Rajaonarison Lala Andriamasinavalona¹*, Rasaholiarison Nomena Finiavana¹, Rahamefy Randrianasolo Odilon¹, Bakohariliva Hasina Andrianarivony², Razafimahefa Julien¹, Raobelle Evah Norotiana Andriamakatsoa³ and Tehindrazanarivelo Alain Djacoba¹

¹USFR of Neurology CHU Joseph Raseta Befelatanana, Antananarivo, Madagascar
²USFR of Child Psychiatry, CHU Pzaga Androva, Mahajanga, Madagascar
³USFR of Psychiatry EUSSPA, Antananarivo, Madagascar

*Corresponding Author: Rajaonarison Lala Andriamasinavalona, USFR of Neurology CHU Joseph Raseta Befelatanana, Antananarivo, Madagascar.

Received: July 08, 2025; Published: July 17, 2025

Abstract

Introduction: ADHD is a neurobiological disorder that constitutes a public health problem. Our aim was to establish the epidemiological, clinical, and electroencephalographic profile of patients with epilepsy and ADHD at LNSM Antsakaviro.

Methods: This was a retrospective, descriptive, and cross-sectional study based on consecutive patient records over three months from February 1, 2016, to April 30, 2016.

Results: We included 53 patients, with a predominance in the 3-6 years age group. The median age was 6.43 years, and the sex ratio was 1.789. ADHD was especially present in children with idiopathic epilepsy (60.37%). Generalized tonic-clonic seizures (n = 21; 39.62%) were associated with a higher prevalence of ADHD, with the hyperactive subtype being predominant (n = 12). In 47.16% of cases (n = 25), no epileptiform activity was observed on awake EEG recordings; focal temporal abnormalities were found in 57.14% (n = 4) of focal cases. Forty-seven patients receiving sodium valproate presented with the hyperactive-impulsive subtype of ADHD (n = 24). No patient received treatment for ADHD.

Conclusion: The diagnosis and management of ADHD are insufficiently addressed. Establishing a dedicated ADHD care pathway and training qualified professionals are essential for improving care in Madagascar.

Keywords: Child; Electroencephalography; Epilepsy; Madagascar

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Citation

Citation: Rajaonarison Lala Andriamasinavalona., et al. “Epidemiological, Clinical, and Electroencephalographic Profile of Epileptic Children with ADHD at LNSM Antsakaviro, Antananarivo, Madagascar".Acta Scientific Neurology 8.8 (2025): 23-26.

Copyright

Copyright: © 2025 Rajaonarison Lala Andriamasinavalona., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.