[Epilepsies in the adult. Can we distinguish progressive types?]

Electro-clinical, neuro-radiologic and socio-professional study of 100 epileptic adults, followed by the same physician during 12 to 20 years (average 15 1/2 years), now 30 to 75 years old, all cases of evolutive pathology being excluded. The evolution statistically is more favourable when the epilepsy: has developed late (between 21 and 30 years); ils described as "idiopathic", or with small primary lesion; is characterized by primary generalized fits with strong convulsive component, occurring preferably at awaking. The evolution is less favourable, even unfavourable, when the epilepsy: is secondary to a severe encephalopathy or to extensive focal lesions; has developed during childhood; is characterized by fits with partial start, little tendency to secondary convulsive generalization, and occurring any time of the day or bound to sleep.