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Selective mutism and abnormal electroencephalography (EEG) tracings.

Keren Politi¹, Sara Kivity, Hadassa Goldberg-Stern

¹Department of Pediatric and Adolescent Neurology, Schneider Children's Medical Center of Israel, Petah Tiqwa, Israel.

Journal of Child Neurology

|May 21, 2011

Summary

This study found that some children with selective mutism also have epilepsy and abnormal EEG findings. While seizures were manageable, the selective mutism often persisted, suggesting a potential link or co-morbidity.

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Area of Science:

Child Neurology
Child Psychiatry
Neurophysiology

Background:

Selective mutism is a childhood anxiety disorder characterized by a consistent failure to speak in specific social situations.
Electroencephalography (EEG) is typically not indicated for the evaluation of selective mutism.
Epileptic discharges are not usually considered part of the selective mutism clinical presentation.

Purpose of the Study:

To investigate the association between selective mutism and electroencephalographic (EEG) abnormalities.
To explore the potential co-morbidity or underlying organic brain disorder in children with selective mutism and epilepsy.

Main Methods:

Case report describing 6 children with selective mutism.
Review of medical history including epilepsy.

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Analysis of interictal or subclinical electroencephalography (EEG) recordings.

Main Results:

Six children with selective mutism presented with a history of epilepsy and abnormal EEG findings.
Two children had benign epilepsy of childhood with centro-temporal spikes.
Seizures were controlled with medication in all cases, but selective mutism resolved in only one child.

Conclusions:

Selective mutism may be associated with EEG abnormalities, suggesting a potential co-morbidity or role in pathogenesis.
Selective mutism could be a symptom of a more complex organic brain disorder.
These findings suggest that selective mutism should be considered among psychiatric disorders associated with EEG abnormalities.