Confounding diagnoses in the neurodevelopmental disabilities population: a child with hearing loss, absence epilepsy,
Eboni I Lance1, Bruce K Shapiro
1Department of Neurology and Developmental Medicine, Kennedy Krieger Institute, Baltimore, MD 21205, USA. lance@kennedykrieger.org
Insights
A child with hearing loss and staring spells was diagnosed with absence epilepsy and attention-deficit hyperactivity disorder (ADHD). Comprehensive evaluation is key for managing neurodevelopmental conditions.
Area of Science:
- Pediatric Neurology
- Neurodevelopmental Disorders
Background:
- Children with neurodevelopmental disabilities often present with complex symptoms.
- Accurate diagnosis is crucial for effective treatment and improved outcomes.
Observation:
- A school-age child with hearing loss experienced staring spells.
- Electroencephalography confirmed absence epilepsy, initially treated with antiepileptic drugs.
Findings:
- Antiepileptic medication reduced seizure frequency but behavioral issues persisted.
- The child was subsequently diagnosed with combined-type attention-deficit hyperactivity disorder (ADHD).
- Stimulant medication led to improved attention and academic performance.
Implications:
- This case highlights the challenge of co-occurring diagnoses in pediatric neurodevelopmental disorders.
- A thorough, multidisciplinary evaluation is essential for accurate diagnosis and management.
- Integrated treatment approaches can significantly enhance a child's quality of life and school success.
Abstract:
We report the case of a school-age child with a history of hearing loss presenting with staring spells. Electroencephalography (EEG) revealed a pattern consistent with absence epilepsy, and the patient was started on antiepileptic medication with decreased frequency of staring spells but he then continued to have behavioral issues. The patient was diagnosed subsequently with combined-type attention-deficit hyperactivity disorder (ADHD) and started on stimulant medication with subsequent improvement in attention and school performance. Multiple confounding diagnoses are common in children with neurodevelopmental disabilities, and comprehensive evaluation is required for appropriate management.
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