Ab. Gekht et al., CLINICAL AND NEUROPHYSIOLOGICAL PECULIARITIES OF MOTOR DISORDERS IN PATIENTS WITH POSTSTROKE EPILEPSY, Zurnal nevropatologii i psihiatrii im. S.S. Korsakova, 98(7), 1998, pp. 4-8
The study included 22 patients with poststroke epilepsy (group 1) and
30 patients with stroke without epilepsy (group 2), A bilateral decrea
se of the time of central conduction (TCC) through pyramidal path (bot
h on the paretic and intact side) was revealed in group 1. This was no
t observed in patients of group 2 with similar gravity of motor disord
ers (p<0,01). Tendency to TCC decrease was also observed inpatients wi
thout epileptic disorders by day 5-6 after ischemic stroke. However, T
CC values were increased in such patients by day 10-14. Low indices pe
rsisted for a long time in patients with poststroke. There was also an
increase of delta index of facilitation (the difference between TCC i
n rest and in muscle effort), It was also found that motor disorders i
n the group of patients with poststroke epilepsy were characterised by
higher muscular tone than in poststroke patients with the same degree
of the paresis.