EPILEPTIFORM SYNDROME

From Big Medical Encyclopedia

EPILEPTIFORM SYNDROME (syndromum epileptiforme) — the general name of paroxysmal frustration (attacks) arising at various organic lesions of a brain. An epileptiform syndrome — one of displays of so-called symptomatic epilepsy (see).

AA. the page develops at effects of acute and persistent infections and intoxications, atrophic processes, tumors of a brain, craniocereberal injuries, vascular damages of the central nervous system.

AA. the page is shown by various attacks, including generalized — focal (focal) attacks (see Epilepsy) arise big convulsive attacks and absentias epileptica, however in most cases. Generalized attacks meet in the isolated look rather seldom, napr, at alcoholic epilepsy (see. Alcoholic psychoses), usually they are combined with focal. Often focal attacks develop the first, and generalized join them. Focal attacks at E. pages can be followed by a convulsive component, napr, jacksonian (see. Jacksonian epilepsy), adversivny attacks (see Epilepsy), and also attacks of skinners-sky epilepsy (see). The convulsive component happens minimum or absolutely is absent; the last is observed in many cases of diencephalic epilepsy (see. Hypothalamic syndrome). AA. the page can be shown by also mental disorders in the form of paroxysms of a derealization and depersonalization, snopodobny and twilight states, mental auras, dysphorias (see Epilepsy), paroxysms of a katalepsy (see). Sometimes mental disorders are combined with focal and generalized attacks. At the same time it is possible to call them by analogy with epilepsy epileptic equivalents.

AA. the page is always combined with a psychoorganic syndrome (see), constant or temporary. When the psychoorganic syndrome, against the background of to-rogo develops E. the page, is followed by psychopatholike disturbances (see Psychopathies), tsiklotimopodobny frustration (see. Maniac-depressive psychosis), endoformny psychoses or conditions of the dulled consciousness (see Consciousness, disorders of consciousness), AA. the page arises in structure of a difficult (big) syndrome (see Diagnosis, Psychopathology). AA. the page can be observed at the expressed weak-mindedness, napr, at Alzheimer's disease (see Alzheimer about - HsC2\^ lezn), a general

paralysis (see), senile dementia (see). In these cases E. page it is, as a rule, rudimentary and represents an episode in a course of a disease since

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it is characterized by some one type of paroxysms reduced in the manifestations. AA. the page happens passing if the psychoorganic syndrome is rather easy, or reversible, napr, at an alcoholism, intoxication barbiturates, effects of the postponed craniocereberal injury. AA. the page can accompany a mental disease for many years, remaining invariable or changing depending on features of a progrediyentnost of a basic disease; in this case speak about symptomatic epilepsy. Changes of the personality at E. pages reflect features of that disease, at Krom it arises.

Emergence E. the page demonstrates weighting of a basic disease. If E. the page is shown by some one type of paroxysms in the beginning, and in the subsequent increase in their number is noted (E. the page with polymorphic manifestations), that, therefore, basic disease accepts more progreduated development. Points to it also accession of generalized attacks to focal. If E. the page is reduced and at the same time strengthening of the frustration inherent to a psychoorganic syndrome is not noted, that, therefore, basic disease tends to regreduated development.

Pathogeny E. the page depends on a pathogeny of a basic disease, napr, on a toxic factor. If E. page it is caused by local organic lesion of a brain, that emergence of paroxysms is often noted during the involvement in patol. process by a temporal, parietal and frontal lobe of bark of a great brain and the centers of a hypothalamus connected with limbic system.

Treatment is directed to a basic disease.

Bibliogr.; Boldyrev A. I. Epileptic syndromes, M., 1976; D and in i-denkova-Kulkova E. F. Diencephalic epilepsy, L., 1959, Beebe

liogr.; Clinical psychiatry, under the editorship of G. Grule, etc., the lane with it., page 453, M., 1967; The Guide to psychiatry, under the editorship of A. V. Snezhnevsky, t. 2, M., 1983; Saradzhishvili P. M. and e-ladze T. Sh. Epilepsiya, M., 1977, bibliogr.; Manuel alphab^tique de psychiatrie clinique et th6rapeutique, publ.

par A. Porot, P., 1969. H. G. Shumsky.

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