Abstract

SELF INJURIOUS BEHAVIOUR (SIB) OF EYE POKING IN A TODDLER WITH AUTISM, NEUROFIBROMATOSIS AND INFANTILE SPASM

Objective: There is sparse data on self injurious behaviour in autism from developing countries. We describe a rare case of self injurious behaviour in a three-year-old toddler with autism, neurofibromatosis, infantile spasms and developmental delay. Methods: We reported a case of Master ABC, a three-yearold boy presented with eye poking behaviour and autistic symptoms such as stereotypic behaviour, decreased social interaction, delayed speech, solitary play, etc. He was diagnosed with autism. He also had neurofibromatosis type 1 and infantile spasms and was on Antiepileptic for the same from the Neurologist. His ophthalmological evaluation was normal and was given symptomatic treatment. He was started on the tablet risperidone 0.25 mg od and behaviour therapy, occupational and speech therapy for his autistic symptoms with significant improvement in his symptoms. Results: Self injurious behaviour such as eye poking in children with autism needs immediate attention to prevent long-term vision related complications. Self injurious behaviour can coexist with Neurofibromatosis 1 and Infantile spasms with autism and developmental delays. Conclusion: The multidisciplinary approaches can be used to reduce the self injurious behaviour of eye poking and also be beneficial in overall clinical management of the child with autism and developmental delay.

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