[Follow-up study of adolescents with anorexia nervosa].

Analysis of the results of treatment of 132 patients hospitalized because of anorexia nervosa is presented. Average time of observation after hospitalization was 7,9/12 years. Mean age when the disease started was 13,7/12 years, when the analysis was performed--22 years.

[Mental disorders in children with epilepsy].

In a group of 80 epileptic children aged 10-11-12 years in 75% of cases psychic changes were found, including disturbances of intellectual abilities of the oligophrenic-dementive type, and personality disorders. The cause of these disturbances was organic brain damage due mainly to pathological events in pregnancy and labour, and to mechanical craniocerebral trauma in early childhood. Other causes included: duration, type and frequency of seizures and longstanding pharmacological polytherapy not considering the interaction of drugs.

[Catamnestic studies of children with epilepsy].

Late results of epilepsy treatment in 150 children hospitalized in the Department of Psychiatry, Institute of Paediatrics, Medical Academy in Warsaw and followed-up in the outpatient clinic of this Department are described. The criteria of selection of the cases for analysis were age of 10 years, at least, and disease duration at least 4 years. It was found that in 72% of cases the seizures had been completely controlled (absent for at least 2 years).

[Difficulties in the diagnosis of epilepsy in children].

On the basis of an analysis of 3 cases it was shown that the occurrence of seizure-like symptoms with abnormal EEG and history data suggesting possible damage to the central nervous system are not always sufficient for an unequivocal diagnosis of epilepsy and for beginning of long-term antiepileptic treatment which is not without adverse effects on the developing organism of a child. For establishing of correct diagnosis and avoiding of too hasty introduction of anticonvulsant treatment not only careful history and family data and pathological EEG tracings should be considered, but the seizure-like symptoms and results of laboratory investigations should be carefully analysed. On many cases, especially in younger children, the diagnosis should be established in hospital.

[Evaluation of the mental state of children with early-childhood onset of epilepsy treated between 1977 and 1981 (preliminary report)].

From a group of 248 cases of epilepsy observed in the last five years 69 (28%) children, 32 boys and 37 girls, were isolated (aged from several months to 14 years) in whom the first epileptic seizures appeared at the age of 3 years or less. The subgroups were subjected to detailed psychiatric-psychological analysis for establishing whether epilepsy beginning in the life period of the most intense developmental processes may have any decisive influence on the psychic development and social adaptation of the child. It was found that children with epilepsy beginning at the age below 3 years require not only a careful differential diagnosis but even more a comprehensive therapeutic management, which should include, besides systematic administration of drugs and periodic EEG control also a continuous psychological and psychiatric supervision and care which would ensure a possibly optimal development of mental skills and social adaptation in the family and outside it.

[Epileptic seizures among the population of Mokotów: incidence and prognosis].

In the years 1976-1979 all cases of first epileptic seizure of any type were analysed in the whole population of the Mokotów District. The total number of patients with the first seizure in life was 272. The mean annual incidence coefficients were: for the repeatedly occurring seizures (i.

[Effect of parent attitudes on the development of psychomotor disorders in epileptic children].

The authors studied the problem of parental attitudes assuming that in epilepsy, besides the coexistent CNS damage, the intensity and frequency of convulsive seizures, and the mode and duration of treatment which influence the functions of the child, the attitude of the parents is also very important. In the studied material of 272 cases (146 boys and 126 girls) treated in the psychiatric department and out-patient clinic in the Institute of Paediatrics, Medical Academy in Warsaw for at least 3 years three main patterns of parental attitude towards the epileptic child have been recognized: 1. overprotective attitude (58%).

[Factors determining favourable or unfavorable results of treatment of epilepsy in children in the light of follow-up observations].

The described material was divided into two groups. Group I (45,6%) without seizures since 3 years at least, group II (54.4%) with continuing seizures (in 52% of this group the intensity of seizures remained unchanged and in 48% it decreased).