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Autistic and dysphasic children. II: epilepsy.
Abstract
In a previously described population of 314 autistic and 237 dysphasic nonautistic children, after exclusion of 12 autistic girls with Rett syndrome, 14% (42 of 302) of autistic children and 8% (19 of 237) of dysphasic children had epilepsy (P = .03). The major risk factors for epilepsy were severe mental deficiency and the combination of severe mental deficiency with a motor deficit. In autistic children without severe mental deficiency, motor deficit, associated perinatal or medical disorder, or a positive family history of epilepsy, epilepsy occurred in 6% (10 of 160) which was analogous to the 8% (14 of 168) found in similar dysphasic nonautistic children. The language subtype of verbal auditory agnosia is associated with the highest risk of epilepsy in autistic (41%, 7 of 17) and dysphasic (58%, 7 of 12) children. The higher percentage of epilepsy in autistic girls, 24% (18 of 74) compared with boys 11% (25 of 228) (P = .003), is attributed to the increased prevalence of cognitive and motor deficit in girls. Once the risk attributable to associated cognitive and motor disabilities is taken into account, there is no difference in the risk of epilepsy between autistic and nonautistic dysphasic children.
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“Frequently encountered medical factors in ASD include: seizures, particularly in children who also have severe intellectual disability, motor deficits, or a positive family history of epilepsy 68 , 69 ; other gastrointestinal symptoms 57 , 70 ; and sleep disturbances affecting daytime functioning.”
From Early Intervention for Children With Autism Spectrum Disorder Under 3 Years of Age: Recommendations for Practice and Research (2015) · cites this paper as [69]
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Metadata
- Authors
- Tuchman, R. F., Rapin, I., & Shinnar, S.
- Affiliations
- Albert Einstein College of Medicine (US)
- ORCID
- Shinnar, Shlomo
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 1991-12-01
- Volume
- 88
- Issue
- 6
- Pages
- 1219-1225
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1888407996
- Cited by
- 251
- References
- 4
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 6 · 2020: 2 · 2019: 3 · 2018: 2 · 2017: 8 · 2016: 13 · 2015: 14 · 2014: 5 · 2013: 8 · 2012: 11
- FWCI
- 1.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k07ns000930-05)
- U.S. Public Health Service (20489)
- National Institute of Neurological Disorders and Stroke (1 RO1 NS26151, R01NS026151, 1K07 NS00930)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Clinical Neurology › Epilepsy research and treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Keywords
- autism spectrum disorder, dysphasia, epilepsy, risk factors, intellectual disability, motor impairment, language disorders, sex differences, family history of epilepsy, perinatal disorders, children
- MeSH terms
- Aphasia, Autistic Disorder, Child, Preschool, Epilepsy, Female, Humans, Intelligence, Male, Intellectual Disability, Psychomotor Disorders, Risk Factors, Seizures, Sex Factors
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