[Health care systems in Nepal]. / Egészségügy Nepálban.

This article is the result of some preliminary journey of two Hungarian psychiatrist (one also epileptologist, other also anthropologist) to Nepal. The main aim of the research was to elaborate a community based epilepsy health care pilot project. It is shown a brief look at the modern and traditional health care systems and the severely difficult condition of the general and health infrastructure in Nepal. Some recommendations of possible help and intervention are offered for foreign (Hungarian) doctors.

Propagation of focal epilepsies and the timing and targeting of surgical interventions. Illustrative case reports.

The mirror focus conception assumes propagation of epileptic excitation towards a homotopic area of the contralateral hemisphere inducing secondary focal discharges. Later, independent discharges can be initiated by this new area of epileptogenesis but initiation of seizures of the same or altered symptomatology--and not only interictal discharges--from a mirror focus has yet not been proved. Three cases will be presented where dynamism of the development of temporal lobe mirror focus have been followed. All cases give rise to several questions concerning selection and timing of surgical approach.