Int Arch Otorhinolaryngol 2014; 18 - a2306
DOI: 10.1055/s-0034-1389007

Following Implanted Child: Regression in Development

Heloisa Romeiro Nasralla 1
  • 1Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo (HC-FM-USP)

Introduction: DSM-V (Diagnostic and Statistical Manual of Mental Disorders, 1st Ed., American Psychiatric Association) requires for autism (autism spectrum disorder [ASD]); the individual has symptoms in early childhood, but may not have been detected, due to the minimal social demands in early childhood and the intense support of parents. The deafness and autism have many points in common.

Objective: Observe three cases that regressed in speech production and audiological benefit.

Resumed Report: (1) One year, tearful, eye contact, respect for the conversation shifts, eating disorders. Regression in vocabulary, pre-IC. Not accept deafness. 5 years, diagnosis of autism, medicated. Unproductive treatments. Accept hearing aid, rejoiced. 7 years, refused hearing, unsociable, accepting reality family, attending AMA. (2) Two years, little eye contact, good relationship with the environment, appropriate drawings. Overprotective mother regressing it. 9 years, autism diagnosis, no progression free expression. Hearing given by IC, bad discrimination. Diagnosis is not accepted by the mother. (3) Four years, sociable, communicates. Fine motor delay, trembling. Anxious mother. 5 years not want to talk or go to school. Lost vivacity, scared. Deafness due poor acceptance in the parents, or unrealistic expectations regarding IC, overprotection, few development opportunities, masking symptoms of autism. Besides, delaying diagnosis of ASD, the child shall be treated as deaf only, depriving them of the necessary care of autistic symptomatology.

Conclusion: Family orientation whenever necessary emphasis is on patients with developmental or carriers of ASD.