[Early differential diagnosis of brain tumors with temporal epileptic syndrome and temporal epilepsy].

A total of 33 patients with brain tumors and 22 patients with temporal epilepsy were compared. The differential diagnostic signs at the initial stages were revealed. In tumors, the disease starts most commonly from paroxysms of the isolated aura or complex absence epilepsy types. At the disease onset, the olfactory auras were recorded 6 times more frequently than in temporal epilepsy. The gustatory and vestibular auras also turned out more typical for epileptic onset . The psychomotor, psycho-sensory , ideational, and emotional paroxysmal manifestations were found to predominate at the onset of temporal epilepsy. As compared to epilepsy, the tumorous process leads much more swiftly to the development of pleomorphism and aggravation of the seizures, progress of the neurological symptomatology. The aggravated pre-epileptic anamnesis and hereditary as well as typical pointed wave epileptic activity on the EEG were demonstrable much more rarely in tumors.