Peer-reviewed article
Behavior problems associated with brain heterotopia
Budisteanu M, Papuc S, Erbescu A, Iliescu C, Dobre M et al. ·
Summary
Written by AI, not yet AICS's view · claude-haiku-4-5-20251001This is a clinical case series describing behavioral problems in 16 children with brain heterotopia, a rare brain malformation. Six children showed autism or attention deficit hyperactivity disorder, often alongside intellectual disability and epilepsy. The study documents the clinical features and challenges of managing these children but does not evaluate any intervention or initiative to improve child well-being.
Key points
Limitations
This document is a clinical description of a rare neurological condition and does not address child well-being outcomes, interventions, or programs. It provides no evidence on how to support affected children or improve their health and development.
Abstract
Introduction Brain heterotopia represent a group of rare malformations with a heterogeneous phenotype, ranging from asymptomatic to severe clinical picture (resistant epilepsy, severe developmental delay). The etiology is multifactorial, including both genetic and environmental factors. Objectives In this paper we present our experience regarding behavior problems in patients with heterotopia. Methods A cohort of 16 pediatric patients with brain heterotopia, six females and ten males, with age at last follow-up ranging from 2 months to 24 years were investigated by clinical examination, electroencephalographic studies, brain imaging, and genomic tests. Specific psychological tests and psychiatric evaluation were performed in all children for behavior problems assessment. Results Six individuals presented behavioral problems: autism (three patients) and hyperkinesia with attention deficit (three patients). All of them had intellectual disability or learning problems; five patients had epilepsy, with drug-resistant seizures in four cases. In two cases the behavioral problems occurred before the onset of epileptic seizures. Conclusions Behavior problems are important features in patients with brain heterotopia, making the management of these patients more difficult, especially when they occur in association with drug-resistant epilepsy. Acknowledgements: This work was supported partially by grants of the Romanian National Authority for Scientific Research and Innovation CCCDI – UEFISCDI, Projects COFUND-ERANET E-RARE 3-HETER-OMICS-2 Number 87/2019 and 88/2019 within PNCDI III. Disclosure No significant relationships.