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August 1959

Prognosis in Convulsive Disorders

Author Affiliations

Winston-Salem, N. C.
Department of Neurology, Bowman Gray School of Medicine of Wake Forest College.

AMA Arch Neurol. 1959;1(2):216-225. doi:10.1001/archneur.1959.03840020090011

Introduction  This article is concerned with the prognosis and response to treatment in convulsive disorders. Seizures were classified according to electroencephalographic criteria, to evaluate whether initial electroencephalographic data would be helpful in determining the prognosis. The prognostic implications of various clinical data are considered.

Selection of Patients  It is the policy of the Department of Neurology of the Bowman Gray School of Medicine that eachpatient with a convulsive disorder have an electroencephalographic examination as part of the initial evaluation. Return visits are scheduled at short intervals, and treatment is intensive. Medications are changed if control of seizures is not achieved, so that uncontrolled patients receive a number of drugs. Electroencephalograms are obtained repeatedly to assess the response to treatment. Representative sections of each electroencephalogram are saved; the findings are classified, and the classification is recorded on a punch card.Selection of patients for the present study was based on

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