Role of electroencephalography in attention-deficit hyperactivity disorder

被引:19
作者
Becker, Katja [1 ]
Holtmann, Martin [2 ]
机构
[1] Psychotherapy Cent Inst Mental Hlth, Dept Child & Adolescent Psychiat & Psychotherapy, D-68072 Mannheim, Germany
[2] JW Frankfurt Main Deutschordenstrasse, Dept Child & Adolescent Psychiat & Psychotherapy, D-60528 Frankfurt, Germany
关键词
adolescents; attention-deficit hyperactivity disorder; children; diagnostics; electroencephalography; event-related potentials;
D O I
10.1586/14737175.6.5.731
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Attention-deficit hyperactivity disorder (ADHD) is characterized by symptoms of inattention, hyperactivity and impulsivity, and affects 3-5% of school-aged children. Recommendations regarding the relative importance of electroencephalography (EEG) in ADHD are ambiguous. Most guidelines for ADHD diagnostics only recommend an EEG in cases with clinical suggestion of seizure disorders or degenerative conditions and not for routine use. Although in most cases of ADHD, an EEG is indeed unnecessary, without a routine EEG, some children with absences or rolandic spikes will not be identified and, therefore, will not be treated correctly. The EEGs of children with ADHD demonstrated increased theta activity and fewer alpha waves compared with controls. Research on event-related potentials is helpful in identifying underlying attentional deficits in ADHD. Future studies that combine EEG analysis with functional magnetic resonance imaging data, positron emission tomography studies or genetic research will help to improve our knowledge about the pathophysiology of ADHD and perhaps lead to a better, more individual treatment in well defined subgroups. Expert Rev. Neurotherapeutics 6(5), 731-739 (2006)
引用
收藏
页码:731 / 739
页数:9
相关论文
共 59 条
[11]  
El-Faddagh M., Laucht M., Maras A., Vohringer L., Schmidt M.H., Association of DRD4 with ADHD in a community sample of children at risk for psychopathology: A longitudinal study from birth to 11 years of age, J. Neural Transmission, 111, pp. 883-889, (2004)
[12]  
Barr C.L., Kroft J., Feng Y., Et al., The norepinephrine transporter gene and attention-deficit hyperactivity disorder, Am. J. Med. Gen., 114, 3, pp. 255-259, (2002)
[13]  
Barr C.L., Wigg K., Bloom S., Et al., Further evidence from haplotype analysis for linkage of the dopamine D<sub>4</sub>-receptor gene and attention-deficit hyperactivity disorder, Am. J. Med. Gen., 96, pp. 262-267, (2000)
[14]  
Taylor E., Doepfner M., Sergeant J., Et al., European clinical guidelines for hyperkinetic disorder - First upgrade, Eur. Child Adolesc. Psychiatry, 13, 1 SUPPL., pp. 7-30, (2004)
[15]  
McLoughlin G., Kuntsi J., Brandeis D., Banaschewski T., Electrophysiological parameters in psychiatric research: ADHD, Psychiatry, 4, 12, pp. 14-18, (2005)
[16]  
Taylor M.J., Baldeweg T., Application of EEG, ERP and intracranial recordings to the investigation of cognitive function in children, Dev. Science, 5, 3, pp. 318-334, (2002)
[17]  
Practice parameters for the assessment and treatment of children, adolescents, and adults with attention-deficit/hyperactivity disorder, J. Am. Acad. Child Adolesc. Psychiatry, 36, 10 S, (1997)
[18]  
Bernet W., Dulcan M.K., Greenhill L.L., Pliszka S.R., Pocketcard® Guidelines Managing Attention-deficit/hyperactivity Disorder, Version 2.0, (2004)
[19]  
Clinical practice guideline: Diagnosis and evaluation of the child with attention-deficit/hyperactivity disorder, Pediatrics, 105, 5, pp. 1158-1170, (2000)
[20]  
Guidelines for diagnostics and therapy of psychiatric disorders in infancy, childhood and adolescence, Hyperkinetic Disorders, Second, Revised Edition, (2003)