الملخص
We report the case of a 7 year-old Omani girl with tuberous sclerosis (TS), attention deficit hyperactivity disorder (ADHD) and bipolar disorder (BD), at Sultan Qaboos University Hospital (SQUH), Oman. For a year she had been suffering from hyperactivity, aggression, over talkativeness, insomnia, risk-taking behaviour, distractibility, poor attention and seizures. This clinical picture evolved slowly, but was progressive in nature. Before the consultation at her local health centre, she was given four drugs without being properly investigated; she continued to deteriorate. In SQUH, she showed hyperactive-impulsive behaviour, elation, flight of ideas, preoccupation with self and high self-confidence. The physical examination revealed multiple hypomelanotic patches all over the body and a shagreen patch at the sacral area. The electroencephalogram showed generalised epileptic discharges, while brain imaging showed multiple parenchymal calcified foci in both cerebral hemispheres. Other investigations were normal. She was given valproate, and then a psychostimulant, methylphenidate, that controlled her state. Our aim in reporting this case is not only because it is unique, given its rare comorbidity (ADHD, TS and BD), but also to remind our junior colleagues to be alert to the possibility of an underlying neuropathology when performing clinical examinations and investigations of children presenting with neuropsychiatric symptoms.
بيانات النشر
- المعرّف الرقمي
- 10.18295/2075-0528.1163
- المجلة
- مجلة جامعة السلطان قابوس الطبية, 10(1), 84-88
- الناشر
- جامعة السلطان قابوس
- وصول مفتوح
- وصول مفتوح ذهبي
- الترخيص
- CC BY-ND 4.0
اقتبس هذه المقالة
APA 7
Al Sharbati, M., Al-Zaidi, R., Al-Futaisi, R., Amna, & Jain, R. (2025). A Rare Presentation of Attention Deficit/Hyperactivity Disorder: A recommendation to be more alert! Sultan Qaboos University Medical Journal, 10(1), 84-88. https://doi.org/10.18295/2075-0528.1163
MLA 9
Al Sharbati, Marwan, et al. "A Rare Presentation of Attention Deficit/Hyperactivity Disorder: A recommendation to be more alert!" Sultan Qaboos University Medical Journal, vol. 10, no. 1, 2025, pp. 84-88. https://doi.org/10.18295/2075-0528.1163.
شيكاغو (المؤلف–التاريخ)
Al Sharbati, Marwan, Rashid Al-Zaidi, Rahma Al-Futaisi, Amna, and Rajeev Jain. 2025. "A Rare Presentation of Attention Deficit/Hyperactivity Disorder: A recommendation to be more alert!" Sultan Qaboos University Medical Journal 10 (1): 84-88. https://doi.org/10.18295/2075-0528.1163.
هارفارد
Al Sharbati, M., Al-Zaidi, R., Al-Futaisi, R., Amna and Jain, R. (2025) 'A Rare Presentation of Attention Deficit/Hyperactivity Disorder: A recommendation to be more alert!', Sultan Qaboos University Medical Journal, 10(1), pp. 84-88. doi:10.18295/2075-0528.1163.
فانكوفر
Al Sharbati M, Al-Zaidi R, Al-Futaisi R, Amna, Jain R. A Rare Presentation of Attention Deficit/Hyperactivity Disorder: A recommendation to be more alert! Sultan Qaboos University Medical Journal. 2025;10(1):84-88. doi:10.18295/2075-0528.1163
IEEE
M. Al Sharbati, R. Al-Zaidi, R. Al-Futaisi, Amna, and R. Jain, "A Rare Presentation of Attention Deficit/Hyperactivity Disorder: A recommendation to be more alert!," Sultan Qaboos University Medical Journal, vol. 10, no. 1, pp. 84-88, 2025, doi: 10.18295/2075-0528.1163.