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Risk of Second Seizure in Pediatric Patients With Idiopathic Autism
Asad A Qadir1, Emily Obringer1, Joseph Hageman1
11 Department of Pediatrics, University of Chicago Medical Center, Chicago, IL, USA.
Insights
Children with autism spectrum disorder (ASD) and epilepsy face a high risk of seizure recurrence. Most children experienced a second seizure within one year of their first, highlighting the need for timely intervention.
Area of Science:
- Neurology
- Developmental Neuroscience
- Pediatric Epilepsy
Background:
- Epilepsy is a frequent comorbidity in children with idiopathic autism spectrum disorder (ASD).
- Understanding seizure recurrence patterns is crucial for managing epilepsy in this population.
Purpose of the Study:
- To determine the risk and timing of a second seizure in children diagnosed with idiopathic autism spectrum disorder (ASD).
- To provide data that can inform therapeutic strategies for ASD patients experiencing seizures.
Main Methods:
- A retrospective chart review was conducted.
- Included patients were diagnosed with idiopathic ASD, had at least one seizure, and were between 2 and 23 years of age.
Main Results:
- 153 patients were analyzed, with 141 (92%) experiencing a second seizure.
- The average age at first seizure was 7.14 years and at second seizure was 8.12 years.
- The average interval between the first and second seizure was 7.68 months.
Conclusions:
- Children with ASD have a significantly high risk of seizure recurrence.
- The majority of seizure recurrences in this cohort occurred within one year.
- These findings underscore the importance of prompt and effective epilepsy management in children with ASD.
Purpose:
Epilepsy is a comorbidity of idiopathic autism spectrum disorder. The aim was to characterize the risk and time of second seizure in children with idiopathic autism spectrum disorder.
Methods:
A retrospective review was performed at the University of Chicago and NorthShore University HealthSystem. Patients with idiopathic autism spectrum disorder, ≥1 seizure, and age 2 to 23 years were included.
Results:
153 patients were included; 141 (92%) had a second seizure. The average age at first seizure was 7.14 years (median: 5.08 years) and 8.12 years (median: 7.3 years) at second seizure. Average time between first and second seizure was 7.68 months.
Discussion:
A high risk of seizure recurrence was found in this population. There was a short time to second seizure, with most having a recurrence within 1 year. These findings may be used to guide therapy in children with autism spectrum disorder and epilepsy.
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