SuR.3g. : TtlLsuR&Ri iuvab*rmre fpmpwrivry) : Atrn'sHUL lurArrrtu rulru,tle,r mi*g: #r*affi.

xe
t

Criteriile de diagnostic pentru E99.tl Tulburarea JtutistE = M,'M Ytwu ' u'li'nul c'f{{A$'""

t *21 (>r|ltz) : &jutaau t*:talra i,

{1i
)N)4rfiirua /fidal : >-tl\

(*) deteriarare rnarcatd in uzu{ a mult;ple eoml}+rtamenl-€ *AI-terbale.

cum ar fi privitui in f*!*. expr*sia {aciali, p*sturile corpului ;i
. Qesturile. pentrr.r reglar*a interacliunii sociale;
niveiului
'44 Wini*pucitaiea d* a plam*va rSi.A$j-#J,gg:I. r*respur:z3ttare
de dezvoltar*;
(c) lipsa ciut5rii Sp0fitane de a i*rp5r!4gi bucuria, inter+sei* sau reali-
'
zlrile cu alti cameni ide ex., p'in t;psa C* a arita' de a aduce cri de a
**tlfica *bi*ttele de int*rec);
,il]unnt ullhlr'a U > tlE
4*-rrt,,tmtitLdrlJ--
{2i dgts{ial3-u-i$ljSegL€Jjr*l{l]]]jllresqlnc[dl*A-te-er$:s]€-u:ljlqi'"ij-d"l
urmStoarele:
ine?*s*titi de
iai int$rziere sau lips* tarati a dezv*ltSrii iinrbai$luiv?rbit
o inc*rCare de a <-: 4ornFenla prin m*duri slier$ativs ele eomu*ieare'
eurn *r fi gertica sau mimica);
>-$* semnificativ* in capacitatea
tU: * in*iuiiiic* limi:aj adeevat, deteriorar*a
f

r: *a i n i tie s a *i-.q us$n e, e-{g ?-v-€.f

5+ i:eff i*
{c)
q*: tipsa,rnt-ri i;aip*ntan 5i variat,de-a"'" unr.ri ;*c imitativ sr:cial
eorespunz$tcr niveluIui de dezvoltare;
mlun ,l*dr* , tuPdrr'Av ,'*li*ol'
(3) rrr-rri str:reoti itive rsitf lu+edauru-|,' iilati, oil'a4.' > | ltl
circumscris* ia unul sau mai multe ragternuriJ"Sst'G*-ie:i
' 'it*rastipe-dqiqSersgg,
{a}preocupare
{are este a*orm*i*' fie ca lr,tensitate' fie ca
. f ocalizare;
sa* ritli*luri
)tlqtO:"d*-*;' inltexibii* evident* da anumit* rutiJ"re

ie)
re;:*titive {rie ex.. fluturatui sau rd*u-
Plexe ale intreguiui e*r*h
iii)
iutaq;ui out aun'tatd : >' tls
$
c,r r1
a { u r"r1 este'-gltilg"+.iU muni iaie, ari irtarjiri*ttv s;:u
t ir;ih* i, ;:i$

l> tl3 NU +ilt ul ,-

&fb* .

e. Perti.rrbA{ga nu W d++u*g*h'i
&IrtenIr*+ s seslefiBi.

ffiaau aAvwi:
't'io'lo'@ oudtilila'
ffi-ur*a 'wilt int/**q t
try,.!,,W
' x:'ffi; -,tr"' Y, i";rrX*Tff
'r- ;ffi, m* i#e
A^il
a*tdiwaln 6En' e,ssta'lt ltu
, f*t, i nlcl,.)D$bh " m tu,ilt Mt#ku n*
ddrh,rtt' ^,,,1o*'
yrtr; ird *;",:;-';*-;
, V#;'Tlo* * a*;; t /^k d" *,tatt; y
,;j r
, ,* nL *','fd'l*o 'l*lJ!
**r*ln*, uhyo/trt
ap'uirn; )
o /i&r t)t Ml* ril)N rtndt;n* lur*Irt*r*di,
,'.'il* il*oho' 4ar,,n*eil t'walul
' T;o;4*l;-., *,y oh*ds olt
.a!.1'mtnt'*t'*'
t*ffi
at
o;'-;^tir
.', '; ! ^4**
aw tolat$iat *.eliut
iu'

W{, ;'*I/"'"v"i't lP r@&

 ajrnio ,Lttut M, t yW & loo uad U, aufnr ,*rl^ d @
Mtcail h,i n4
e
u
'*a^rge *rod @ otti''*A ;*i ailo' *"Pt t' /$r'4g'
Aqthkulo' &r, lrlilA"
t
'la uo&$$u^
'*o aubwu
Ml Lowrrq fi&rilr aurq' atrt catrd qr@g h 4@

e fd,rl ai
hA;
' ,{M A,rtil, O
drno2tah,f t lafirf
lr,t/M egd--
,b"adrnl I tahtdl ,t^ilorrrd'
!"r* f p*'rh I f"l,^' ryn^1, lp,
o

t
a

-oqnludt',,tt'
-alh'lu dlw' tLturhl :"aljtdott ,uilttt'o,h osiAtn a, iu)elrqtu rwrw'ia a ,^*rju
I _,Lil,rlLnh oal,urolatnheu ' (/

l*w'iil * *aJ
l_,ffi*
--.o
|,

,y'ilLtt
+ ly, Aldtwi dutrt
- '^,,Ao
'-ffiooW*aw'
-' lt$ur,>lr,u, i"fry:!,y*
awutr!*u*W&s:
twa aLi'"d$t# n"t . :
;-il"r^l",Ltaltu' tuttQ'ouolt
'alVnd , /ab^ /*' y
-, ldA ruUkiura/aart

ln c,ilwa dA'*rcu/t
€ P,:ex
aunuali' rt*rttw :
dai t*rt t^ ,*ry', t ct! *tt
o)k
ffi"
a

a'y/erut, ttt'turu q' eHa a'*ae'a'L :,

, n*tol Adlw l*lu'1a""

' *o"'*gu t x-h'/) )
: ilh a'ao(o
, arg y"*fru I a'"*'oal^l' €€6
. A,vt*ivut 4'/ilnxm @Xf -rffi ' *' lriT il{6€ t
dr;,rtl* kai* a olwtru&**'' *'

-2-
7
,
" aUbuL cSaal
-* man( ,h y dt eulu ,r*rj ar*' aril"/, y'ouatl /r/r! d, d$hr/ lrd "f
,rr"ren/, fuf &/rX J, I on '
-' dr**lla,r, tt4iutatti ,l*^* /a t-Laal
. ilNtill'u emA'*uri
4 Adru
I
t*t adoLnunLi yef *a;h i, &*? & q*u^t /meai
-,

-€ fb,rh i^/+adrinta aur"oh q'artuytt\cott r d%* Wrywi e'ot*.bl'

'-> !12a. t;/"7ut"'$^ f4io
r) ) r* , troiurilrrrld '/ohla
t-
d, cDt, T
;^Ml
m* aut s*lat'n o urye
a

a
'ffiffifu%
^;;t;
"liJ, 4y4+,,,(T^u/dtn'

a nnlul4",ra"
, rwhAtvuil orlr&n
l,"ilruua l, lr'*lr^i
Arltil rrue ,*rt Y, li^rr)ff rusyltu a 'tn1't*ai*
BN
l',r))rr^n, sl *r,l,n,
,lunhpa
frbttl autt dq, ru i ** /n' n lrtgrtlo ,A>.tJu/net" ilrj'"#'!
,rrde#.,(' hrrrlt hha , aa'hl'a' )
ttJDMtlw' t

i t;a4,ko ,w"rrfuloottu^fil&' "*y'nt^J ,n.ua!

-, auiotr* o cr*prtorntt*A*et iuicqloll eidl l*lt ,

-) a-\a)r$nu.a "c*uttnxa**' /y,Dr7 - nA^LaL olr,*to* /W:Y^"/"

-> ,)-frl\kl O. erwaug*n priru*,Al*., ! , . r
) dt2wllaua d, tutat/ ,'^.lrg,r*,o ia 4uak , *'& tn&/D ea arlul*
5 t*larwnli' a&rca+snaL. : y*y',,*rr, ,r\r*e.,q,|, ol*rlru*lr, lE €*qE
'
a JuaNe ,cs*tnlamo#a : 'At5uA Affitd 8l'a.,r;ar,toj lnah* I
=
-D tntltu,*a {naiaAh in mu4A,L 4' l),rru'$|, *^frr/X*,r*el,
; dnc,/oila inut'ietdu'la iar*lt*
l)*u-
-) M-o*row,t uql,r,S* ( iuru'r-, eocl* oo/ o=r* t 'J" I
'ufun. ,ry,$l *,ff d,:; if .
.1 . &^ . t p,-t .o^y
 t*ou/,
,t. ,la*A dY a^ !
nl arodrna : lu'lnarlru'ht* , in/al,l)/olil'
-ir' , i,nt'utru'*'hL . ailbiaiJd* t .

Trr-' ^ , r'
anrrrTarloorrrrlrl* *rbrrl;*rA
I *rr/;rrl^*rrrArt" t -'d
'r, rlr;tu o.
'
/ -9"/,rrl^r-

,lr7<^rtal ot er- I n6t1' - al, *lrati*.

: R^aylltdan*
t<talrtttdg7,A f, - 4 rrtylt*'
O, lx -) 1l *l*,,d-ho.l'fu ,teum{.,tt
OXgl2,' -) Arn etlorl,, ,ln,*|., 6T
)lu4a1t'ma" 1,f, - lornjlt'
O(w2a1u'r*a"
Qwltarua.* 5o -^ JNna
tmljle:
(} alrdid, i/ueinq i
,1 sspi ,' Ea*lo.{nponr, Sn}n lri* , Tl,wndr'*n
x #r9 i Llmtywru;na
o v. ralwaj d, ltlu
- x o"^! ua.trya+e /,"ilpal & mdh
x aWbautasalu aa
*lrlo,rrt *,
. M"LAUur.t alqj -5 lrya"r*,*hL
{

}( }lry.l'rr-Ln a
- -+ */ ' akhlra'au: //u euu & t*natg"u ) !

ila$a*vaur-.

-4-
{rit*riiie de diagre*s€ie pentn* 29$.&s T'rxlb*varea Bett
*. ffitare-dirl $f,45torij iteini: N
cBt se pare norrnalS;
{'l}dezvsltare prenatald ;i perinetal5 dup6
(2) dezvoltare psih*rnatorie dupd c&t se pare norrnal* in ilri**t'6th;up*
N rlrn)
naStere; f\i
{3i circumferi}1ia capu}ui normald
la naltere'
p. pu*utoJ orirEruiu dio urrritor;ljle,"r:i dgpa s'Beriqed o4 t'4t lu'u
:
irr.trh'n^ir',,r wrl-rl
i1i ircstiniiqa cigller,iiqqpiljqlintrr:

ilT-pa ritia
etatea de S LA$-dejssj; I

consecut iYE de
w
'&i,*r'
o*1" ditti a,*auralr 1,tarlu r4aku)
'a/ru**ty fiLAnr{Lt

(d*ii adesca fu,^ot* *fff* ,* '

r*tr,*,olruan nw llt'*"uli
coordonate; At1 uvu u lull, ft"r& 'l'il'U'
Flihornst*rie severS.

I
a

RH auu -, infrl*rl
rf@ t ,:^.{rrfii €€q b,*ruolr;, tuay;otta urrlrate
.urlrilri-,-
, 'dilnl tnt twlrwl oa# al dwifi at, d, Diak
. Lvolila ,{aA
, puiata
flt
i** o/)t;.dr'*'ln
oltldi'*'tn /*,,M Pfl**
q Pfl*N
Nrvirhilh q'
*At
, '),.,11^rr*, i ,r-"*,i'e' *'^"1*A
^*r,7*l"ir,r^1 ^
olu-a
@
3 ffi'"
ffiW"Pffl*J-;**i.lui l.^* "1*l; ' W;-l'*'
Y -ffu;*f, ! 4,'4 o' -,&
o't'utu
b nnil')

t Rf4
t lilI^-^r:
"A^iir*,,
& i?*ilut
d, h'';'bai * &Pctw
iirt^il, Lil*0
t

P,rc.rn-
dalorr"','l ' I
ru**t u,"1fu*&u,$rirn,ruhir*r,h
I
', 'iffi*ffi-;-*h*t**r ta in hfiilAta "rrt'b!
, *ry "'"YJ'*'^lJa

_{*
7 I

eriterlile de dlagncstlc Pentru d^nfi" hrl-r-k- . o,llalh

k*s'$e?*llhatrmraasezlnteErativ#*eetpiE&r,5*t = 7u4a2d Ax,*l6uh* :
dusl nastere Iril ,ralu 2 e"J
A. ile,.'1{rlr:rIri lylctc') ii'r: ii i s(}.iaie,
tl '- i't i:itil: '-E
I
i;i-ffiffimIntiurptut'vcorespunzEtoareeiarii' t"u-l iliui, o affuat"tL "'1"$l*l'
Nulu,
tara.ktin',
DD
>-215 < lo du;
(1) Iimbaj rccepttv si exPresiv;
lffitrt\
comportan'rent adapt;tiv;
iii ,p*i"ioi"l sociaie sau anal
i:i ionttorul sf incterului ;i vezical;
{jl} jsc;
t5) aptii.udlni rfiotarii'
i: >ral3 tIt k la att*'J h*rt|
{1} deteriorare talitativ5 in.i@o.-
.:ffi:-#,i#ifnl:J;,i*- .**--Tffi*;=-* a ::;*f3,'1rf iX
promsva reIalii cu
e sii:;l?:l
;;;iI, *;;*ipiocitaii etri r:{ io
i n a1

!'il' :ffi;ili+:il,*::::::.11[
i

ur i?llli,l'.ti: :Tlg fi
}jH il}.::#ffi H ; :?ffi i,r9--1:;
;;;'if :, ::,:versa! i "1,y.'::ffi*ii
e"*z repetii iv 1i

ffi#i;;Ji, * nii.l ipi- I oc u t u

-Yl'lT):
tJ,t

No oh Lilr' Prn+a$vo t &P

*n*efunit

I &t4 a.,ru
t Nb4li tana'uah, ff6
. '*olntto bdu,l&^ (lr**d';Ad'" 'ndousr"w )

.&

in pu"at ilk! iida a -q drrri , )nAillb fi,"n

yuufun , alwu pa -tak + wil*al lrnr:bl !. (1*r""Fr*a"*
^b,rr*l
din o L4oaiaya s r*nd'
tO* a1*hd;^'l^ o"*
4^uta
,'a
w*$xj*
o
tl
r iit.!' "ltl,
et "rrJ*l !
*

to dr*nt Aol ''

rutru'cllc oh ol'k'/elhu
.
,A,hlr.tr, -fuf"fatiw' fNlaflw
illuf i,u qt"bad"o d* aail at $.flto'LiJ
d ry',rsr"k v*t
af*. /r
urrly.n^rh ,l {t dr*a-le q& I,JNL, C, trec .. ) ,
e,ff

t$6 ,a thr"*sfinad d, ola'a,t

o{,
eN 6 yi-fia,

ffth' luilu,'a't*a

-6 ^
€e"Bt*e"E6f;e de diagm**tEe perctru *ss"&* T'axlhalrar*a Asperg*r =NWMir i >.Ll.u
A,
/,/

{i}detei'i*rar*mar{at*inuzular:":*ltipl*@CU*1 5i g*turile 'le

ar fi privitul ii1 fali, expresia fa*iali, pffic,rp,:iale
reElare a interacliunii sociale;
{z} incapacitatea cle
-'tl.i,'ll Elgil-g.sggilt coresFunz*t$are nirreiului de
dezvoiiare; sau realizdrile
{3} iipsa {*utarii lpontane de a irf:pqr:tat satitiaclia' inteles*l€ specifica altor
a adure' de a
cu alli oarrer:i {de sx', tipsa-1iE?-rata' cie
*arneili iibiectele de interes);
t*i ijLe,dir.eeip$]qi '

S. ga.$elttg
mat multe Ba:leryrulr !t']rl q!'iE t! i'"
sau niaimulte
{1#f*e-pare {i(urnscrisi la unul Gt"r fi* ca inter-isitate sau {entiarc;
Hffitffi,bffiir'
r-ee!ipg-de-j-[kEs, li't** out* anormaG' -
{2} acieienl6 inflexihili
e;iduot* de rutlne .la* -rii
g* mnrr,rii rprrefitivei si st*re*tit,-g (ce flt'lturat'-ll ;sau
ex'' litrr't'rrdrur
{d* ex', rESu-
1:1r@ sau mrslalr ."Io]::i:l* ?ntreguiui corp);
ritr_rl rnainilnr cau degeteior
(4i
eicn:eniul social, dtd*ut- ^rr,r^*l illry,zi e
rea ia uze i*z;i rlsier' tirXrl* stl l'':r; jf i'?j ;':q- C''t: - i
t t t

e. P * rtu rba
tt"J'i
8* *l
;;;;;ri*;t "; in alte *ffi6iilmport*nte de runctionare' oli*o i^
n
/ i^)ilY4^t '

.#-W,treffiu*W'
/,f "*iff -,ff|*x;"x**,,,-r**tr*i
+r,:f**
l^ &Y
:rt ri'. :aiii{ ai'Jti' cr li-erl i o *lti i;tt u *,. b**luvailvi
ae,wPftu

lllll 1z.rwq t ,
Nuala g-2 As'$
lqro * udyauhl Y4*ato utel'$lta,il
^'t^.)nt, ,^";nli ^rrdu-i'' t''futarSh
ta (ut- i ry *,4t &uj"t ob un
d,
I m,f,S
Qt
/,^rr*a frncof,ilt'' lud' / a"t'rwl' "'t*'h
4.{

)r*),4"1 ullwer Nr-k I ,

A-t ! lnwouhti'' **fr

oeqliilal P* ry (d*'w w'

wrl,rdhtnlaha {*4f* *tr
jualwlr* l- , *.d*;A
l frDtt b
i hil)**, J"fuuw
a
at&a **

r-
7 .l
u*bl* :
. tnlrti u*ut'a
dret Nt of l,rlt^odo;' a*fr&

l*"*o*

of de^&au
W
(tuufi,nwl ,xtrri*
, Aillwailq d, LPf'ury'b
o lutlilMta rnrrh d, l,hk' @ 4uf,A*tr*
7
a WC
t TP oul*;*#a:
Aill^rrau autoant
, juo Nddli ,r,n*alt
. o^4-* q ,ruloru, n*r*rofi %.*,26b^ t]&r,,
/^J*r*!
R**tuN"CW brlweni mehl^
-t* * ff&' r Wfme
, k'"fttel*na qot - oto I ufr I grl *
, lnnlar^t N fir,,llurt *jrrh"
^;"

299'88 Tulburare de Bsxvoltare Psrwasiw$

&ti*Ec}
F6rE &rue Sp"*Efi*;tie {n*elulslNs FLaxt$smnaxtr
o d.eteriorale pervasivi 9i sev*rE
a*eaqt} catesorie tFbuie ujlli/'-+t3 cTd exisii
* aptitudinilcr de conrunicare
3n dervoltareo ir',t*ru4ffiffi6EIp*ce
$a$
;;;-;dit,*u-uerbalaffi -'d-"*i-;::''::H1'tt-J,*':-:;5;XI
stereofipe, dar au sunt sati^sf6cute crltenlle
tulbuiarea rie persollalital* sciriarrtipaii
perv*siYE speeifici, P*;; sti'i*o{te*e'
*vitanth. De ex, ice$.ft* catgq*rie includF
<;ri penku turburarea i;';;-r*1i;re
,,euiisraul atipic"
* tabiauri clinice care $tt uatlf* ttituriile peltrr: tulbr:rarea
alipice, simptomatalogiei
autistx din cauza elei:ritului iardiu simptomaiclagiei
srrblirrrinale ori a luturor acestora' _ O