[Tactics for managing patients who developed epileptic seizures and paroxysmal states for the first time]

The authors examined 230 patients who developed paroxysmal conditions. The majority of patients (n-193) presented with epileptic seizures. In the remaining 37 patients various syncopal conditions were diagnosed. The authors emphasize the necessity of a comprehensive examination of such patients, the early detection and treatment of somatic pathology which usually aggravates the course of epileptic process at the early stages. The authors advocate an active multimodality treatment of patients who developed seizures for the first time, the therapeutic and diagnostic use of pneumoencephalography with the administration of nitrous oxide into the cerebrospinal fluid. Approximate schemes of the treatment of patients are offered and a long-term follow-up on the outpatient basis is recommended.