Birth Injury Division


 

Autism

One in 166 children will be diagnosed with autism in the United States. It is the fastest growing serious developmental delay in the U.S. with a new case being diagnosed every twenty minutes. From a financial perspective, autism costs the U.S. over $90 billion dollars a year. Of important note, boys are four times more likely to be diagnosed with autism spectrum disorders than girls.

Autism or Autism Spectrum Disorders (ASD) covers a wide range of behaviors and abilities. Autistic disorders are most commonly known as ASD but may also include pervasive developmentally disorder not other specified (PDD-NOS) and Asperger Syndrome. All have the same symptoms but differ when the different symptoms start. They are further differentiated by how fast symptoms appear, how severe they are manifested and their exact nature.

The behaviors and abilities noted with these individuals include social skills in terms of interaction, eye contact and their ability to understand their own feelings or others feelings. These individuals may be interested in people but now know how to talk, play or relate to those around them. Forty percent of these patients do not talk at all. Of those who do have the ability to speak, they may have echolalia (speak back exactly what is said to them), speak a lot about one subject, or not engage in two-way conversation.

It is suspected that there are multiple causes with a complex interaction of genetic and environmental factors. In research studies that have been performed within families, identical twins have had a 75% rate that both siblings have autism. In contrast, in those families where one fraternal twin has been diagnosed there is only a 3% rate that their sibling also has the same diagnosis. ASD occurs more frequently than expected in the following diagnosis: Fragile X, Congenital Rubella Syndrome, and Untreated Phenylketonuria.

There remains no cure for ASD. Early intervention and intensive education provides these individuals and their families the most hope. There are medications that can help with some of the symptoms listed above. The best intervention comes from behavioral intervention as offered through occupational therapy, speech therapy and similar forms of therapy.

References:

Centers for Disease Control and Prevention. Autism: What are the Symptoms (2006). Retrieved October 2006 from www.cdc.gov/ncbddd/autism/asd_symptoms.htm

Centers for Disease Control and Prevention. Autism: What causes ASDs and is there a treatment? (2006). Retrieved October 2006 from www.cdc.gov/ncbddd/autism/asd_treatments.htm.

Autism Speaks. Facts about Autism. (2006). Retrieved October 2006 from www.autismspeaks.org/whatisit/facts.php.

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Previous Case of the Month
Case of the MonthShaken Baby Syndrome: A Closer Look
According to the National Institute of Neurological Disorders and Stroke, Shaken Baby Syndrome is a type of inflicted traumatic brain injury that happens when a baby is violently shaken. It is a form of inflicted brain trauma. The average age for victims is between three and eight months, although cases have been documented up to the age of.... [More]

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Center for Disease Control
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Institute for Safe Medication Practice
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American Hospital Association
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