When Is EEG Indicated in Attention-Deficit/Hyperactivity Disorder?. (November 2015)

• Record Type: Journal Article
• Authors: Zaimoğlu, Sennur; Türkdoğan, Dilşad; Mazlum, Betül; Bekiroğlu, Nural; Tetik-Kabil, Aylin; Eyilikeder, Seda
• Is Part Of: Journal of child neurology. Volume 30:Number 13(2015:Nov.)
• Page Start: 1785
• Page End: 1793
• Publication Date: 2015-11
• Subjects: attention-deficit/hyperactivity disorder -- epileptiform abnormalities -- speech-sound disorder -- digit span -- rolandic spikes; Nervous system -- Diseases -- Periodicals; 618.928
• DOI: 10.1177/0883073815580545
• Languages: English
• ISSNs: 0883-0738

Abstract

The authors investigated the parameters for predicting epileptiform abnormalities in a group of children diagnosed with attention-deficit/hyperactivity disorder (ADHD). The sample consisted of 148 subjects aged between 6 and 13 (8.76 ± 1.26; 25.7% female) years. Subtypes of ADHD and comorbid psychiatric disorders were defined according to DSM-IV criteria. The Wechsler Intelligence Scale for Children–Revised was applied to all patients. Most of the subjects (89.2%) had wakefulness and sleep electroencephalography examinations lasting about one hour. The authors found out that the coexistence of speech sound disorder (odds ratio [OR] 3.90, 95% confidence interval [CI]: 1.61-9.48) and higher Digit Span test performance (OR 1.24, 95% CI: 1.06-1.44) predicted the presence of accompanying epileptiform abnormalities. The prevalence of epileptiform abnormalities was 26.4%, and they were frequently localized in the frontal (41%) and centrotemporal (28.2%) regions. Higher percentage of speech sound disorder co-occurrence (64%) in subjects with rolandic spikes suggests that epileptiform abnormalities associated with ADHD can be determined genetically at least in some cases. Pathophysiology of epileptiform abnormalities in ADHD might have complex genetic and maturational background.