{"id":4362,"date":"2022-02-10T16:14:44","date_gmt":"2022-02-10T15:14:44","guid":{"rendered":"https:\/\/itsbrain.mindpulse.net\/?page_id=4362"},"modified":"2022-06-09T12:16:47","modified_gmt":"2022-06-09T10:16:47","slug":"cas-tdah","status":"publish","type":"page","link":"https:\/\/itsbrain.mindpulse.net\/en\/cas-tdah\/","title":{"rendered":"Cas TDAH"},"content":{"rendered":"[et_pb_section fb_built=\u00a0\u00bb1″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|600||on|||||\u00a0\u00bb text_text_color=\u00a0\u00bb#151E66″ text_font_size=\u00a0\u00bb35px\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]

Clinical case Study : Fabian, 13 years old, ADHD<\/p>[\/et_pb_text][et_pb_text _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|600|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#151E66″ text_font_size=\u00a0\u00bb17px\u00a0\u00bb text_line_height=\u00a0\u00bb1.72em\u00a0\u00bb text_orientation=\u00a0\u00bbjustified\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]

Context<\/span>\u00a0:<\/span><\/strong> ADHD diagnostic made 4 years ago. No development peculiarities. Studies have been normal but requires enormous effort. Behavior is impulsive, sometimes aggressive. Slowness in everyday activities and maintaining attention over time is difficult.<\/span><\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb3_5,2_5″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb40px|||||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb3_5″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/itsbrain.mindpulse.net\/wp-content\/uploads\/2022\/02\/Capture-de\u0301cran-2022-02-14-a\u0300-16.53.06.png\u00a0\u00bb title_text=\u00a0\u00bbCapture d\u2019e\u0301cran 2022-02-14 a\u0300 16.53.06″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb81%\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb custom_margin=\u00a0\u00bb-16px|||||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_5″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|300|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#151E66″ text_orientation=\u00a0\u00bbjustified\u00a0\u00bb custom_margin=\u00a0\u00bb30px|60px|||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb|18px|21px|||\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset4″ box_shadow_color=\u00a0\u00bb#88B0D2″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]

WISC-V<\/strong>\u00a0: Cognitive functioning is homogeneous and in the high average except the processing speed which strongly appears to slow down (low average zone \/ limit). Reasoning skills are excellent. Working memory is supported by the visual modality.<\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb39px|||||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|300|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#151E66″ text_orientation=\u00a0\u00bbjustified\u00a0\u00bb width=\u00a0\u00bb72%\u00a0\u00bb custom_margin=\u00a0\u00bb40px|||120px|false|false\u00a0\u00bb custom_padding=\u00a0\u00bb|18px|21px|||\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset4″ box_shadow_color=\u00a0\u00bb#88B0D2″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]

Test FEA<\/strong> : At the executive and attentional level, the slowdown is observed in a general way, and is amplified by attentional (D2-r) and executive (Change, subtest Inhibition) overflow effects; AARA). Flexibility is costly, as is maintaining attention and executive control. Initiation can be difficult (naming, subtest inhibition; AARA).<\/p>\n

 <\/p>\n

TEAC-ch<\/strong> : Impraticable <\/span>since Fabian has already passed it 4 times with his previous neuropsychologist. The results would be inaccurate.<\/span><\/p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/itsbrain.mindpulse.net\/wp-content\/uploads\/2022\/02\/Capture-de\u0301cran-2022-02-14-a\u0300-15.53.37.png\u00a0\u00bb title_text=\u00a0\u00bbCapture d\u2019e\u0301cran 2022-02-14 a\u0300 15.53.37″ align=\u00a0\u00bbright\u00a0\u00bb _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb95%\u00a0\u00bb module_alignment=\u00a0\u00bbright\u00a0\u00bb custom_margin=\u00a0\u00bb||||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb39px||0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/itsbrain.mindpulse.net\/wp-content\/uploads\/2022\/02\/Capture-de\u0301cran-2022-02-10-a\u0300-16.00.15.png\u00a0\u00bb title_text=\u00a0\u00bbCapture d\u2019e\u0301cran 2022-02-10 a\u0300 16.00.15″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/itsbrain.mindpulse.net\/wp-content\/uploads\/2022\/02\/Capture-de\u0301cran-2022-02-10-a\u0300-16.00.21.png\u00a0\u00bb title_text=\u00a0\u00bbCapture d\u2019e\u0301cran 2022-02-10 a\u0300 16.00.21″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb86%\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb custom_margin=\u00a0\u00bb60px||||false|false\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=\u00a0\u00bb1_2,1_2″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb custom_padding=\u00a0\u00bb27px||0px|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|300|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#151E66″ text_orientation=\u00a0\u00bbjustified\u00a0\u00bb custom_margin=\u00a0\u00bb8px||||false|false\u00a0\u00bb custom_padding=\u00a0\u00bb|18px|21px|||\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset4″ box_shadow_color=\u00a0\u00bb#88B0D2″ global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]

MindPulse<\/span><\/strong> : The perceptual motor speed<\/strong> is extremely slow (OEE: z=4.00) on this test, which is associated with a certain motor rigidity. A slight slowdown in executive velocity is also observed (z=1.12) indicating both a slowdown of the perceptual-motor and ideic sphere in Fabian. The accuracy is fragile, with 3 total errors (z=0.95). The adjustment in the face of difficulty is perfect (z=-0.09).<\/p>\n

Specific error analysis <\/strong> highlights impulsivity with 2 anticipation errors (response before stimuli; z=1.75), which can also be related to motor rigidity; as well as a choice error that is normal for his age (z=0.54).<\/p>\n

Fabian also presents very important attentional difficulties<\/strong> on this test, with major fluctuations throughout the 3 parts. These difficulties are central and partially explain the slowdown observed in this young man. An attentional eclipse (aberrant response) is observed at the end of the first part (z=0.91) suggesting a slight fragility in the voluntary maintenance of attentional control.<\/p>[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/itsbrain.mindpulse.net\/wp-content\/uploads\/2022\/02\/Capture-de\u0301cran-2022-02-10-a\u0300-21.09.34.png\u00a0\u00bb title_text=\u00a0\u00bbCapture d\u2019e\u0301cran 2022-02-10 a\u0300 21.09.34″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb width=\u00a0\u00bb100%\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4″ _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_text _builder_version=\u00a0\u00bb4.14.7″ _module_preset=\u00a0\u00bbdefault\u00a0\u00bb text_font=\u00a0\u00bb|600|||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#151E66″ text_font_size=\u00a0\u00bb17px\u00a0\u00bb text_line_height=\u00a0\u00bb1.72em\u00a0\u00bb text_orientation=\u00a0\u00bbjustified\u00a0\u00bb custom_margin=\u00a0\u00bb21px|||||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]

Conclusion<\/span>\u00a0:<\/span><\/strong> The MindPulse allows us to highlight that Fabian's slowdown, found in a moderate way at the WISC-V (IVT \u2013 Codes; Symbols) and in a variable way in the different FEA tests conventionally used (Inhibition \u2013 NEPSY-II; D2-r) is primarily a perceptual-motor slowdown that combines with a more moderate slowdown in executive speed. <\/span><\/p>\n

This can result in a slowdown of the graphic gesture (Codes; D2-r) which is associated with an ideal slowdown (D2-r; Symbols; part Naming & Change of Inhibition) and generates the impression of overall slowness found in Fabian. <\/span><\/p>\n

Attentional difficulties are found regardless of the test used, both through NEPSY-II's Auditory Attention & Associated Responses (AARA) and MindPulse, which however specifies the general alteration of attentional subsystems, with a lack of vigilance, selectivity and executive attention. This executive part appears preponderant in Fabian's profile, and is found in MindPulse as in the Associated Answers section of AARA. <\/span><\/p>\n

Major difficulties in cognitive flexibility do not appear in the classic tests, except via the qualitative interpretation of certain scores (fluence comparison score; AA\/AR comparison score) which mark more the difficulties of general executive control than the specification found in the executive subsystems in the MindPulse.<\/span><\/p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]","protected":false},"excerpt":{"rendered":"

Cas Clinique : Fabian, 13 ans, TDAHContexte de l\u2019\u00e9valuation\u00a0: Fabian consulte afin de faire le point sur son d\u00e9veloppement suite au diagnostic de TDAH il y a 4 ans. Aucune particularit\u00e9 de d\u00e9veloppement. La scolarit\u00e9 a toujours \u00e9t\u00e9 correcte pour les apprentissages, mais n\u00e9cessite un travail colossal. Le comportement est impulsif, parfois agressif. La lenteur […]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-4362","page","type-page","status-publish","hentry"],"yoast_head":"\nCas TDAH - itsbrain<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/itsbrain.mindpulse.net\/en\/cas-tdah\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cas TDAH - itsbrain\" \/>\n<meta property=\"og:description\" content=\"Cas Clinique : Fabian, 13 ans, TDAHContexte de l\u2019\u00e9valuation\u00a0: Fabian consulte afin de faire le point sur son d\u00e9veloppement suite au diagnostic de TDAH il y a 4 ans. Aucune particularit\u00e9 de d\u00e9veloppement. La scolarit\u00e9 a toujours \u00e9t\u00e9 correcte pour les apprentissages, mais n\u00e9cessite un travail colossal. Le comportement est impulsif, parfois agressif. 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Aucune particularit\u00e9 de d\u00e9veloppement. La scolarit\u00e9 a toujours \u00e9t\u00e9 correcte pour les apprentissages, mais n\u00e9cessite un travail colossal. Le comportement est impulsif, parfois agressif. 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