A Young Man with Trisomy 21 and Sudden Behavioral Changes

Journal of Developmental and Behavioral Pediatrics : JDBP
DePorres CormierMarilyn Augustyn

Abstract

Grant is a 13-year-old boy with trisomy 21 who presents with his mother for concerns regarding the emergence of several new disruptive behaviors. While he is verbal, he also communicates through an augmentative communication device. He currently attends a residential school. Over the past 2 months, he has begun spitting at the staff, engaging in self-injurious behaviors, placing his hands in his pants, and frequently talking about "pee and poop." Notably, Grant has undergone several changes to his educational placement and medical health over the past several months. He recently transferred to his current residential school from another placement to be closer to his family, although this has meant that Grant was unable to work with his long-time aide. Additionally, most of the students at Grant's current school are significantly lower functioning than him, such that Grant is one of the few verbal children.Approximately 3 months ago, Grant underwent significant dental work under anesthesia. Grant had previously taken an alpha-agonist for behavioral management, although he was weaned off this 4 months ago because of increasing somnolence increasing somnolence. Grant's recent behavioral challenges make performing community and hom...Continue Reading

References

Jul 27, 2011·Pediatrics·Marilyn J Bull, UNKNOWN Committee on Genetics
May 3, 2012·Journal of General Internal Medicine·Helen RiessMargot Phillips
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May 16, 2014·Academic Medicine : Journal of the Association of American Medical Colleges·Helen Riess, Gordon Kraft-Todd
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May 31, 2017·Brain Sciences·Clotilde MircherAimé Ravel

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