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Journal of Child Neurology
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The 14 & 6-Associated Clinical Complex: A Rejected Hypothesis Revisited

G.R. DeLong, MD

Children's Service, Massachusetts General Hospital, and the Department of Neurology, Harvard Medical School, Boston, MA

P.B. Rosenberger, MD

Children's Service, Massachusetts General Hospital, and the Department of Neurology, Harvard Medical School, Boston, MA

S. Hildreth

Children's Service, Massachusetts General Hospital, and the Department of Neurology, Harvard Medical School, Boston, MA

I. Silver

Children's Service, Massachusetts General Hospital, and the Department of Neurology, Harvard Medical School, Boston, MA

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).

Journal of Child Neurology, Vol. 2, No. 2, 117-127 (1987)
DOI: 10.1177/088307388700200207
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A. Autret, B. Lucas, E. Degiovanni, B. de Toffol, and C. Billard
A Note on the Occurrence of Unusual Electroencephalographic Sleep Patterns in Selected Normal Children
J Child Neurol, October 1, 1992; 7(4): 422 - 426.
[Abstract] [PDF]