Autism spectrum disorders and epilepsy in children: A commentary on the occurrence of autism in epilepsy; how it can present differently and the challenges associated with diagnosis Comment

Autism occurs more frequently in epilepsy, but is often not diagnosed. This could be due to a focus on medical issues, or because it presents differently from classic autism in its timing, phenotype, fluctuating profiles, and high level of comorbidity. Without a diagnosis, these children miss out on interventions that could modify outcome and their families and local teams will struggle to understand and support them. They also become a hidden group that does not participate in or benefit from research. This paper examined the issues and challenges of diagnosing autism in a population with a high-risk of epilepsy, drawing on more than 20 years' experience of a specialist multi-disciplinary Developmental Epilepsy Clinic (DEC). Crown Copyright (C) 2021 Published by Elsevier Inc. All rights reserved.

Automated summary

Autism is more common in epilepsy patients but often goes undiagnosed. Without a diagnosis, children miss out on interventions and become a hidden group not benefiting from research. This paper discusses the challenges of diagnosing autism in a population at high risk of epilepsy.