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Journal of the Korean Child Neurology Society 2012;20(3):129-136.
Published online September 30, 2012.
The Comorbidity of Attention Deficit Hyperactivity Disorder in Children with Epilepsy.
Gi Youn Sim, Jung Woo Son, Won Seop Kim
1Department of pediatrics, The Cheonju St. Mary's Hospital, Cheongju, Korea.
2Department of Neuropsychiatrics, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea.
3Department of Pediatrics, College of Medicine and Medical Research Institute, Chungbuk National University, Cheongju, Korea. wskim@chungbuk.ac.kr
Attention Deficit Hyperactivity Disorder (ADHD) is known to be more common in children with epilepsy than in the general population. Thirty one to forty percent of ADHD is accompanied with epilepsy. Few studies regarding this matter have been reported in Korea. This study was aimed to evaluate the comorbidity of ADHD in children with epilepsy. METHODS: This is a two center based, retrospective and controlled study. Thirty four ADHD children with epilepsy from Chungbuk National University hospital and 38 ADHD children without epilepsy from Cheonju St. Mary's hospital were recruited from January 2005 to June 2010. RESULTS: In ADHD children with epilepsy, twelve (35.2%) had partial seizures, 11 (32.2%) did generalized seizures and 11 (32.2%) were unclassified. EEG abnormalities were found in the frontal lobe (15 cases), in the central lobe (7 cases), in the temporal lobe (6 cases), and in the occipital lobe (3 cases). In ADHD children with epilepsy, the combined type was major (76.4%) and in ADHD children without epilepsy, the inattentive type was major (50.5%) (P=0.004). Learning disability was mor common in ADHD with epilepsy than in ADHD without epilepsy (P=0.01). CONCLUSION: This study showed that ADHD children with epilepsy are more likely to have combined type (76.4%) and learning disability as compared with ADHD without epilepsy.
Key Words: Attention Deficit Hyperactivity Disorder, Epilepsy


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