Home / Volume 34 / Issue Suplemento 1 / DOI: 10.33588/rn.34S1.2002083
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Review
Biochemical bases and research in attention-deficit hyperactivity disorder
Bases bioquímicas e investigaciones en el trastorno por déficit de atención con hiperactividad
Rev Neurol 2002 , 34(Suplemento 1), 78; https://doi.org/10.33588/rn.34S1.2002083
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Abstract
Introduction. Attention-deficit hyperactivity disorder (ADHD) is a complex neurodevelopmental disorder, which is very common among the school-aged population. Its core symptoms are inattention, hyperactivity, and impulsivity. Currently, three-principal subtypes of ADHD are recognized: ADHD predominantly inattentive type, ADHD predominantly hyperactive/impulsive type or ADHD combined type. Affected individuals have increased comorbidity risks, often followed by cognitive, emotional and/or social impairments as adults. Stimulants drugs such methylphenidate (Ritalin) or D-amphetamine (Dexedrine) represent the first-line drugs for the treatment of ADHD. Development. The clinical features of ADHD were first described by Dr. George Frederick Still for Lancet in 1902, and in spite of the investigations carried out since then, the precise cause is still not clear. The purpose of this review is to describe recent advances of the neurobiological basis of ADHD. Conclusions. Recent neuroimaging studies in humans indicate a dysfunctions of the frontal-striatal circuits in patients with ADHD, which can be improved by pharmacological treatment. Both pre- and clinical studies implicate a dysregulation of the dopaminergic and noradrenergic systems, which are known to regulate the functions of these circuits. More recent evidence indicate that some features of ADHD could be linked to alterations in the posterior inferior vermis. These studies also stress the importance of taking into consideration factors such as age, gender and duration of pharmacological treatment when interpreting the results.
Resumen
Introducción El déficit de atención con hiperactividad (TDAHA) es un trastorno muy común que afecta a alrededor de 3-7% de los niños en edad escolar.

Desarrollo Se caracteriza por un desarrollo inapropiado de síntomas de inatención, impulsividad e hiperactividad, que afectan al funcionamiento adecuado del niño. Este tipo de trastorno fue primeramente descrito por el doctor George Still en el 1901, y a pesar de las investigaciones realizadas desde entonces sus causas no se han determinado con exactitud.

Conclusión Esta revisión pretende realizar una puesta al día de las últimas investigaciones en cuanto a las bases neurobiológicas del TDAH; también se abordan aspectos neuroanatómicos, neuroquímicos, y neurorradiológicos de la misma.
Keywords
Brain
Development
Dopamine
Dopamine transporter
Psychostimulants
Palabras Claves
Cerebro
Desarrollo
Dopamina
Psicoestimulantes
Transportador de dopamina
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