transtorno do déficit de atenção e hiperatividade (tdah): aspectos relacionados à comorbidade com distúrbios da atividade motora attention-deficit hyperactivity disorder: aspects related to motor activity comorbidity

Clicks: 339
ID: 173011
2005
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Abstract
A presente revisão aborda aspectos fisiopatológicos e clínicos referentes ao Transtorno do Déficit de Atenção com Hiperatividade (TDAH), em especial aqueles que concernem à associação desse transtorno com o Distúrbio do Desenvolvimento da Coordenação (DDC). Utilizou-se a base de dados Medline para levantamento de artigos indexados a partir de 1965 até 2004. Aos artigos selecionados dessa forma, outros foram obtidos pela relevância atribuída a eles nas fontes iniciais. A pré-disposição hereditária desse transtorno é indiscutível, bem como a presença da disfunção nora-drenégica e dopaminérgica no córtex pré-frontal e suas conexões. Apesar desse conhecimento, o diagnóstico da condição se baseia em dados clínicos. As associações mórbidas ocorrem em cerca de metade dos indivíduos, sendo as principais comorbidades de natureza psiquiátrica. A presença de uma comorbidade pode modificar a terapêutica e o prognóstico. O Distúrbio do Desenvolvimento da Coordenação, condição também de diagnostico clínico, confere pior prognóstico às crianças que partilham ambos os quadros. Recomenda-se que uma busca ativa de condições associadas seja realizada em cada criança diagnosticada como portadora de TDAH.
This paper addresses the physiopathological and clinical aspects related to Attention-Deficit Hyperactivity Disorder in particular the ones concerning the association of this disorder with the Coordination Development Disorder. The Medline database was used to survey indexed articles from 1965 thru 2004. As a result of the articles selected, others were obtained through the relevance assigned to them in the initial sources. Hereditary predisposal of this condition is unquestionable as well as the presence of noradrenergic and dopaminergic dysfunction in the pré-frontal cortex and connections. Notwithstanding this condition diagnosis is based on clinical data. Morbid associations occur in approximately half of the individuals and the prevailing comorbidities as of psychiatric nature. The presence of co-morbidity may modify the therapy and prognosis. The Coordination Development Condition, also stemming from clinical diagnosis is cause for a worse prognosis to children sharing the same conditions. An active search of associated conditions should be performed in each of the children diagnosed.
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Authors ;Heloisa S. Pereira;Alexandra P. Q. C. Araújo;Paulo Mattos
Journal sociology
Year 2005
DOI
10.1590/S1519-38292005000400002
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292005000400002
Keywords
child development attention deficit disorder with hyperactivity

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