EPILEPSY IN PATIENTS WITH ISCHEMIC BRAIN DISEASE

The paper presents the results of follow-up study of 610 patients with ischemic stroke. In 52 patients (8,6%) there was observed symptomatic epilepsy conditioned by local causes (2 and more epileptic fits in an amnesis). The age of the onset of epileptic seizures was in the range 50-69 years, and men prevailed. From all 52 patients with episyndrome 36 had only one stroke, 16 patients - two and more strokes. 14 patient s had fits before the stroke development. Meanwhile in 10 patients the fits were the first stroke symptoms (early) and in 28 individuals the fits arose 7 days after the stroke development (late). Significantly more severe disorders of dynamic praxis were revealed in psychologic e xamination of the patients with secondary generalized fits than of one s with partial seizures. Pathogenetic and clinical aspects of vascular epilepsy, interactions between transitory ischemic attacks and the fi ts which developed before the stroke are considered.