CLINICAL COURSE AND PROGNOSIS OF TEMPORAL LOBE EPILEPSY: A Survey of 666 Patients

Clinical and electroencephalographic data indicative of brain tumours in a seizure population

“…McRae (1974) similarly mentions the value of brain scans in identifying meningiomas and arteriovenous malformations. Fischgold and Buisson-Ferey (1961) also found positive brain scans a useful indicator of brain tumours in epileptics.…”

“…As there were too few cases belonging to certain patterns these were eventually condensed into the groups as shown in (Rasmussen, 1968); and 9'5% of temporal lobe epileptics, 70% of whom have gliomas and about 80% developed their fits after the age of 25 years (Currie et al, 1971). Buisson-Ferey (1961) similarly noted that the type of seizure did not give an indication of the presence of tumour in adult epileptics.…”

“…As there were too few cases belonging to certain patterns these were eventually condensed into the groups as shown in (Rasmussen, 1968); and 9'5% of temporal lobe epileptics, 70% of whom have gliomas and about 80% developed their fits after the age of 25 years (Currie et al, 1971). Buisson-Ferey (1961) similarly noted that the type of seizure did not give an indication of the presence of tumour in adult epileptics. The present observations on the duration of fits in the presence of brain tumours is similar to that of Rasmussen and Blundell (1961) and of Gonzalez and Elvidge (1962) who found that astrocytomas can present as seizures for years without evidence of focal neurological signs or raised intracranial pressure.…”

Depression in Patients With Epilepsy

“…Moreover they found that 8 of the 13 depressives (61%) showed a premorbid affective disturbance of depression. Currie et al (1971) found anxiety and depression to be the most frequent psychiatric abnormalities -101 -among 666 persons with TLE, occurring in 127 (19°/o) and 71 (11%) respectively. It is of interest to note that in 48 (7°/o), the symptoms of anxiety and depression antedated the first attacks of epilepsy.…”

Evaluation of the quality of life of patients with epilepsy and patients with physchogenic non-epileptic seizures

“…У односу на тип епилепсије, психопатологија се посебно често јавља код болесника са комплексним фокусним нападима, односно са епилепсијом темпо-ралног режња (149,150). Према узроку епилепсије, психичке промене су далеко че-шће код симптоматске него идиопатске епилепсије.…”