[Significance of the seizure syndrome in acute craniocerebral injuries].

The author discusses the clinical, operative-tactical, and prognostic significant of the spasmodic epileptic syndrome caused by acute severe craniocerebral injury in 5.3% cases, He points out the criteria for the most accurate determination of the degree of reliability of the association between the seizures and the acute injury, which increases the degree of homogeneity of the contingent analyzed. In half of the cases partial seizures showed a tendency to secondary generalization. Primary generalized seizures were noted both in polar mediobasal contusions of the frontal lobes and in lateral wedging of the callosal convolution under the falciform process. A spasmodic seizure often heralds the beginning of clinical decompensation and contributes to the process of intracranial dislocation. The appearance of seizures in the postoperative period is usually no evidence of recurrent hematoma, but it aggravates the prognosis of the injury.