2016
DOI: 10.1136/bcr-2016-216378
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Gonadotropin-releasing hormone agonist against severe aggression in autism

Abstract: Aggression in patients with autism spectrum disorder (ASD) presents an important therapeutic challenge. Conventional treatment appears to be inadequate in a number of cases. The occurrence of severe aggressive symptoms since the inception of adolescence in a male patient with ASD suggested a hormonal influence by androgens. Conventional treatment with antipsychotic and antiepileptic drugs and benzodiazepines was ineffective. A subcutaneous long-acting gonadotropin-releasing hormone agonist (GnRH agonist) injec… Show more

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Cited by 3 publications
(1 citation statement)
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“…Further evidence of the participation of GnRH in aggressive behavior comes from the nding that either immunocastration using vaccines targeting GnRH or chronic agonism of GnRH receptors (GnRHR), aiming to desensitize the HPG axis, reduce aggression in male pigs [28] and Macaques [29], respectively. Similar effects have been described in a male patient with autism spectrum disorder and high aggression [30]. Importantly, GnRHRs are found in brain regions classically known to modulate aggression such as the lateral septum (LS), ventromedial hypothalamus (VMH), and the cortical amygdala (CoA) [31].…”
Section: Introductionsupporting
confidence: 56%
“…Further evidence of the participation of GnRH in aggressive behavior comes from the nding that either immunocastration using vaccines targeting GnRH or chronic agonism of GnRH receptors (GnRHR), aiming to desensitize the HPG axis, reduce aggression in male pigs [28] and Macaques [29], respectively. Similar effects have been described in a male patient with autism spectrum disorder and high aggression [30]. Importantly, GnRHRs are found in brain regions classically known to modulate aggression such as the lateral septum (LS), ventromedial hypothalamus (VMH), and the cortical amygdala (CoA) [31].…”
Section: Introductionsupporting
confidence: 56%