TWILIGHT STATE AND ITS PLACE IN THE STRUCTURE OF EPILEPTIC DISORDERS
A clinical and psychopathological analysis of twilight state in 747 patients with epilepsy was carried out. Among these patients 401 (53.68 %) had traumatic epilepsy, 279 (37,35 %) - symptomatic epilepsy, 67 (8,96 %) - idiopathic epilepsy. The classical (hallucinatory-delusional) form was observed in 57 (7,6 %) patients. The aproductive form (outpatient automatism) was observed in 80 (10,7 %) patients. Rapid twilight states occurred immediately after the end of seizures of different types, more often - in 38 % of patients - after single secondary generalized seizures, as well as abortive, psychomotor and complex absences. Hallucinatory disorders predominated in 34 % of patients and affective disorders - in 15 % of patients, but they were often combined (in 18 % of cases). Prolonged twilight states were observed in 49 % of patients and lasted from 3 hours to 17 days after single, serial, tonic-clonic seizures, status epilepticus. Last paroxysms followed a period of clouding of consciousness and postepileptic sleep. Furor epilepticus was observed in 2 (0,26 %) patients.