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A Study on Long‐Term Prognosis of Epilepsy
Author(s) -
Fukushima Yutaka
Publication year - 1977
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1111/j.1440-1819.1977.tb02623.x
Subject(s) - psychomotor learning , epilepsy , psychomotor retardation , pediatrics , personality changes , psychomotor agitation , carbamazepine , psychology , psychiatry , medicine , personality , cognition , social psychology , alternative medicine , pathology
SUMMARY Of 631 epileptic patients examined in our seizure clinic in the period between January 1961 and December 1966, 97 (15.4%) have been treated until September 1976, when the long‐term prognosis was evaiuated. The “good prognosis (completely controlled)” were found in 59% of grand mal, in 55% of focal motor seizure, in 42% of psychomotor and in 33% of the mixed seizure in which more than two types of seizures were combined; in 49% (48 cases) on the average. Seventy‐nine percent of the cases of the mixed seizure were combined with psychomotor seizures. In the psycho‐motor and the mixed seizure groups, the presence of personality disorders tended to lead them to “poor prognosis” which meant that the seizures were not well controlled. Twelve cases manifested psychotic (paranoid) state: a schizophrenic, a case with chronic paranoid‐hallucinatory state, and 10 patients with episodic paranoid state, whose episodes may be identified with the paranoid reactions. Out of the 49 “poor prognosis” cases, 17 (35%) had had seizure‐free periods for more than three years in the past course of their treatment.