The 14 & 6-Associated Clinical Complex: A Rejected Hypothesis Revisited

The 14 & 6 Hz positive spike phenomenon is generally considered a normal variant finding. Our experience prompted this re-evaluation, which consisted of three parts: (1) In children referred for sleep electroencephalograms (EEGs), 100 children with normal EEG and 100 with 14 & 6—the 14 &...

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Bibliographic Details
Published in:Journal of child neurology 1987-04, Vol.2 (2), p.117-127
Main Authors: DeLong, G.R., Rosenberger, P.B., Hildreth, S., Silver, I.
Format: Article
Language:English
Subjects:
Adolescent
Child
Child Behavior Disorders - diagnosis
Child Behavior Disorders - drug therapy
Child, Preschool
Electroencephalography
Epilepsy - diagnosis
Epilepsy - drug therapy
Evoked Potentials - drug effects
Female
Humans
Male
Neurocognitive Disorders - diagnosis
Neurocognitive Disorders - drug therapy
Psychotropic Drugs - therapeutic use
Sleep Stages - drug effects
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Summary:The 14 & 6 Hz positive spike phenomenon is generally considered a normal variant finding. Our experience prompted this re-evaluation, which consisted of three parts: (1) In children referred for sleep electroencephalograms (EEGs), 100 children with normal EEG and 100 with 14 & 6—the 14 & 6 correlated with behavior disorder and aggression; (2) In 75 children referred for neurological evaluation and EEG because of behavior problems, 52% had 14 & 6 (excluding those with paroxysmal EEGs); and (3) In 57 symptomatic children having prominent 14 & 6, tabulation of symptoms yielded a complex but coherent clinical picture, including disturbances of temper, mood, attention, learning, and sleep. We conclude that 14 & 6 has clinical associations and deserves study. (J Child Neurol 1987;2:117-127).
ISSN:0883-0738
1708-8283
DOI:10.1177/088307388700200207