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[Epilepsy and autism spectrum disorders in children]

E D Belousova1, N N Zavadenko1

  • 1N. I. Pirogov Russian National Research Medical University, Ministry of Health of Russia, Moscow.

Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|August 25, 2018
PubMed

Insights

Epilepsy and autism spectrum disorders (ASD) frequently co-occur in children. This review examines their association, genetic links, and treatment considerations for ASD patients.

Area of Science:

  • Neuroscience
  • Pediatrics
  • Genetics

Background:

  • Epilepsy and autism spectrum disorders (ASD) are frequently comorbid in children.
  • Understanding the relationship between these conditions is crucial for effective management.

Purpose of the Study:

  • To review the incidence and types of epilepsy and ASD co-occurrence.
  • To explore the genetic underpinnings of this comorbidity.
  • To discuss practical management strategies, including antiepileptic drug use in children with ASD.

Main Methods:

  • Review of incidence data for ASD in epilepsy and vice versa.
  • Analysis of epileptiform discharges on EEG in ASD.
  • Examination of different models for epilepsy and ASD co-occurrence.

Main Results:

  • Multiple patterns of epilepsy and ASD co-occurrence exist, ranging from independent conditions to shared genetic causes or causal relationships.
  • Specific genetic factors contribute to the comorbidity of epilepsy and ASD.
  • The epileptic process itself may influence brain networks critical for social and communication development in ASD.

Conclusions:

  • The comorbidity of epilepsy and ASD is complex, with various potential underlying mechanisms.
  • Genetic factors play a significant role in the co-occurrence of these conditions.
  • Rational use of antiepileptic drugs is essential for children with ASD and epilepsy.

Keywords:
antiepileptic drugsautism spectrum disorderschildrencomorbidityepilepsygenetic diagnostics

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