Epilepsy in children with attention deficit disorder: Cognitive, behavioral, and neuroanatomic indices

Robert O. Kinney; Bennett A. Shaywitz; Sally E. Shaywitz; Mohammad Sarwar; John M. Holahan

doi:10.1016/0887-8994(90)90075-C

Epilepsy in children with attention deficit disorder: Cognitive, behavioral, and neuroanatomic indices

Robert O. Kinney, Bennett A. Shaywitz, Sally E. Shaywitz, Mohammad Sarwar, John M. Holahan

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Our study examined the hypothesis that if epilepsy adversely influences the cognitive and behavioral performance of children, then children with both attention deficit-hyperactivity disorder and epilepsy (ADHD-Sz) should exhibit more severe cognitive and behavioral difficulties and be more likely to demonstrate abnormalities on cranial computed tomography than ADHD children without epilepsy. We compared ADHD-Sz and ADHD patients using a variety of psychologic, behavioral, and educational measures, as well as cranial computed tomography. ADHD-Sz children scored significantly below the ADHD group on the Wechsler Intelligence Scale for Children-Revised (performance and full scale scores). In both ADHD-Sz and ADHD groups, the prevalence of learning disabilities (LD) and a variety of behavioral features were similar. Neither seizure disorder nor ADHD was associated with an increased incidence of structural abnormalities or asymmetries of the brain. These findings support the belief that epilepsy adversely affects IQ but does not appear to affect the prevalence of LD or behavioral abnormalities in ADHD children. They further support the accumulating body of data demonstrating normal brain anatomy in ADHD by computed tomography.

Original language	English (US)
Pages (from-to)	31-37
Number of pages	7
Journal	Pediatric Neurology
Volume	6
Issue number	1
DOIs	https://doi.org/10.1016/0887-8994(90)90075-C
State	Published - 1990

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Neurology
Developmental Neuroscience
Clinical Neurology

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10.1016/0887-8994(90)90075-C

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title = "Epilepsy in children with attention deficit disorder: Cognitive, behavioral, and neuroanatomic indices",

abstract = "Our study examined the hypothesis that if epilepsy adversely influences the cognitive and behavioral performance of children, then children with both attention deficit-hyperactivity disorder and epilepsy (ADHD-Sz) should exhibit more severe cognitive and behavioral difficulties and be more likely to demonstrate abnormalities on cranial computed tomography than ADHD children without epilepsy. We compared ADHD-Sz and ADHD patients using a variety of psychologic, behavioral, and educational measures, as well as cranial computed tomography. ADHD-Sz children scored significantly below the ADHD group on the Wechsler Intelligence Scale for Children-Revised (performance and full scale scores). In both ADHD-Sz and ADHD groups, the prevalence of learning disabilities (LD) and a variety of behavioral features were similar. Neither seizure disorder nor ADHD was associated with an increased incidence of structural abnormalities or asymmetries of the brain. These findings support the belief that epilepsy adversely affects IQ but does not appear to affect the prevalence of LD or behavioral abnormalities in ADHD children. They further support the accumulating body of data demonstrating normal brain anatomy in ADHD by computed tomography.",

author = "Kinney, {Robert O.} and Shaywitz, {Bennett A.} and Shaywitz, {Sally E.} and Mohammad Sarwar and Holahan, {John M.}",

note = "Funding Information: We thank Drs. Gabor Huszar and Neil MacCluskey who provided the computerized graphics system used in the quantitative analysis of CT scans. Carmel Lepore provided expert editorial assistance. This study was supported in part by grants from the NIH CCRC RR00125 and USDOE G008535118.",

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doi = "10.1016/0887-8994(90)90075-C",

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AU - Sarwar, Mohammad

AU - Holahan, John M.

N1 - Funding Information: We thank Drs. Gabor Huszar and Neil MacCluskey who provided the computerized graphics system used in the quantitative analysis of CT scans. Carmel Lepore provided expert editorial assistance. This study was supported in part by grants from the NIH CCRC RR00125 and USDOE G008535118.

PY - 1990

Y1 - 1990

N2 - Our study examined the hypothesis that if epilepsy adversely influences the cognitive and behavioral performance of children, then children with both attention deficit-hyperactivity disorder and epilepsy (ADHD-Sz) should exhibit more severe cognitive and behavioral difficulties and be more likely to demonstrate abnormalities on cranial computed tomography than ADHD children without epilepsy. We compared ADHD-Sz and ADHD patients using a variety of psychologic, behavioral, and educational measures, as well as cranial computed tomography. ADHD-Sz children scored significantly below the ADHD group on the Wechsler Intelligence Scale for Children-Revised (performance and full scale scores). In both ADHD-Sz and ADHD groups, the prevalence of learning disabilities (LD) and a variety of behavioral features were similar. Neither seizure disorder nor ADHD was associated with an increased incidence of structural abnormalities or asymmetries of the brain. These findings support the belief that epilepsy adversely affects IQ but does not appear to affect the prevalence of LD or behavioral abnormalities in ADHD children. They further support the accumulating body of data demonstrating normal brain anatomy in ADHD by computed tomography.

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Epilepsy in children with attention deficit disorder: Cognitive, behavioral, and neuroanatomic indices

Abstract

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