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The 14 & 6-associated clinical complex: a rejected hypothesis revisited
Journal of Child Neurology
|April 1, 1987
Summary
The 14 & 6 Hz positive spike phenomenon on electroencephalograms (EEGs) is linked to behavioral disorders and aggression in children. This finding suggests clinical associations warranting further investigation.
Area of Science:
- Neurophysiology
- Child Neurology
- Behavioral Science
Background:
- The 14 & 6 Hz positive spike phenomenon on electroencephalograms (EEGs) is often classified as a normal variant.
- Previous understanding suggested limited clinical significance for this EEG pattern.
Purpose of the Study:
- To re-evaluate the clinical significance of the 14 & 6 Hz positive spike phenomenon.
- To investigate potential correlations between this EEG finding and behavioral or neurological issues in children.
Main Methods:
- Comparative analysis of EEG findings in children with and without the 14 & 6 Hz pattern.
- Correlation of EEG results with clinical data, including behavioral assessments and neurological evaluations.
- Detailed symptom tabulation in children with prominent 14 & 6 Hz spikes.
Main Results:
- In children referred for sleep EEGs, the 14 & 6 Hz pattern correlated with behavior disorder and aggression.
- Among children with behavioral problems, 52% exhibited the 14 & 6 Hz pattern (excluding those with other paroxysmal EEG findings).
- Symptomatic children with prominent 14 & 6 Hz spikes presented a complex clinical picture involving temper, mood, attention, learning, and sleep disturbances.
Conclusions:
- The 14 & 6 Hz positive spike phenomenon is associated with specific clinical symptoms and behavioral disorders in children.
- This EEG finding warrants further study due to its demonstrated clinical associations.
- Re-evaluation suggests the 14 & 6 Hz pattern may not be merely a normal variant but could indicate underlying issues.
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