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Published in: European Child & Adolescent Psychiatry 6/2009

01-06-2009 | ORIGINAL CONTRIBUTION

Executive dysfunction in treated phenylketonuric patients

Authors: Dr. Bahare Azadi, Arshia Seddigh, Mehdi Tehrani-Doost, Javad Alaghband-Rad, Mahmoud Reza Ashrafi

Published in: European Child & Adolescent Psychiatry | Issue 6/2009

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Abstract

Objectives

Executive function deficits have been described in early and continuously treated patients with phenylketonuria (PKU). The aim of this study was to examine performance on executive function tasks of treated patients with PKU diagnosed by 2 years of age.

Patients and methods

Ten patients with PKU and normal intelligence score who were diagnosed before the age of 2 years and subsequently treated continuously, were compared with 15 typically developing control children on a battery of neuropsychological tests, including the tower of London (TOL), continuous performance test (CPT), and Stroop test.

Results

PKU cases showed significantly poorer performance on the TOL task compared to the control group with the difference being significant in the first three levels of the test. With the CPT, PKU cases had significantly more omission errors than control subjects. On the Stroop test there was no statistically significant difference between the groups. No significant correlation was found between the concurrent serum phenylalanine (Phe) level and results of the executive tests in PKU patients.

Conclusion

This study identified executive dysfunction in early-treated PKU patients with normal IQ, particularly in the planning and attention domains. Further studies are required to compare the results with those from other neurodevelopmental disorders such as ADHD and autism, to establish whether the pattern of findings is specific to PKU.
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Metadata
Title
Executive dysfunction in treated phenylketonuric patients
Authors
Dr. Bahare Azadi
Arshia Seddigh
Mehdi Tehrani-Doost
Javad Alaghband-Rad
Mahmoud Reza Ashrafi
Publication date
01-06-2009
Publisher
Steinkopff-Verlag
Published in
European Child & Adolescent Psychiatry / Issue 6/2009
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-009-0738-8

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