World Journal of Nuclear Medicine

CASE REPORT
Year
: 2019  |  Volume : 18  |  Issue : 3  |  Page : 293--295

Radioiodine (131I) therapy in a child with autism spectrum disorder: A complex and demanding task


Giovanni Bibbo, Ian Kirkwood, Victoria Sigalas, Tracy Benger 
 SA Medical Imaging, Women's and Children's Hospital, South Australia, Australia

Correspondence Address:
Giovanni Bibbo
SA Medical Imaging, Women«SQ»s and Children«SQ»s Hospital, 72 King William Road, North Adelaide 5006, South Australia
Australia

In January 2017, an 11.5-year-old male child with autism was referred for radioiodine (RAI) therapy post total thyroidectomy for papillary thyroid carcinoma. The treatment required swallowing a RAI capsule and remaining isolated (48–72 h). Initially, obstacles to a successful treatment seemed insurmountable as he had complex needs and behavioral issues due to his autism, mild intellectual disability, and family environment. His mother was adamant that he would not be able to swallow the capsule and comply with the required isolation period. A multidisciplinary team was formed to explore options for successful treatment. Each option considered had its own risks and challenges. Behavioral therapy was considered to be the only possible option. It was pursued with regular, frequent contact between the child, his parents, and members of the team for counseling and behavioral modification, familiarization of the child with the staff, procedures, trial visits, and admission. The patient was successfully treated in October 2017.


How to cite this article:
Bibbo G, Kirkwood I, Sigalas V, Benger T. Radioiodine (131I) therapy in a child with autism spectrum disorder: A complex and demanding task.World J Nucl Med 2019;18:293-295


How to cite this URL:
Bibbo G, Kirkwood I, Sigalas V, Benger T. Radioiodine (131I) therapy in a child with autism spectrum disorder: A complex and demanding task. World J Nucl Med [serial online] 2019 [cited 2019 Sep 22 ];18:293-295
Available from: http://www.wjnm.org/article.asp?issn=1450-1147;year=2019;volume=18;issue=3;spage=293;epage=295;aulast=Bibbo;type=0