We investigated the predictors of increased seizures’ frequency among women with various forms of idiopathic generalized epilepsies (IGE) in the gestational and postgravid period. We observed 41 patients with Idiopathic generalized epilepsy (IGE) before, during and after pregnancy. During the period of observation EEG was recorded in the states of relaxed and active awakeness and sleeping. Patients, who have stopped to take anticonvulsants before pregnancy, have had increased frequency of seizures, more than1 ina year, with interictal epileptiform discharges in a state of relaxed and active awakeness. Increased seizures after pregnancy was observed in patients with interictal epileptiform discharges during sleep. The results can be used during the preparation of pregravid women with IGE.

We investigate vegetative regulation heart activity by 15 patients with temporal lobe epilepsy and 15 with syndrome vegetative dysfunction. We detect increase sympatic tonus at rest and low arousal sympatic part by realization orthostatic test by patient with vertigo central genesis as against with healthy. It is our belief that detect disturbance related to implication in pathological process suprasegmental part statokinetic analyzator.

The article is based on long-term observation of 27 patients with West syndrome, age of onset, etiology of symptomatic forms, neurological status, efficiency of hormone therapy and antiepileptic drugs.

No abstract

The aim of the study was to investigate vegetative maintenance of the activity and state of systemic hemodynamics in patients with a first time, non-traumatic epileptic seizure during a tilt table test (TTT).Materials and methods. TTT was performed in 42 patients with absence of seizures and 78 patients having experienced unprovoked seizures. A control group included 70 patients with non-epileptic seizures with transient loss of consciousness (TLC), defined as syncope. The control group included 38 people without episodes of loss of consciousness in their medical history. The parameters of hemodynamics and heart rate variability (HRV) were investigated at all stages of the test.Results. In patients with absence of seizures, initial sympathicotonia was recorded along with a decrease in ergotropic activation in orthostasis. In patients with unprovoked seizures, a hypersympathicotonic response to the orthostatic test was detected in combination with impaired vagal overshoot in the clinostatic phase of the test. In patients with TLC, evidence of vegetative insufficiency in the vertical position was identified, with the indicators going back to the background values in the horizontal position.Conclusion. The revealed features of vegetative regulation in patients with absence of seizures and unprovoked seizures will allow to differentiate the mechanism of the first-time epileptic seizure more accurately.