[5. Consciousness disorders in surgery. (Psychiatric report)].
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A report is given of the experience gained in close-meshed neurological and electroencephalographic observations of unconscious patients suffering from acute and severe brain damage of different aetiology. Only in some cases can the neurological findings be assigned to the midbrain or bulbar brain syndromes - in our material this is possible only after skull-brain traumas and subarachnoid haemorrhage but least of all after hypoxic accidents and brain operations. The vegetative functions often show inconsistency and do not always correspond with the rest of the neurological findings. Selected examples are used to make an assessment of electroencephalography in the interpretation of severe and acute brain damage.
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The paper presents the results of the analysis of atonic epileptic seizures with application of brain mapping eeg. The views to date on the pathogenesis of atonic seizures could be based on the assumptions of centrencephalic epilepsy voiced by Penfield and Jasper. The present investigations and electrophysiological-clinical observations support, however, contrary to the concept of Penfield and Jasper, the cortical origin of these seizures. The discussion on the clinical forms of atonic seizures in epilepsy, confirmed by analysis of brain mapping in the domain of frequencies and amplitude distribution, in the form of brain topograms, allows for the concept of cortical origin of these seizures with the probability of localisation of the epileptic focus, as in here presented case, in the anterior right paramedial frontal region of the brain.
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