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[Posttraumatic epilepsy: the theory and the practice].

One hundred and sixty-one patients with the diagnosis of "posttraumatic epilepsy" have been studied. A study of anamnesis, a clinical and neurological examination, routine EEG and/or video-EEG-monitoring, MRI of the brain have been performed. The period of observation was 1-5 years (on average 3 years). The diagnosis has been confirmed in 123 cases. It has been shown that patients with mild head injury have temporal lobe epilepsy in most cases. In patients with severe injury, the localization of epileptic center was associated with a pathology in the neocortex. The duration of latency period, clinical features and prognosis in patients with mild and severe brain injury were similar. The high frequency of seizures and long duration of epilepsy were associated with the poor prognosis.