TO THE QUESTION ABOUT LEGITIMACY OF THE DIAGNOSIS "SYMPTOMATIC EPILEPSY" IN SOME FORMS OF VASCULAR ANOMALIES OF THE WILLIS CIRCLE
Authors: I.Yu. Sitnikov, Е.М. Кislyakova, Ya.Ye. Аkchurina, S.V. Savinov, Zh.Ye. Utebekov, I.Ph. Chulkova, L.V. Тrubacheva, А.К. Каzakenova, D.А. Sultanbayeva, А. Julanovа, S. Меdukhanova
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In the SVS Laboratory of Epilepsy and Convulsive states Study and Family monitoring named after V.M. Savinov treat patients
with various forms of epilepsy. During the period from 2004 to 2010 there were conducted more than 14,000 EEGs, both
short- (routine) and long-term (one month) studies. As a result, 8,530 patients were diagnosed and were refined diagnosis.
The most frequent errors in diagnosis on admission were noted in the formulation of symptomatic epilepsy, especially when
combined with cardiovascular disease. More than 75% of the physicians not reasonably tied the presence of epilepsy to the
changes in vascular anomalies, when found vascular changes on MRI and CT of the brain. This is especially true for the pathology of the Circle of Willis. The article presents two examples in which patients were diagnosed: Symptomatic Epilepsy associated with abnormalities of Willis circle`s blood vessels. These patients were examined by the ILAE standards applied in the Laboratory of Epilepsy and Convulsive states Study and Family monitoring named after V.M. Savinov. As a result, it was shown that patients had symptomatic forms of Epilepsy that were not related to the Willis circle`s structure. In addition, published data review casts doubts even on the existence of the symptomatic form of Epilepsy in violation of the Willis circle. Structure`s anomalies (such as the bifurcation, refurcation, hypoplasia of vessels, etc.) are formed gradually. Based on the article we can conclude that the approach to each patient should be individual and we need to develop high-tech facilities in Kazakhstan.