Miakotnykh V S
Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(6):11-6.
Out of 600 patients who referred to the epilepsy specialist for epileptic seizures that occurred for the first time, 129 developed the first paroxysms in response to different provoking factors. In 59 cases, those factors were estimated as extreme whereas in 29 patients, they precipitated single epileptic paroxysms. In view of this circumstance, the incidence of so-called epileptic reactions diagnosed in 21 patients is under discussion. In the author's opinion, the latter ones may be divided into genuine and complicated reactions, being mainly an intermediate stage toward the epileptic syndrome. The genuine epileptic reactions occur very rarely, they were only recorded in 6 patients. Recommendations are given for the policy of management and treatment of patients with epileptic reactions that occurred for the first time bearing in mind the individual characteristics of the pathology, the patient's personality traits and environmental conditions. The course of the epileptic process that occurred in the form of provoked paroxysms was shown to be much more favourable as compared to that seen in spontaneous seizures.
在因首次发生癫痫发作而转诊至癫痫专科医生处的600例患者中，129例因不同诱发因素出现了首次发作。在59例中，这些因素被评估为极端因素，而在29例患者中，这些因素引发了单次癫痫发作。鉴于这种情况，21例被诊断为所谓癫痫反应的发生率正在讨论中。作者认为，后者可分为真性和复杂性反应，主要是癫痫综合征的一个中间阶段。真性癫痫反应非常罕见，仅在6例患者中记录到。针对首次出现癫痫反应的患者的管理和治疗策略给出了建议，同时考虑到病理的个体特征、患者的性格特点和环境条件。与自发性发作相比，以诱发性发作形式出现的癫痫过程的病程显示出更为有利。
