Electroencephalography in childhood conduct and behavior disorders.
The pathophysiology of behavior disorders in children is controversial. In particular, the relationship of episodic behavior disturbance to epilepsy and chronic behavior problems to subclinical neurologic disorder has been debated. It has been suggested that EEG may assist in this sometimes difficult determination. We report on routine screening EEGs in children hospitalized over an 18-month period for behavior problems. Eighty-six children were admitted for conduct disorder, attention deficit hyperactivity disorder, or both. Seventy-eight tracings (91%) were normal or showed normal variant patterns. Eight records (9%) were abnormal, showing background slowing or paroxysmal discharges not associated with behavioral manifestations. None of these neurologically normal, nonretarded patients had epilepsy or other known cerebral disorder. This suggests that routine EEG screening may be of limited value in childhood behavior problems without clinical evidence of neurologic disorder.
Phillips
B B
BB
Clinical Neurophysiology Laboratory, Ohio State University Hospitals, Columbus.
Drake
M E
ME
Hietter
S A
SA
Andrews
J E
JE
Bogner
J E
JE
D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000503:physiopathology*; D002540:Cerebral Cortex / Q000503:physiopathology; D002648:Child; D002653:Child Behavior Disorders / Q000503:physiopathology*; D005071:Evoked Potentials / Q000502:physiology; D006760:Hospitalization; D006801:Humans