arched palate on physical examination.At a follow-up visit, parent rating scales are consistent with ADHD-combined type; teacher rating scales support ADHD hyperactive-impulsive type. Snoring has persisted. A sleep study indicated obstructive sleep apnea. After adenotonsillectomy, Carly had significant improvement in ADHD symptoms. She developed recurrence of behavior problems 1 year after the surgery. pubtype: Academic Journal doctype: case study Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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