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Abstract
This article deals with the results of cognitive and affective impairments treatment in 133 patients with temporal lobe epilepsy. These patients underwent cognitive-behavioral therapy, a combination of cognitive-behavioral therapy and pharmacotherapy, pharmacotherapy and surgical treatment. The most effective treatment methods and correction of cognitive and affective impairments in patients with temporal lobe epilepsy are antidepressant therapy and cognitive-behavioral therapy. None of these treatment methods resulted in increased at-tacks frequency which proves their safety. Antidepressants and cognitive-behavioral therapy result in affective impairments regression and cognitive im-pairments improvement.
Key words: temporal lobe epilepsy, cognitive impairments, affective im-pairments, neuropsychological testing.
Н.В Софілканіч
Когнітивні та афективні порушення у хворих з скроневою епілепсією
У статті висвітлені результати лікування когнітивних та афективних по-рушень у 133 хворих з скроневою епілепсією. Пацієнти лікувалися за допо-могою когнітивно-поведінкової терапії, поєднання когнітивно-поведінкової терапії та фармакотерапії, медикаментозного і хірургічного лікування. Найбільш ефективними методами корекції когнітивних і афективних порушень у хворих з скроневою епілепсією лікування виявилася терапія анти-депресантами і когнітивно-поведінкова терапія. Жоден, з цих методів ліку-вання не призвів до збільшення частоти нападів, що доводить їх безпеку. Ан-тидепресанти і когнітивно-поведінкової терапія призводить регресу ко-гнітивних та афективних порушень.
Ключові слова: скронева епілепсія, когнітивні порушення, афективні погіршень, нейропсихологическое тестування.
Н.В Софилканич
Когнитивные и аффективные нарушения у больных с височной эпилепсией
В статье освещены результаты лечения когнитивных и аффективных нарушений в 133 больных с височной эпилепсией. Пациенты лечились с по-мощью когнитивно-поведенческой терапии, сочетание когнитивно-поведенческой терапии и фармакотерапии, медикаментозного и хирургиче-ского лечения. Наиболее эффективными методами коррекции когнитивных и аффективных нарушений у больных с височной эпилепсией лечения оказалась терапия антидепрессантами и когнитивно-поведенческая терапия. Ни один, из этих методов лечения не привел к увеличению частоты приступов, что доказывает их безопасность. Антидепрессанты и когнитивно-поведенческой терапия приводит регресса когнитивных и аффективных нарушений.
Ключевые слова: височная эпилепсия, когнитивные нарушения, аффек-тивные ухудшений, нейропсихологическое тестирование.
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