Clinical and psychosocial criteria for prognosis of paroxysmal states of epileptic origin

Based on the ten-year follow-up of 1039 patients with paroxysmal states of epileptic origin and analysis of the literature data the clinical and psychosocial criteria for prognosis of the disease are presented. A number of features that determine the course of epilepsy and its prognosis has been revealed: dynamics of paroxysmal syndrome, mental status, physical findings, including EEG changes, response to treatment, level of adaptation of patients, nature and frequency of seizures, “schedule” of them, presence and absence of provoking factors, localization of epileptic focus, repetitive organic brain impairments, adequacy of treatment, conditions of life etc. Presented pathomorphosis of considered forms of epilepsy and opposing it processes of compensation allows supposing overall outcomes as a whole as well as its enough long-term periods that allows personalizing the rehabilitation programs for this category of patients.