The debut of epilepsy observed mainly ...

Debut of epilepsy observed mostly in children (about 75% of all cases). Epilepsy of childhood characterized a large number of treatment-resistant forms of polymorphism and seizures, and, most importantly, it was in childhood for many obscure pain attacks, umbilical colic, fainting, vomiting atsetonemicheskimi can hide masked by these manifestations of epileptic seizures of organic nature, as indicated by More Jackson, Specht, and Livingston. Nevertheless, epilepsy should not be a diagnosis of exclusion in cases where not found any other diagnostic explanation. In children suffering from epileptic fits, rapidly evolving functional abnormalities, which are then converted into persistent changes in the nature, memory, attention, behavior and school performance. Should indicate that in the diagnosis and treatment of epilepsy, there was a dramatic situation. Diagnosis of epilepsy does not meet current international principles of classification of types of seizures and epilepsy. Often, non-epileptic phenomena and states (such as sleepwalking, night terrors, conversion seizures) are regarded as epilepsy. Some experts extrapolate in epilepsy and epileptic phenomena are regarded as violations related underlying cause (behavioral disorders, migraine, enuresis, psychopathological phenomena in patients and their relatives, according to old notions of the disease is referred to as epileptic circle). Such patients for years without the desired effect receive antiepileptic drugs (AEDs). In fact, as with any of multifactorial diseases, what is epilepsy, a pedigree of patients and the patient can find a variety of non-epileptic paroxysmal disorder of nature. The rapid development of neuropharmacology in the last decade, the synthesis of new high-AEP, a radical revision of many of the principles of treatment of epilepsy allowed currently attributed to epilepsy kurabelnym diseases. According to the generalized data of the leading anti-epileptic centers around the world, pronounced therapeutic effect is achieved in 80 85% of patients with epilepsy. Currently, the basic principle of treatment of epilepsy can be formulated as follows: the maximum therapeutic efficacy with minimal side effects. Patients with epilepsy are forced to use antiepileptic drugs for many years. In this regard, an important requirement for ongoing antikonvulsantnoy therapy is the lack of negative impact on quality of life for patients. Treatment of epilepsy may be initiated only after the establishment of an accurate diagnosis. Terms predepilepsiya and prophylactic treatment of epilepsy are absurd. According to most experts, the treatment of epilepsy should be started after the second attack. A single paroxysm may be accidental, caused by fever, overheating, intoxication, metabolic disorders, and not to treat epilepsy.