Clinical and neuropsychological assessment of attention and ADHD comorbidity in a sample of children and adolescents with idiopathic epilepsy

Arq Neuropsiquiatr. 2015 Feb;73(2):96-103. doi: 10.1590/0004-282X20140219.

Abstract

Children with epilepsy present significant problems concerning attention and comorbidity with attention deficit hyperactivity disorder (ADHD).

Objective: To determine the prevalence of attention complaints, ADHD diagnosis and attention profile in a sample of children and adolescents with idiopathic epilepsy.

Method: 36 children and adolescents with idiopathic epilepsy and 37 genre and age matched healthy controls underwent several procedures to diagnose their neuropsychological profile and comorbidity with ADHD.

Results: The prevalence of ADHD was higher in patients with epilepsy [χ2= 4.1, p = 0.043, 6 (16.7%) vs 1 (2.7%)], with worse results in attention related WISC items and factors in patients with epilepsy comparing to the controls, but not between patients with and without ADHD. Clinical characteristics did not influence those results.

Conclusion: This study found a greater prevalence of problems wih attention in pediatric patients with idiopathic epilepsy, but not a distinct profile between those with or without ADHD.

MeSH terms

  • Adolescent
  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Attention Deficit Disorder with Hyperactivity / physiopathology
  • Attention Deficit Disorder with Hyperactivity / psychology*
  • Brazil / epidemiology
  • Case-Control Studies
  • Child
  • Cognition / physiology
  • Cross-Sectional Studies
  • Epilepsy / epidemiology
  • Epilepsy / physiopathology
  • Epilepsy / psychology*
  • Female
  • Humans
  • Intelligence Tests
  • Learning
  • Male
  • Neuropsychological Tests
  • Prevalence
  • Sampling Studies
  • Statistics, Nonparametric