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Event Related Potentials ERPs and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder ADHD
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Cognitive function in childhood epilepsy: importance of attention deficit hyperactivity disorder

Sung-Han Kang1, Mi-Sun Yum1, Eun-Hee Kim1

  • 1Department of Pediatrics, Asan Medical Center Children's Hospital, University of Ulsan College of Medicine, Seoul, Korea.

Journal of Clinical Neurology (Seoul, Korea)
|January 29, 2015
PubMed

Insights

Cognitive function in children with newly diagnosed epilepsy is impacted by seizure type and attention deficit hyperactivity disorder (ADHD). Early identification of these impairments is crucial for timely intervention.

Area of Science:

  • Pediatric Neurology
  • Neuropsychology
  • Epileptology

Background:

  • Newly diagnosed epilepsy in children presents complex challenges.
  • Genetic or unknown etiologies require careful consideration of associated comorbidities.
  • Understanding cognitive impacts is vital for comprehensive care.

Purpose of the Study:

  • To investigate the relationship between cognitive function and epilepsy classification.
  • To examine the influence of comorbid attention deficit hyperactivity disorder (ADHD) on cognition.
  • To assess these factors in children with newly diagnosed epilepsy of genetic or unknown etiology.

Main Methods:

  • Retrospective review of medical records for children aged 6-16 years.
  • Utilized the Korean Education Development Institute-Wechsler Intelligence Scale for Children for intelligence assessment.
  • Employed the Comprehensive Attention Test to evaluate attention and executive functions.

Main Results:

  • Among 149 children, 49.2% had ADHD, showing poorer auditory selective attention, flanker test performance, and spatial working memory.
  • Generalized seizures were associated with worse auditory selective and sustained attention compared to focal seizures.
  • ADHD significantly affected sustained attention, flanker test results, and spatial working memory in generalized epilepsy patients.

Conclusions:

  • Cognitive functions, including attention and working memory, are demonstrably affected by epilepsy seizure type and ADHD.
  • Neuropsychiatric impairments associated with epilepsy and ADHD require thorough characterization.
  • Early identification and intervention for these cognitive deficits can improve outcomes in pediatric epilepsy management.
Abstract

Keywords:
attentionattention deficit hyperactivity disordercognitionepilepsyworking memory

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