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[Structural-functional interrelations in patients with an epileptic syndrome in posttraumatic hydrocephalus]
Abstract:
Overall forty two patients presenting with epileptic syndrome in posttraumatic hydrocephalus in the remote period of light closed craniocerebral injury, who ranged from 16 to 60 years old, were examined. Degree of severity and variety of posttraumatic hydrocephalus were assessed by findings from axial computerized tomography, pneumoecephalography, magnetoresonance tomography. All patients underwent electroencephalography. The examinees were predominantly those persons presenting with light and internal symmetrical hydrocephalus. 57.2% of patients developed cerebral seizures within the first 5 years of sustaining the injury. Normal EEG was recordable in those patients with epileptic syndrome presenting with light and internal symmetrical hydrocephalus. Apparent diffusive disturbances in the bioelectrical activity of the brain were more common in moderately severe hydrocephalus and in mixed hydrocephalus. The presence of paroxysmal activity is a particular characteristic of patients with epileptic syndrome in outer hydrocephalus. A distinguishing feature of internal asymmetrical hydrocephalus is an observation of a decrease in the general level of biopotentials.