title: [Dynamics of epilepsy in the early stages: clinical picture, diagnosis, treatment, prognosis].
abstract: A total of 182 patients who first applied for medical aid immediately after the first or the second grand mal epilepsy have been observed for 18 months. All the patients were subjected to fairly intensive follow-up examinations and given combined treatment. The clinical picture of paroxysms in 82 patients was marked by focal phenomena; their major forms are outlined. In 35 patients, such focal manifestations occurred before the development of the first generalized fits but at that time they were not recognized as epileptic paroxysms. In some patients, epileptic fits were associated with various general somatic illnesses, disappearing in the process of the treatment. An early development of focal components of the paroxysmal syndrome, focal epileptic EEG changes and psychic disturbances was demonstrated to be of unfavourable prognostic significance. The necessity of early comprehensive examination and intensive treatment of all patients with the very first epileptic fits is stressed.
mesh_terms: D000293:Adolescent; D000328:Adult; D002526:Cerebellar Diseases / Q000150:complications; D004569:Electroencephalography; D004827:Epilepsy / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D004833:Epilepsy, Temporal Lobe / Q000175:diagnosis; D005260:Female; D006429:Hemiplegia / Q000150:complications; D006801:Humans; D007674:Kidney Diseases / Q000150:complications; D008297:Male; D001523:Mental Disorders / Q000150:complications; D008875:Middle Aged; D011379:Prognosis
vernacular_title: Dinamika épilepsii na rannikh stadiiakh: klinika, diagnostike, lechenie, prognoz.