PMID- 8011486 OWN - NLM STAT- MEDLINE DCOM- 19940722 LR - 20061115 IS - 1017-5644 (Print) IS - 1017-5644 (Linking) VI - 31 IP - 3-4 DP - 1993 Jul-Dec TI - Interictal responsiveness in therapy-resistant partial epilepsy. PG - 239-60 AB - A polygraphic study of the somatic, autonomic and EEG components of the orienting reaction elicited by an auditory stimulus was performed in 66 epileptics with therapy-resistant partial seizures (TRPS) and in 135 matched subjects in two control groups. The study showed a significant interictal hyperresponsivity in epileptics with TRPS vs. the normal subjects of control group I, which consisted in a marked increase of the intensity of the orienting reaction components. This hyperresponsivity was also more marked than that noted in epileptics with therapy-controlled partial seizures of control group II. The correlational analysis of data showed that the severity of these responsiveness disturbances in epileptics with TRPS depended on the patients' age, type of electroclinical seizures, pretrial seizure frequency, type of resting EEG, administered treatment (no. of administered antiepileptic drugs/patient), daily dose, as well as on the serum level of these drugs. The multivariate regression analysis showed that the most significant predictive variables for the responsiveness disturbances were the pretrial seizure frequency, type of electroclinical seizures, daily dose of administered antiepileptic drugs and their serum level. The data also evidenced that the antiepileptic treatment improves the interictal responsiveness disturbances, the effect being the more marked as the treatment was more sustained. The above-mentioned responsiveness changes in epileptics with TRPS should be ascribed to some disturbances in nervous excitability. FAU - Rogozea, R AU - Rogozea R AD - Institute of Neurology and Psychiatry, Bucharest, Romania. FAU - Florea-Ciocoiu, V AU - Florea-Ciocoiu V FAU - Hategan, D AU - Hategan D LA - eng PT - Comparative Study PT - Journal Article PL - Romania TA - Rom J Neurol Psychiatry JT - Romanian journal of neurology and psychiatry = Revue roumaine de neurologie et psychiatrie JID - 9014562 RN - 0 (Anticonvulsants) SB - IM MH - Acoustic Stimulation MH - Adolescent MH - Adult MH - Anticonvulsants/administration & dosage/*antagonists & inhibitors MH - Child MH - Dose-Response Relationship, Drug MH - Drug Resistance MH - Electroencephalography/drug effects/statistics & numerical data MH - Electromyography/drug effects/statistics & numerical data MH - Epilepsies, Partial/drug therapy/epidemiology/*physiopathology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Orientation/drug effects MH - Regression Analysis EDAT- 1993/07/01 00:00 MHDA- 1993/07/01 00:01 CRDT- 1993/07/01 00:00 PHST- 1993/07/01 00:00 [pubmed] PHST- 1993/07/01 00:01 [medline] PHST- 1993/07/01 00:00 [entrez] PST - ppublish SO - Rom J Neurol Psychiatry. 1993 Jul-Dec;31(3-4):239-60.