[Comparative dynamics of the epileptic syndrome in patients with open and closed war-time head injuries in the late period].
The dynamics of the epileptic syndrome was studied in 55 patients with penetrating cranial wound and in 65 patients with closed cranial injury. Account was taken of the anamnesis, all-round clinical examination data, EEG and computer-aided tomography readings. The patients had been followed up over 40 years. Among the patients with fighting cranial injury, the incidence of the epileptic syndrome amounted to 14.01%. The epileptic syndrome was established to occur most frequently during the first year after injury, with that time (in patients with penetrating cranial wound) being the less the graver injury and longer consciousness loss. At the same time the later was the onset of epileptic attacks in patients with closed cranial injury the rarer was their incidence and more pronounced were mental disorders. In patients with penetrating cranial wound, focal and secondary-generalized attacks dominated in the structure of the epileptic syndrome, whereas in patients with closed cranial injury, convulsions and psychomotor fits ranked the first. With age the rate of epileptic attacks declined along with reduction and disappearance of epileptic activity on the EEG, augmentation of mental disorders and atrophy of substantia medullaris.
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D000293:Adolescent; D000328:Adult; D000368:Aged; D001924:Brain Concussion / Q000150:complications*; D001930:Brain Injuries / Q000150:complications*; D004827:Epilepsy / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014857:Warfare; D014948:Wounds, Gunshot / Q000150:complications*
Sravnitel'naia dinamika épilepticheskogo sindroma u bol'nykh s otkrytoĭ i zakrytoĭ voennoĭ travmoĭ cherepa v otdalennom periode.