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The hospital experience and seizure control

Clinical Epilepsy Section, Experimental Therapeutics Branch, and the Epilepsy Branch, National Institute of Neurological and Communicative Disorders and Stroke (Drs. Porter, White, and Penry), and the Department of Neurology, National Naval Medical Center (Dr. Riley), Bethesda, MD.

We studied 30 patients who were admitted to the hospital because of intractable seizures. Twenty-three had fewer seizures during one or both of the first 2 hospital weeks than before admission, although medication was not changed. The role of environment in seizure control is difficult to measure, but hospital admission itself is a form of environmental manipulation. When seizure control is achieved in the hospital, the hospital experience itself must be considered in addition to other therapeutic interventions.

Address correspondence and reprint requests to Dr. Porter, Federal Building, Room 114, National Institutes of Health, Bethesda, MD 20205.

Presented in part at the thirtieth annual meeting of the American Academy of Neurology, Los Angeles, CA, April 1978.

Accepted for publication September 3, 1980.

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