ABSTRACT
A neurological, psychiatric and instrumental (electroencephalography, computer tomography, etc.) study of 84 patients was aimed at assessing an effect of sensomotor asymmetry profile and side of the epileptic focus on semiotics of seizures and psychopathological presentations in partial epilepsy. A data analysis included 111 variables, i.e., psychometric and neuropsychological ones. Groups of patients with left and right profiles of functional interhemispheric asymmetry (LHA and RHA) were singled out. No between-group differences were found in severity of mental disturbances. However, cognitive functions were mostly affected in RHA and psychopathological phenomenon emerged mostly in LPA. The formation of multiple epileptic foci with the involvement of frontal and temporary lobes was the best predictor of mental disorders manifestation compared to age at disease onset, illness duration, frequency and severity of seizures.
Subject(s)
Epilepsies, Partial/complications , Epilepsies, Partial/physiopathology , Frontal Lobe/physiopathology , Mental Disorders/etiology , Mental Disorders/physiopathology , Temporal Lobe/physiopathology , Adolescent , Adult , Electroencephalography , Female , Humans , Male , Middle Aged , Neuropsychological Tests , Young AdultABSTRACT
The rating scale of self-estimation of social adaptation which permits to determine the patient's adaptation in three life spheres (professional-working, family and self-service) was described. 103 patients with different forms of parkinsonism were examined by means of this scale. High effectiveness of this scale is demonstrated for estimation of the influence of such parameters as the disease gravity, its clinical form, mnemic-intellectual disorders expression, age and the duration of disease on social adaptation. Such effect determines the validity of the scale for the prognosis of the disease development.
Subject(s)
Parkinson Disease/psychology , Self-Assessment , Social Adjustment , Adult , Aged , Chronic Disease , Female , Humans , Interview, Psychological/methods , Male , Memory Disorders/etiology , Memory Disorders/psychology , Middle Aged , Parkinson Disease/complications , Psychiatric Status Rating Scales/statistics & numerical dataABSTRACT
The authors analyze the theoretical problems of estimating the effectiveness of rehabilitation of patients with brain lesions. Describe an original scale for assessing social rehabilitation of neurosurgical patients. Relate the results of the follow-up of a group of patients after brain surgery. Analyze the dependence of the effectiveness of social rehabilitation on some demographic, clinical and neuropsychological criteria.
