Selective mutism and abnormal electroencephalography (EEG) tracings

Keren Politi, Sara Kivity, Hadassa Goldberg-Stern, Ayelet Halevi, Avinoam Shuper

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4 Scopus citations


Epileptic discharges are not considered a part of the clinical picture of selective mutism, and electroencephalography is generally not recommended in its work-up. This report describes 6 children with selective mutism who were found to have a history of epilepsy and abnormal interictal or subclinical electroencephalography recordings. Two of them had benign epilepsy of childhood with centro-temporal spikes. The mutism was not related in time to the presence of active seizures. While seizures could be controlled in all children by medications, the mutism resolved only in 1. Although the discharges could be coincidental, they might represent a co-morbidity of selective mutism or even play a role in its pathogenesis. Selective mutism should be listed among the psychiatric disorders that may be associated with electroencephalographic abnormalities. It can probably be regarded as a symptom of a more complicated organic brain disorder.

Original languageEnglish
Pages (from-to)1377-1382
Number of pages6
JournalJournal of Child Neurology
Issue number11
StatePublished - Nov 2011
Externally publishedYes


  • Rolandic epilepsy
  • co-morbidity
  • language impairment
  • psychiatric disorders


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