Background: Speech is the motor act of communicating by articulating verbal expression, whereas language is the data of an emblem system used for social communication. Aim of the work: This study aims to find a relationship between childhood speech, language disorders and epileptiform discharges without seizures and to evaluate the cognitive function in those children, which may help in early diagnosis and management of such cases. Study Design: Case control study Place: Pediatrics Department at Al-Azhar University Hospitals. Methodology: The study was conducted on fifty patients with speech/language disorder without epilepsy, their age ranged from 2-5 years, who were selected from Outpatient Clinic of Pediatric Neurology, Al-Azhar University Hospitals through the period from March 2018 to October 2018. The study also included fifty normal language developed children who were matched both in age and gender as control group. Results: The control group matched the study group in age and gender with no statistical difference between them. Delayed language development (DLD) affected males (64%) more than females (36%) with ratio of 1.78: 1. Caesarean section (C.S.) represented 44% of cases 56% of the cases were delivered through the normal vaginal delivery (p value > 0.05). In our study we were unable to find any influence of epileptogenic activity on IQ levels. Conclusion: Electrocardiogram must be performed for the child who suffers from delayed development of the language even if he does not complain of clinical convulsions. Diagnosis and treatment should be carried out by a multi-disciplinary team and not a single specialty.