Current Status of ADHD Treatment in Children with Epilepsy: A Retrospective, Multicenter, Cross Sectional Analysis in Korea / 대한소아신경학회지
Journal of the Korean Child Neurology Society
; (4): 93-101, 2011.
Article
en Ko
| WPRIM
| ID: wpr-198415
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: The purpose of this study was to assess the current therapeutic status of attention deficit-hyperactivity disorder (ADHD) in children with epilepsy. METHODS: A cross-sectional survey of 178 patients aged 4-20 years from ten pediatric neurology clinics in eight cities in South Korea from January 2005 to July 2010 was used to assess clinical characteristics of ADHD patients with epilepsy and risk factors associated with ADHD. RESULTS: A total of 178 pediatric epileptic patients were recruited for this study. One hundred seventy-four subjects' (M:F=4:1, mean age: 12.2+/-3.3 yrs old) records were evaluated excluding four patients due to incomplete data. One hundred twenty-five of 174 patients (71.8%) had partial epilepsy and 45 had generalized epilepsy. Eighty of 112 patients showed ADHD combined type from the DSM IV. The mean prevalence rate of ADHD treatment among the epileptic patients was 1.9%. Over 45% of patients showed complete or persistent symptoms without difficulties in school life with CNS stimulants. Adverse reactions were reported in 19.8% of patients who received ADHD medication, and 18 patients discontinued ADHD medication due to severe adverse effects such as aggravated seizures (5.6%) or ADHD symptoms (3.7%). About 60% of children with ADHD and epilepsy had psychiatric comorbid disorders. CONCLUSION: The results indicate that ADHD treatment in epilepsy patients is safe and effective. However, these data also show that ADHD in pediatric epilepsy patients in Korea is under-diagnosed and under-treated.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Trastorno por Déficit de Atención con Hiperactividad
/
Convulsiones
/
Prevalencia
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Estudios Transversales
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Estudios Retrospectivos
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Factores de Riesgo
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Epilepsias Parciales
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Epilepsia Generalizada
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Epilepsia
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República de Corea
Tipo de estudio:
Etiology_studies
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Observational_studies
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Prevalence_studies
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Risk_factors_studies
Límite:
Aged
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Child
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Humans
País/Región como asunto:
Asia
Idioma:
Ko
Revista:
Journal of the Korean Child Neurology Society
Año:
2011
Tipo del documento:
Article