[Epilepsies in the adult. Can we distinguish progressive types?].
Electro-clinical, neuro-radiologic and socio-professional study of 100 epileptic adults, followed by the same physician during 12 to 20 years (average 15 1/2 years), now 30 to 75 years old, all cases of evolutive pathology being excluded. The evolution statistically is more favourable when the epilepsy: has developed late (between 21 and 30 years); ils described as "idiopathic", or with small primary lesion; is characterized by primary generalized fits with strong convulsive component, occurring preferably at awaking. The evolution is less favourable, even unfavourable, when the epilepsy: is secondary to a severe encephalopathy or to extensive focal lesions; has developed during childhood; is characterized by fits with partial start, little tendency to secondary convulsive generalization, and occurring any time of the day or bound to sleep.
D000328:Adult; D000367:Age Factors; D000368:Aged; D003937:Diagnosis, Differential; D004569:Electroencephalography; D004827:Epilepsy / Q000150:complications / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology; D004832:Epilepsy, Absence / Q000503:physiopathology; D004833:Epilepsy, Temporal Lobe / Q000503:physiopathology; D004830:Epilepsy, Tonic-Clonic / Q000503:physiopathology; D005260:Female; D006760:Hospitalization; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008393:Marriage; D001523:Mental Disorders / Q000209:etiology; D008875:Middle Aged; D011379:Prognosis; D012917:Social Adjustment; D012959:Socioeconomic Factors; D014937:Work
Les épilepsies de l'adulte. Peut-on définir des types évolutifs?