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.

Pediatric Neurology
|February 12, 2011
PubMed

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.

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