Preparation for Child Psych PRITE and Boards
| Line 1: | Line 1: | ||
[[File:Placeholder|right|300px]] | [[File:Placeholder|right|300px]] | ||
| − | == | + | ==Introduction== |
| − | Introduction== | + | |
| + | ==Etiology== | ||
| + | |||
| + | ==Diagnostic Criteria== | ||
| + | |||
| + | ==Evaluation== | ||
| + | |||
| + | ==Special Topics== | ||
| + | |||
| + | ===ADHD and Epilepsy=== | ||
| + | * Prevalence of epilepsy in children is about 0.05%; these children are more likely to have ADHD than their peers without seizures. This is particularly relevant in children with absence seizures, in whom '''pharmacologic seizure control may not adequately restore attention.''' | ||
| + | |||
| + | *Differentiating the symtpoms is important in children with comorbid epilepsy and ADHD, as well as in children with staring episodes (partial complex or absence seizures); the inattention of ADHD will generally respond to touch and redirection, and children do not experience postictal drowsiness. EEG is sometimes necessary for diagnosis. | ||
| + | |||
| + | *Further, children with ADHD are more likely to have subclinical/epileptiform EEG findings as compared to general population. While they are not considered to have seizures/epilepsy, periods of epileptiform changes are often associated with transient impairment of attention and cognition. | ||
| + | |||
| + | *Children with epilepsy may experience a sudden improvement in learning, attention, social, and behavior domains when their seizures are first treated. This was termed the '''release phenomenon'''. | ||
| + | |||
| + | ==High-Yield Facts== | ||
| + | |||
| + | |||
| + | |||
| + | ==Further Reading== | ||
| + | (1) Schubert R. Attention Deficit Disorder and Epilepsy. Pediatric Neurology 2005;32:1-10. | ||
| + | |||
| + | |||
[[Category:Disorders]] | [[Category:Disorders]] | ||
Revision as of 21:41, 3 January 2011
Contents
Introduction
Etiology
Diagnostic Criteria
Evaluation
Special Topics
ADHD and Epilepsy
- Prevalence of epilepsy in children is about 0.05%; these children are more likely to have ADHD than their peers without seizures. This is particularly relevant in children with absence seizures, in whom pharmacologic seizure control may not adequately restore attention.
- Differentiating the symtpoms is important in children with comorbid epilepsy and ADHD, as well as in children with staring episodes (partial complex or absence seizures); the inattention of ADHD will generally respond to touch and redirection, and children do not experience postictal drowsiness. EEG is sometimes necessary for diagnosis.
- Further, children with ADHD are more likely to have subclinical/epileptiform EEG findings as compared to general population. While they are not considered to have seizures/epilepsy, periods of epileptiform changes are often associated with transient impairment of attention and cognition.
- Children with epilepsy may experience a sudden improvement in learning, attention, social, and behavior domains when their seizures are first treated. This was termed the release phenomenon.
High-Yield Facts
Further Reading
(1) Schubert R. Attention Deficit Disorder and Epilepsy. Pediatric Neurology 2005;32:1-10.