ADHD and Childhood Epilepsy: An Egyptian Comparative Study | ||
| Minia Journal of Medical Research | ||
| Volume 31, Issue 4, October 2020, Pages 92-101 PDF (363.37 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2022.217124 | ||
| Authors | ||
| Maha A. Hassan1; Rasha N. Saleh2; Enas M. Hasan2; Nermin Aly Hamdy2; Salwa Mohamed Rabie1 | ||
| 1Department of Psychiatry, Minia University, Egypt | ||
| 2Department of Neurology, Minia University, Egypt | ||
| Abstract | ||
| Background: Attention Deficit Hyperactivity Disorder (ADHD) and epilepsy are both common childhood disorders and both can have significant negative consequences on a child's behavioral, learning, and social development. Objectives: To estimate the prevalence of ADHD in children with epilepsy, prevalence of electroencephalographic (EEG) abnormalities in ADHD children, and to study the relation between ADHD and epilepsy. Subjects and Methods: This study included 71 patients; 40 patients diagnosed clinically as ADHD according to DSM-V. and 31 patients with epilepsy during the period of 6 months from 1 Jan. 2019 to 30 June 2019. The age of both groups of patients ranged between 4-16 years old. All patients were subjected to detailed history taking, thorough general and neurological examination, EEG study and assessment of ADHD symptoms using Conners' Parent Rating Scales–Revised: Long (CPRS–R:L). Children with apparent intellectual disabilities were excluded. Results: Eighteen patients (58.1%) of the epilepsy group were diagnosed as having ADHD according to CPRS–R:L, while EEG showed epileptiform changes in 13 patients (32.5%) of the ADHD group. There were highly significant difference between ADHD and Epilepsy group regarding (CPRS–R:L) subscales as inattention, impulsivity, hyperactivity cognitions and Emotional lability. However, There were no correlations between the age of patients in ADHD group and subscales of CPRS–R:L except in cognition and inattention subscales (p = 0.023 & 0.048 respectively). There were significant correlation between emotional-lability and inattention subscales of CPRS-R:L in ADHD group and gender of the patients. Emotional lability and inattention were significantly more among males in ADHD group. There were no significant difference in EEG changes or their laterality and degree of CPRS–R:L either total scores or its subscales for both groups. Conclusions: ADHD was diagnosed in epileptic children and EEG changes were prevalent in ADHD children, highly significant difference between ADHD and epilepsy group regarding CPRS–R:L subscales as inattention, impulsivity, hyperactivity, cognition and lability. | ||
| Keywords | ||
| ADHD; epilepsy; EEG; Egyptian | ||
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