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Journal ArticleDOI

A Pilot Study on the Combination of Applied Behavior Analysis and Bumetanide Treatment for Children with Autism

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TLDR
Investigating the therapeutic effects of combined bumetanide and applied behavior analysis (ABA) treatment in children with autism found treatment with bumetinide combined with ABA training may result in a better outcome inChildren with autism than ABATraining alone.
Abstract
Objective: The purpose of this study was to investigate the therapeutic effects of combined bumetanide and applied behavior analysis (ABA) treatment in children with autism. Methods: Sixty children diagnosed with autism according to the International Classification of Diseases, Tenth Revision (ICD-10) criteria (mean age of 4.5 years) were randomly divided into two groups: A single treatment group (n=28) and a combined treatment group (n=32). The combined treatment group received ABA training combined with oral bumetanide (0.5 mg twice a day). The single treatment group received ABA training only. Autism symptoms were evaluated with the Autism Behavior Checklist (ABC) and the Childhood Autism Rating Scale (CARS), whereas severity of disease (SI) and global improvement (GI) were measured with the Clinical Global Impressions (CGI). Assessment of ABC, CARS, and CGI was performed immediately before and 3 months after initiation of the treatment(s). Results: Prior to intervention(s) no statistically si...

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Neurobiological bases of autism-epilepsy comorbidity: a focus on excitation/inhibition imbalance.

TL;DR: The most significant studies supporting hypotheses that an E/I imbalance resulting from neurodevelopmental deficits of multiple origins might represent a common pathogenic mechanism for both autism–epilepsy comorbidity are reviewed.
Journal ArticleDOI

NKCC1 Chloride Importer Antagonists Attenuate Many Neurological and Psychiatric Disorders

TL;DR: The diuretic highly specific NKCC1 chloride importer antagonist bumetanide efficiently restores low (Cl-)I levels and attenuates many disorders in experimental conditions and in some clinical trials.
Journal ArticleDOI

Is birth a critical period in the pathogenesis of autism spectrum disorders

TL;DR: It is proposed that birth (parturition) is a critical period that confirms, attenuates or aggravates the deleterious effects of intrauterine genetic or environmental insults.
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Off-Label Use of Bumetanide for Brain Disorders: An Overview

TL;DR: The off-label use of BTN to modulate neuronal transmembrane Cl− gradients by blocking NKCC1 in the CNS has now been tested as an anti-seizure agent and as an intervention for neurological disorders in pre-clinical studies with varying results.
References
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Journal Article

The clinical global impressions scale: applying a research tool in clinical practice.

TL;DR: The CGI severity and improvement scales offer a readily understood, practical measurement tool that can easily be administered by a clinician in a busy clinical practice setting.
Journal ArticleDOI

Management of Children With Autism Spectrum Disorders

TL;DR: Important issues, such as management of associated medical problems, pharmacologic and nonpharmacologic intervention for challenging behaviors or coexisting mental health conditions, and use of complementary and alternative medical treatments, are also addressed.
Journal ArticleDOI

NKCC1 transporter facilitates seizures in the developing brain

TL;DR: Evidence that NKCC1 facilitates seizures in the developing brain is provided and indications that bumetanide should be useful in the treatment of neonatal seizures are indicated.
Journal ArticleDOI

The lifetime distribution of the incremental societal costs of autism.

Michael L. Ganz
- 01 Apr 2007 - 
TL;DR: The results may imply that physicians and other care professionals should consider recommending that parents of children with autism seek financial counseling to help plan for the transition into adulthood, especially for those aging members of the baby boom generation approaching retirement.
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