Association between autism spectrum disorder and epilepsy in children

MEI Song-Li, ZHANG Zhao, LIU Xin, GAO Ting-Ting, PENG Xin-Xian

Chinese Journal of Contemporary Pediatrics ›› 2017, Vol. 19 ›› Issue (5) : 549-554.

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Chinese Journal of Contemporary Pediatrics ›› 2017, Vol. 19 ›› Issue (5) : 549-554. DOI: 10.7499/j.issn.1008-8830.2017.05.014
CLINICAL RESEARCH

Association between autism spectrum disorder and epilepsy in children

  • MEI Song-Li1, ZHANG Zhao1, LIU Xin1, GAO Ting-Ting1, PENG Xin-Xian2
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Abstract

Objective To examine the association between autism spectrum disorder (ASD) and epilepsy in children. Methods A total of 190 children with ASD were enrolled. A self-designed questionnaire, Childhood Autism Rating Scale, and Autism Behavior Checklist were used to determine the association between ASD and epilepsy. Results Among the 190 children with ASD, 20 (10.5%) had epileptic seizures and 12 (6.3%) were diagnosed with epilepsy. The rates of abnormal physical development and hearing disorders before the age of one year were significantly higher in ASD children with epileptic seizures than in those without epileptic seizures (P < 0.05). The ASD children diagnosed with epilepsy and those receiving epilepsy treatment had a significantly increased rate of abnormal physical development before the age of one year (P < 0.05). The ASD children with epileptic seizures had poorer sensory responses and behavioral competencies than those without epileptic seizures (P < 0.05). Epilepsy treatment have a positive effect on behavioral competencies in ASD children (P < 0.05). Conclusions There is a significant association between ASD and epilepsy in children. The possibility of the comorbidity between ASD and epilepsy may be assessed according to the status of growth and development before the age of one year, sensory responses and behavioral competencies, and the presence or absence of epileptic seizures.

Key words

Autism spectrum disorder / Epilepsy / Growth and development / Child

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MEI Song-Li, ZHANG Zhao, LIU Xin, GAO Ting-Ting, PENG Xin-Xian. Association between autism spectrum disorder and epilepsy in children[J]. Chinese Journal of Contemporary Pediatrics. 2017, 19(5): 549-554 https://doi.org/10.7499/j.issn.1008-8830.2017.05.014

References

[1] Chugani DC, Chugani HT, Wiznitzer M, et al. Efficacy of low-dose buspirone for restricted and repetitive behavior in young children with autism spectrum disorder:a randomized trial[J]. J Pediatr, 2015, 170:45-53.e1-e4.
[2] Bock I, Németh K, Pentelényi K, et al. Targeted next generation sequencing of a panel of autism-related genes identifies an EHMT1 mutation in a Kleefstra syndrome patient with autism and normal intellectual performance[J]. Gene, 2016, 595(2):131-141.
[3] Kim E, Kyeong S, Cheon KA, et al. Neural responses to affective and cognitive theory of mind in children and adolescents with autism spectrum disorder[J]. Neurosci Lett, 2016, 621:117-125.
[4] Rodgers J, Wigham S, Mcconachie H, et al. Development of the anxiety scale for children with autism spectrum disorder (ASC-ASD)[J]. Autism Res, 2016, 9(11):1205-1215.
[5] Al-Farsi OA, Al-Farsi YM, Al-Sharbati MM, et al. Stress, anxiety, and depression among parents of children with autism spectrum disorder in Oman:a case-control study[J]. Neuropsychiatr Dis Treat, 2016, 12:1943-1951.
[6] Leyfer OT, Folstein SE, Bacalman S, et al. Comorbid psychiatric disorders in children with autism:interview development and rates of disorders[J]. J Autism Dev Disord, 2006, 36(7):849-861.
[7] Wang G, Liu Z, Xu G, et al. Sleep disturbances and associated factors in Chinese children with autism spectrum disorder:a retrospective and cross-sectional study[J]. Child Psychiatry Hum Dev, 2016, 47(2):248-258.
[8] Mannion A, Leader G, Healy O. An investigation of comorbid psychological disorders, sleep problems, gastrointestinal symptoms and epilepsy in children and adolescents with autism spectrum disorder[J]. Res Autism Spectr Disord, 2013, 7(1):35-42.
[9] Poling A, Methot LL, Lesage MG. Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)[M]. Washington, D.C:American Psychiatric Association, 2013:4189.
[10] Schopler E, Reichler R, Devellis RF, et al. Toward objective classification of childhood autism:Childhood Autism Rating Scale (CARS)[J]. J Autism Dev Disord, 1980, 10(10):91-103.
[11] Krug DA, Arick J, Almond P. Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior[J]. J Child Psychol Psychiatry, 1980, 21(3):221-229.
[12] 秦炯, 韩颖. 儿童神经科临床应关注精神行为问题[J]. 北京大学学报(医学版), 2013, 45(2):174-176.
[13] Deonna T, Roulet E. Autistic spectrum disorder:evaluating a possible contributing or causal role of epilepsy[J]. Epilepsia, 2006, 47(Suppl):79-82.
[14] Clarke DF, Roberts W, Daraksan M, et al. The prevalence of autistic spectrum disorder in children surveyed in a tertiary care epilepsy clinic[J]. Epilepsia, 2005, 46(12):1970-1977.
[15] 邹小兵. 孤独症的治疗[J]. 中国实用儿科杂志, 2008, 23(3):170-172.
[16] Rosenhall U, Nordin V, Sandström M, et al. Autism and hearing loss[J]. J Autism Dev Disord, 1999, 29(5):349-357.
[17] Jure R, Rapin I, Tuchman RF. Hearing-impaired autistic children.[J]. Dev Med Child Neurol, 1991, 33(12):1062-1072.
[18] Barnhill K, Gutierrez A, Ghossainy M, et al. Growth status of children with autism spectrum disorder:a case-control study[J]. J Hum Nutr Diet, 2017, 30(1):59-65.
[19] Buckley AW, Holmes GL. Epilepsy and autism[J]. Cold Spring Harb Perspect Med, 2016, 6(4):a022749.
[20] 邵晓秋. 儿童癫痫发作的电-临床特征及其诊断定位价值[J]. 中国实用儿科杂志, 2016, 31(1):26-31.
[21] Turkdogan D, Duchowny M, Resnick T, et al. Subdural EEG patterns in children with taylor-type cortical dysplasia:comparison with nondysplastic lesions[J]. J Clin Neurophysiol, 2005, 22(1):37-42.
[22] 李碧清, 袁萍. 孤独症与癫痫的相关性[J]. 中国保健营养(中旬刊), 2012, 23(12):263-264.
[23] Oblak AL, Rosene DL, Kemper TL, et al. Altered posterior cingulate cortical cyctoarchitecture, but normal density of neurons and interneurons in the posterior cingulate cortex and fusiform gyrus in autism[J]. Autism Res, 2011, 4(3):200-211.
[24] Tuchman R, Cuccaro M, Alessandri M. Autism and epilepsy:historical perspective[J]. Brain Dev, 2010, 32(9):709-718.
[25] Viscidi EW, Triche EW, Pescosolido MF, et al. Clinical characteristics of children with autism spectrum disorder and co-occurring epilepsy[J]. PLoS One, 2013, 8(7):e67797.
[26] Canitano R, Luchetti A, Zappella M. Epilepsy, electroencephalographic abnormalities, and regression in children with autism[J]. J Child Neurol, 2005, 20(1):27-31.
[27] Jokiranta E, Sourander A, Suominen A, et al. Epilepsy among children and adolescents with autism spectrum disorders:a population-based study[J]. J Autism Dev Disord, 2014, 44(10):2547-2557.
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