CLINICAL FEATURES OF NEUROSURGICAL EPILEPSY PATIENTS

The purpose was to analyze clinical features of epilepsy in a neurosurgical department.

Materials and methods. The study was retrospective. Primary documentation from epilepsy database since 2012 for 2017 was analyzed. The cohort consisted of 91 case histories of patients with drug-resistant epilepsy. Demographic indicators, clinical features of epilepsy, results of neurovisualisation and neurophysiologic dates were analyzed. Comparison of the obtained data was carried out with average data for epilepsy.

Results: Average age of the hospitalized patients was 32 y.o. The average duration of an epilepsy – 19 y. 77% of the patients suffered from epilepsy for more than 10 years, 41% – more than 20 y. Focal epilepsy was diagnosed in all cases (100%): temporal localization -71%. extra temporal – 29%. 37,4% patients had clustered seizures. Epileptic status had 3.4%. In the group of patients with epilepsy duration more than 10 years bilateral epileptic activity was observed.

Conclusions: The epilepsy in patients in neurosurgical hospital was presented by focal drug-resistant forms, frequent seizures and late administration to a neurosurgeon. Now Polenov Russian Scienific Research Institute of Neurosurgery became a center of surgical treatment of drug-resistant epilepsy. The high duration of a disease in a neurosurgical department demands search for a solution.

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