The authors review critically the traditionally accepted views on post-traumatic epilepsy in children. The analysis is based on 385 children hospitalized for craniocerebral injuries and 42 of these children (10.91%) in whom post-traumatic epilepsy developed. In the pathogenesis of this epilepsy development of essential importance were early beginning and frequently recurring attacks. Serial EEG was useful and the clinical pattern was initially non-characteristic. In the prevention of post-traumatic epilepsy careful prevention of secondary changes and primary neurosurgical management are of particular importance in the acute phase, while the effect of anticonvulsive treatment as prophylaxis is still a problem at issue.

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