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Certain infectious and parasitic diseases

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F84.4 Overactive disorder associated with mental retardation <strong>and</strong> stereotyped<br />

movements<br />

An ill-defined disorder of uncertain nosological validity. The category is<br />

designed to include a group of children with severe mental retardation (IQ below<br />

35) who show major problems in hyperactivity <strong>and</strong> in attention, as well as<br />

stereotyped behaviours. They tend not to benefit from stimulant drugs (unlike<br />

those with an IQ in the normal range) <strong>and</strong> may exhibit a severe dysphoric<br />

reaction (sometimes with psychomotor retardation) when given stimulants. In<br />

adolescence, the overactivity tends to be replaced by underactivity (a pattern that<br />

is not usual in hyperkinetic children with normal intelligence). This syndrome is<br />

also often associated with a variety of developmental delays, either specific or<br />

global. The extent to which the behavioural pattern is a function of low IQ or of<br />

organic brain damage is not known.<br />

F84.5 Asperger's syndrome<br />

A disorder of uncertain nosological validity, characterized by the same type of<br />

qualitative abnormalities of reciprocal social interaction that typify autism,<br />

together with a restricted, stereotyped, repetitive repertoire of interests <strong>and</strong><br />

activities. It differs from autism primarily in the fact that there is no general delay<br />

or retardation in language or in cognitive development. This disorder is often<br />

associated with marked clumsiness. There is a strong tendency for the<br />

abnormalities to persist into adolescence <strong>and</strong> adult life. Psychotic episodes<br />

occasionally occur in early adult life.<br />

Autistic psychopathy<br />

Schizoid disorder of childhood<br />

F84.8 Other pervasive developmental disorders<br />

F84.9 Pervasive developmental disorder, unspecified<br />

F88<br />

F89<br />

Other disorders of psychological development<br />

Developmental agnosia<br />

Unspecified disorder of psychological development<br />

Developmental disorder NOS<br />

Behavioural <strong>and</strong> emotional disorders with onset usually<br />

occurring in childhood <strong>and</strong> adolescence<br />

(F90-F98)<br />

F90 Hyperkinetic disorders<br />

A group of disorders characterized by an early onset (usually in the first five<br />

years of life), lack of persistence in activities that require cognitive involvement,<br />

<strong>and</strong> a tendency to move from one activity to another without completing any one,<br />

together with disorganized, ill-regulated, <strong>and</strong> excessive activity. Several other<br />

abnormalities may be associated. Hyperkinetic children are often reckless <strong>and</strong><br />

impulsive, prone to accidents, <strong>and</strong> find themselves in disciplinary trouble because<br />

of unthinking breaches of rules rather than deliberate defiance. Their<br />

relationships with adults are often socially disinhibited, with a lack of normal<br />

caution <strong>and</strong> reserve. They are unpopular with other children <strong>and</strong> may become<br />

isolated. Impairment of cognitive functions is common, <strong>and</strong> specific delays in<br />

Version for 2007 221

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