Fetal Alcohol Spectrum Disorders: A Case Study

Overview

Journal J Pediatr Neuropsychol

Specialty Pediatrics

Date 2017 Sep 27

PMID 28948136

Citations 3

Authors

Leila Glass

Sarah N Mattson

Affiliations

Soon will be listed here.

Abstract

This grand rounds manuscript reviews important considerations in developing case conceptualizations for individuals with a history of prenatal alcohol exposure. This case study provides an introduction to fetal alcohol spectrum disorders, diagnostic issues, a detailed description of the individual's history, presenting symptoms, neuropsychological test results, and an integrated summary. We describe a 9-year old girl diagnosed with a fetal alcohol spectrum disorder (FASD): Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE). This patient is a composite of a prototypical child who participated as part of a research project at the Center for Behavioral Teratology who was subsequently seen at an outpatient child psychiatry facility.

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References

Carr J, Agnihotri S, Keightley M . Sensory processing and adaptive behavior deficits of children across the fetal alcohol spectrum disorder continuum. Alcohol Clin Exp Res. 2010; 34(6):1022-32. DOI: 10.1111/j.1530-0277.2010.01177.x. View

Premji S, Benzies K, Serrett K, Hayden K . Research-based interventions for children and youth with a Fetal Alcohol Spectrum Disorder: revealing the gap. Child Care Health Dev. 2007; 33(4):389-97. DOI: 10.1111/j.1365-2214.2006.00692.x. View

Kable J, OConnor M, Carmichael Olson H, Paley B, Mattson S, Anderson S . Neurobehavioral Disorder Associated with Prenatal Alcohol Exposure (ND-PAE): Proposed DSM-5 Diagnosis. Child Psychiatry Hum Dev. 2015; 47(2):335-46. DOI: 10.1007/s10578-015-0566-7. View

Chasnoff I, Wells A, King L . Misdiagnosis and missed diagnoses in foster and adopted children with prenatal alcohol exposure. Pediatrics. 2015; 135(2):264-70. DOI: 10.1542/peds.2014-2171. View

Doig J, McLennan J, Gibbard W . Medication effects on symptoms of attention-deficit/hyperactivity disorder in children with fetal alcohol spectrum disorder. J Child Adolesc Psychopharmacol. 2008; 18(4):365-71. DOI: 10.1089/cap.2007.0121. View

McFarlane A, Rajani H . Rural FASD diagnostic services model: Lakeland Centre for fetal alcohol spectrum disorder. Can J Clin Pharmacol. 2007; 14(3):e301-6. View

Fryer S, McGee C, Matt G, Riley E, Mattson S . Evaluation of psychopathological conditions in children with heavy prenatal alcohol exposure. Pediatrics. 2007; 119(3):e733-41. DOI: 10.1542/peds.2006-1606. View

May P, Baete A, Russo J, Elliott A, Blankenship J, Kalberg W . Prevalence and characteristics of fetal alcohol spectrum disorders. Pediatrics. 2014; 134(5):855-66. PMC: 4210790. DOI: 10.1542/peds.2013-3319. View

Nguyen T, Glass L, Coles C, Kable J, May P, Kalberg W . The clinical utility and specificity of parent report of executive function among children with prenatal alcohol exposure. J Int Neuropsychol Soc. 2014; 20(7):704-16. PMC: 4228981. DOI: 10.1017/S1355617714000599. View

10.

Simmons R, Thomas J, Levy S, Riley E . Motor response programming and movement time in children with heavy prenatal alcohol exposure. Alcohol. 2010; 44(4):371-8. PMC: 2918701. DOI: 10.1016/j.alcohol.2010.02.013. View

11.

Bell S, Stade B, Reynolds J, Rasmussen C, Andrew G, Hwang P . The remarkably high prevalence of epilepsy and seizure history in fetal alcohol spectrum disorders. Alcohol Clin Exp Res. 2010; 34(6):1084-9. DOI: 10.1111/j.1530-0277.2010.01184.x. View

12.

Kodituwakku P, Kodituwakku E . From research to practice: an integrative framework for the development of interventions for children with fetal alcohol spectrum disorders. Neuropsychol Rev. 2011; 21(2):204-23. DOI: 10.1007/s11065-011-9170-1. View

13.

Willford J, Richardson G, Leech S, Day N . Verbal and visuospatial learning and memory function in children with moderate prenatal alcohol exposure. Alcohol Clin Exp Res. 2004; 28(3):497-507. DOI: 10.1097/01.alc.0000117868.97486.2d. View

14.

OConnor M, Frankel F, Paley B, Schonfeld A, Carpenter E, Laugeson E . A controlled social skills training for children with fetal alcohol spectrum disorders. J Consult Clin Psychol. 2006; 74(4):639-48. PMC: 10246454. DOI: 10.1037/0022-006X.74.4.639. View

15.

May P, Keaster C, Bozeman R, Goodover J, Blankenship J, Kalberg W . Prevalence and characteristics of fetal alcohol syndrome and partial fetal alcohol syndrome in a Rocky Mountain Region City. Drug Alcohol Depend. 2015; 155:118-27. PMC: 4581993. DOI: 10.1016/j.drugalcdep.2015.08.006. View

16.

Adnams C, Sorour P, Kalberg W, Kodituwakku P, Perold M, Kotze A . Language and literacy outcomes from a pilot intervention study for children with fetal alcohol spectrum disorders in South Africa. Alcohol. 2007; 41(6):403-14. PMC: 2098695. DOI: 10.1016/j.alcohol.2007.07.005. View

17.

Mattson S, Riley E . The quest for a neurobehavioral profile of heavy prenatal alcohol exposure. Alcohol Res Health. 2013; 34(1):51-5. PMC: 3860545. View

18.

Simmons R, Madra N, Levy S, Riley E, Mattson S . Co-regulation of movement speed and accuracy by children with heavy prenatal alcohol exposure. Percept Mot Skills. 2011; 112(1):172-82. PMC: 3838298. DOI: 10.2466/04.10.13.PMS.112.1.172-182. View

19.

Glass L, Ware A, Crocker N, Deweese B, Coles C, Kable J . Neuropsychological deficits associated with heavy prenatal alcohol exposure are not exacerbated by ADHD. Neuropsychology. 2013; 27(6):713-24. PMC: 3898510. DOI: 10.1037/a0033994. View

20.

Hoyme H, Kalberg W, Elliott A, Blankenship J, Buckley D, Marais A . Updated Clinical Guidelines for Diagnosing Fetal Alcohol Spectrum Disorders. Pediatrics. 2016; 138(2). PMC: 4960726. DOI: 10.1542/peds.2015-4256. View