Neurofibromatosis type 1 and attention deficit hyperactivity disorder: a case study and literature review

Carmen Sílvia Miguel, Tiffany M Chaim-Avancini, Maria Aparecida Silva, Mario Rodrigues LouzãAdult Attention Deficit Hyperactivity Disorder Program (PRODATH), Institute of Psychiatry, University of São Paulo, São Paulo, BrazilBackground: The cogni...

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Autores principales: Miguel CS, Chaim-Avancini TM, Silva MA, Louzã MR
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Publicado: Dove Medical Press 2015
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spelling oai:doaj.org-article:b33668c82ce747e78063e903bca003e02021-12-02T05:34:20ZNeurofibromatosis type 1 and attention deficit hyperactivity disorder: a case study and literature review1178-2021https://doaj.org/article/b33668c82ce747e78063e903bca003e02015-03-01T00:00:00Zhttp://www.dovepress.com/neurofibromatosis-type-1-and-attention-deficit-hyperactivity-disorder--peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021 Carmen Sílvia Miguel, Tiffany M Chaim-Avancini, Maria Aparecida Silva, Mario Rodrigues LouzãAdult Attention Deficit Hyperactivity Disorder Program (PRODATH), Institute of Psychiatry, University of São Paulo, São Paulo, BrazilBackground: The cognitive profile of children with neurofibromatosis type 1 (NF1) and attention deficit hyperactivity disorder (ADHD) has been well characterized, but few studies have evaluated the cognitive abilities of adults with NF1 and ADHD.Objectives: We investigated 1) the cognitive profile of an adult patient with NF1 and inattention problems, 2) changes in his cognition after 14 months of follow-up, and 3) whether the patient exhibited comorbid NF1 and ADHD or secondary ADHD-like symptoms.Methods: We administered neuropsychological tests of executive function, attention, verbal and visual memory, visuospatial function, and language during two evaluations separated by 14 months.Results: We found no changes in sustained attention, language, or verbal memory. Visual memory, verbal learning, selective attention inhibitory control, and problem solving declined over time, whereas visual search, psychomotor speed, visuospatial function, and mental flexibility improved.Conclusion: Our patient exhibited a cognitive profile characteristic of both NF1 and ADHD, leading to the hypothesis that the patient had comorbid ADHD instead of secondary ADHD-like symptoms. More studies are necessary to characterize the cognition of patients with NF1 and ADHD.Keywords: ADHD, executive function, NF1, low-grade pontine glioma, cognitionMiguel CSChaim-Avancini TMSilva MALouzã MRDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2015, Iss default, Pp 815-821 (2015)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Miguel CS
Chaim-Avancini TM
Silva MA
Louzã MR
Neurofibromatosis type 1 and attention deficit hyperactivity disorder: a case study and literature review
description Carmen Sílvia Miguel, Tiffany M Chaim-Avancini, Maria Aparecida Silva, Mario Rodrigues LouzãAdult Attention Deficit Hyperactivity Disorder Program (PRODATH), Institute of Psychiatry, University of São Paulo, São Paulo, BrazilBackground: The cognitive profile of children with neurofibromatosis type 1 (NF1) and attention deficit hyperactivity disorder (ADHD) has been well characterized, but few studies have evaluated the cognitive abilities of adults with NF1 and ADHD.Objectives: We investigated 1) the cognitive profile of an adult patient with NF1 and inattention problems, 2) changes in his cognition after 14 months of follow-up, and 3) whether the patient exhibited comorbid NF1 and ADHD or secondary ADHD-like symptoms.Methods: We administered neuropsychological tests of executive function, attention, verbal and visual memory, visuospatial function, and language during two evaluations separated by 14 months.Results: We found no changes in sustained attention, language, or verbal memory. Visual memory, verbal learning, selective attention inhibitory control, and problem solving declined over time, whereas visual search, psychomotor speed, visuospatial function, and mental flexibility improved.Conclusion: Our patient exhibited a cognitive profile characteristic of both NF1 and ADHD, leading to the hypothesis that the patient had comorbid ADHD instead of secondary ADHD-like symptoms. More studies are necessary to characterize the cognition of patients with NF1 and ADHD.Keywords: ADHD, executive function, NF1, low-grade pontine glioma, cognition
format article
author Miguel CS
Chaim-Avancini TM
Silva MA
Louzã MR
author_facet Miguel CS
Chaim-Avancini TM
Silva MA
Louzã MR
author_sort Miguel CS
title Neurofibromatosis type 1 and attention deficit hyperactivity disorder: a case study and literature review
title_short Neurofibromatosis type 1 and attention deficit hyperactivity disorder: a case study and literature review
title_full Neurofibromatosis type 1 and attention deficit hyperactivity disorder: a case study and literature review
title_fullStr Neurofibromatosis type 1 and attention deficit hyperactivity disorder: a case study and literature review
title_full_unstemmed Neurofibromatosis type 1 and attention deficit hyperactivity disorder: a case study and literature review
title_sort neurofibromatosis type 1 and attention deficit hyperactivity disorder: a case study and literature review
publisher Dove Medical Press
publishDate 2015
url https://doaj.org/article/b33668c82ce747e78063e903bca003e0
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AT chaimavancinitm neurofibromatosistype1andattentiondeficithyperactivitydisorderacasestudyandliteraturereview
AT silvama neurofibromatosistype1andattentiondeficithyperactivitydisorderacasestudyandliteraturereview
AT louzatildemr neurofibromatosistype1andattentiondeficithyperactivitydisorderacasestudyandliteraturereview
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