[Structure of epileptic seizures and their dynamics when the epileptic focus is localized in the right or left temporal lobe of the brain].

The structure and time-course of epileptic attacks were analyzed in 75 patients with temporal epilepsy making use of the EEG readings. The results have permitted the identification of additional diagnostic criteria. When the epileptic focus is localized in the right temporal lobe, focal and generalized epileptic attacks begin in early childhood. The subsequent complication of the epileptic structure occurs most frequently on the sixth day of the disease. Psychosensory aura and psychomotor attacks are the most frequent manifestations of the pathology. They occur daily in half of the cases but sometimes the frequency is reduced. When the epileptic focus is localized in the left lobe, the disease manifests itself in late childhood or adolescence. Vegetative visceral aura is a frequent finding. Already in the first two-three years epileptic fits become polymorphic. In the majority of cases generalized convulsive attacks are combined with various focal paroxysms, with vegetative, visceral and motor manifestations being predominant. Almost all patients have daily attacks, quite often they are serial or have a stationary course. The frequency of attacks always tends to increase.