Successful Management of Aggression with Low-Dose Propranolol in an Adolescent Patient with Intellectual Disability: A Case Report

Year 2017, Volume: 8 Issue: 32, 34 - 38, 31.12.2017

Hamza Ayaydın , Fethiye Kılıçaslan

https://doi.org/10.17944/mkutfd.345933

Cited By: 1

Abstract

The risk of accompanying aggression in children with
Intellectual disability is known to be higher than in healthy children.
Aggression in subjects with ID can severely impact on individuals' social
adaptation and education and on the quality of life of caregivers. Aggression
may be verbal or physical. Various agents are used as antiaggressive drugs,
including lithium, anticonvulsants and antipsychotics, although data regarding
the effectiveness of these are limited. It is shown that propranonol is effective
in the treatment of aggression.

This
report describes the successful management with propranolol of aggressive and
self-mutilative behaviors in an adolescent with severe ID.

Keywords

İntellectual disability, aggression, β-blocker, propranolol

Zihinsel Engelliliği Olan Bir Ergende Düşük Doz Propranolol ile Agresyonun Başarılı Tedavisi: Bir Olgu Sunumu

Abstract

Saldırganlığın, zihinsel engelliliği (ZE) olan çocuklarda
eşlik etme riskinin sağlıklı çocuklardan daha yüksek olduğu bilinmektedir. ZE olan
kişilerde saldırganlık, bireylerin sosyal uyum ve eğitimi ile bakım verenin
yaşam kalitesi üzerinde ciddi etkiler yapabilmektedir. Saldırganlık sözel veya
fiziksel olabilmektedir. Lityum, antikonvülzanlar ve antipsikotikler gibi
çeşitli antiagresif ilaçlar kullanılmaktadır, ancak bunların etkinliği ile
ilgili veriler sınırlıdır. Propranololün saldırganlığın tedavisinde etkili
olduğu gösterilmiştir. Bu yazıda
ağır derecede zihinsel engelliği olan bir ergende saldırgan ve yıkıcı
davranışların, propranolol ile başarılı bir şekilde tedavisi anlatılmıştır.

Keywords

Zihinsel engellilik, saldırganlık, beta blokör, propranolol

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