This pilot study investigates electrophysiological correlates of methy
lphenidate (MP) treatment among hyperkinetic children who are clinical
responders to therapy. Event-related potentials were obtained from a
small sample (6 hyperactive and 5 controls) during an auditory ''oddba
ll'' task. In the ignore condition, oddball tones elicited a frontocen
tral ''mismatch'' negativity (MMN) during the 100- to 200-msec latency
range following stimulus presentation. In the attend condition, oddba
ll target tones elicited a centroparietal P3 as well. MP significantly
decreased hyperkinetic behaviors. Preliminary analyses of the electro
physiological data indicated a decreased amplitude of the P3 wave-form
among hyperkinetic children and a trend toward normalization on MP. W
aveform abnormalities in the latency range of control MMN suggested ei
ther a decrease in MMN amplitude or an increase in MMN latency in hype
ractive subjects along with a trend toward normalization by MP. The pr
eliminary data are suggestive of information-processing abnormalities
among hyperactive children that may be sensitive to MP therapy.