[P3-8] Efficacy of atomoxetine for learning difficulty in a boy with traumatic brain injury
[Introduction] Attention deficit may be developed after traumatic brain injury. Herein, we report a case where atomoxetine was effective for learning difficulty caused by attention deficit due to traumatic brain injury. [Case report] 10 years-old-male at presentation. Because of collision with car at the age of 8, brain contusion, multiple face fractures, and vertebral ring fracture were developed. Sequelae, characterized by left hemiplegia, and right eye ball recessed and loss of vision was found. Because he felt learning difficulty after returning school, we assessed his cognitive ability and writing and reading ability. Index of WISC-IV performed at the age of 9 was normal (FSIQ 80, VCI 90, PRI 68, WMI 103, PSI 78). Writing and reading ability was not impaired. Index of DNCAS performed at the age of 9 was also normal range (Full scale 78, Planning 78, Simultaneous 76, attention 84, successive 100). However, in subtest score of attention, large difference of score was found between expressive attention (12) and number detection (3). Furthermore, the more tasks were loaded, the score was extremely reduced. Score of inattention was 22 and Hyperactivity-Impulsivity was 14 in P-ADHD-RS. From the assessment, learning difficulty might be caused by attention deficit due to traumatic brain injury. 30mg/day of atomoxetine was improved not only the score of P-ADHD-RS (inattention 19 and Hyperactivity-Impulsivity 11), but feeling of learning difficulty. [Conclusions] we suggest that atomoxetine may be useful for children of learning difficulty with attention deficit due to traumatic brain injury.