[Dynamics of neurologic disorders in epileptics]

On the basis of the dynamic study of the neurological and otoneurological picture of epilepsy in 105 patients, the authors ascertained a definite complex of symptoms depending on the stage of the disease. Most frequently observed were symptoms of the involvement of the truncal-subcortical systems, which reflected the stage of the progression of the epileptic process associated with a sharp increase in the frequency (up to the daily pattern) and rhythm of attacks, as well as psychic disturbances, with the structure of paroxysms becoming more complicated and polymorphic. The pathological symptoms from the level of the brain stem, primarily vegetative and vestibular ones, regress considerably or are absent altogether against the background of a relatively favourable period of the disease (rare, single and homotypical attacks, mild psychic changes). The above neurological and otoneurological features are important not only for determining the localization of the pathological process but also for the clinical prognosis of epilepsy.