Attention-deficit hyperactivity disorder in children with benign epilepsy and their siblings
Odeya Bennett-Back1, Amit Keren, Nathanel Zelnik
1Child Neurology and Development Center, Department of Pediatrics, Carmel Medical Center and Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Insights
Children with benign epilepsy have a significantly higher prevalence of attention-deficit hyperactivity disorder (ADHD) compared to their siblings. This suggests a potential link between epilepsy and ADHD, warranting further investigation.
Area of Science:
- Pediatric Neurology
- Neurodevelopmental Disorders
- Epilepsy Research
Background:
- Attention-deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder.
- Benign epilepsy is a common form of childhood epilepsy.
- The co-occurrence of ADHD and epilepsy is increasingly recognized.
Purpose of the Study:
- To investigate the prevalence and characteristics of ADHD in children with benign epilepsy.
- To compare ADHD prevalence in children with benign epilepsy to their unaffected siblings.
- To explore potential correlations between epilepsy severity and ADHD symptoms.
Main Methods:
- Prospective study design.
- Inclusion of 40 children diagnosed with benign epilepsy and a control group of 12 siblings.
- Diagnostic assessment for ADHD using established criteria.
- Electroencephalogram (EEG) analysis for epileptiform features.
Main Results:
- A high prevalence of ADHD (70%) was observed in children with benign epilepsy, compared to 16.7% in siblings (P<0.03).
- The inattentive subtype of ADHD was most common (19/28 cases).
- Increased seizure resistance and more epileptiform EEG features correlated with higher ADHD symptom burden.
Conclusions:
- Children with benign epilepsy exhibit a significantly higher risk of developing ADHD.
- Epilepsy characteristics, including seizure resistance and EEG findings, may influence ADHD development.
- Further large-scale research is needed to confirm these associations and elucidate underlying mechanisms.
Abstract:
This prospective study explores the prevalence and characteristics of attention-deficit hyperactivity disorder in children with benign epilepsy, compared with its prevalence in their siblings. Among 40 patients with benign epilepsy, 28 (70%) were diagnosed with attention-deficit hyperactivity disorder: 19 with the inattentive type, one with the hyperactive type, and eight with the combined type. In the control group of 12 siblings, only two (16.7%) were diagnosed with attention-deficit hyperactivity disorder (P<0.03). A trend toward an increased risk for attentional difficulties was evident in children whose seizures were more resistant and required more than one antiepileptic drug for seizure control. Children with more epileptiform features in their electroencephalograms were also more subject to signs of attention deficit hyperactivity disorder. Larger scale studies are required to validate our findings.
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