2008, Number 6
Psychiatric comorbidity in children with epilepsy
Reséndiz AJC, Quintero RJC, Rodríguez RE, Cruz ME
Language: Spanish
References: 10
Page: 471-474
PDF size: 46.49 Kb.
ABSTRACT
Introduction: Psychiatric disorders are commonly seen in 20 to 50% of patients with epilepsy, mood disorders seem to be the most frequent. Material and methods: We prospectively analyzed the clinical records of patients with epilepsy seen within a period of two months in the neurology service, who also had a psychiatric evaluation and diagnosis according to DSM-IV criteria. Patients with any impairment in language, motor and/or social skills were grouped as Global Developmental Retardation. Epilepsies were classified according to the ILAE 1981 Classification of Epileptic Seizures; Lennox-Gastaut Syndrome was considered apart because of the number of cases seen in our study. Results: Two hundred patients were evaluated, mean age 10.2 years, the number of boys was slightly higher; 92.5% of cases had a comorbidity. Partial complex epilepsy –69 cases– had the highest rate (34.5%), comorbidities more often seen were intellectual impairment (23%), Attention Deficit with Hyperactivity Disorder –ADHD– (15%), mood disorders (14%) and anxiety (13.5%). Conclusions: Pediatric epilepsy has a high rate of psychiatric comorbidities; mood disorders, anxiety states, ADHD and intellectual impairment are issues of concern in our patients.REFERENCES