Bova V E
Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(6):886-8.
On the basis of the dynamic study of the neurological and otoneurological picture of epilepsy in 105 patients, the authors ascertained a definite complex of symptoms depending on the stage of the disease. Most frequently observed were symptoms of the involvement of the truncal-subcortical systems, which reflected the stage of the progression of the epileptic process associated with a sharp increase in the frequency (up to the daily pattern) and rhythm of attacks, as well as psychic disturbances, with the structure of paroxysms becoming more complicated and polymorphic. The pathological symptoms from the level of the brain stem, primarily vegetative and vestibular ones, regress considerably or are absent altogether against the background of a relatively favourable period of the disease (rare, single and homotypical attacks, mild psychic changes). The above neurological and otoneurological features are important not only for determining the localization of the pathological process but also for the clinical prognosis of epilepsy.
在对105例癫痫患者的神经和耳神经学症状进行动态研究的基础上,作者确定了一套取决于疾病阶段的明确症状组合。最常观察到的是躯干 - 皮质下系统受累的症状,这反映了癫痫发作过程进展的阶段,其与发作频率(高达每日发作模式)和节律的急剧增加以及精神障碍相关,发作的结构变得更加复杂和多样。在疾病相对良好的时期(发作稀少、单一且典型,精神变化轻微)的背景下,来自脑干水平的病理症状,主要是自主神经和前庭症状,会显著消退或完全不存在。上述神经和耳神经学特征不仅对于确定病理过程的定位很重要,而且对于癫痫的临床预后也很重要。