Remezova E S, Aĭrapetova E S, Andreeva L A, Gorlina I S
Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(6):882-5.
On the basis of clinical-epidemiological studies, the authors present data on the prevalence of the convulsive syndrome in children and on the characteristics of major clinical manifestations in patients with epileptic attacks: the premorbid state, age at the onset of the first paroxysms, pathomorphosis of epilepsies, type of the process development and therapeutic results. A high risk group of patients requiring appropriate preventive measures was identified. It was established that in most cases, epileptic attacks occurred in the presence of normal psychic and physical development. In 1/3 of all cases the disease first manifested itself in children under 3 years. Attention is given to the fact that the last decade has seen a decline in malignant forms with a serial course of disease. The authors discuss the results of therapeutic work and the questions of social adaptation in children suffering from epilepsy in Moscow. It is demonstrated that definite successes achieved by child psychiatric services of the city in treating epilepsy and epileptic syndromes of variable nature are consequent on modern diagnosis, proper organization of the therapeutic process as well as on the prophylaxis of exacerbation and recurrences of the disease.
基于临床流行病学研究，作者介绍了儿童惊厥综合征的患病率数据以及癫痫发作患者主要临床表现的特征：病前状态、首次发作的年龄、癫痫的病理形态、病程发展类型和治疗结果。确定了需要采取适当预防措施的高危患者群体。已确定在大多数情况下，癫痫发作发生时精神和身体发育正常。在所有病例的三分之一中，疾病首先在3岁以下儿童中表现出来。需要注意的是，在过去十年中，具有连续病程的恶性形式有所减少。作者讨论了治疗工作的结果以及莫斯科癫痫患儿的社会适应问题。结果表明，该市儿童精神科服务机构在治疗各种性质的癫痫和癫痫综合征方面取得的一定成功，得益于现代诊断、治疗过程的合理组织以及疾病加重和复发的预防。
