Abstract HUGHLINGS Jackson,1 in 1888, described a "peculiar variety of epilepsy" characterized by "exceedingly complex and very purposive seeming actions during continuing unconsciousness." Preceding these states of automatic behavior the patients were noted to have intellectual auras, or "dreamy states," with psychical hallucinations or illusions. Olfactory, gustatory or visceral auras were common. He noted that movements of mastication and salivation occurred frequently during the attack. Ten years later (1894) Jackson demonstrated by autopsy studies that such seizures were related to epileptogenic lesions in the temporal lobe, involving the uncinate gyrus and the adjacent "temporo-sphenoidal gyrus." In some cases the lesions extended into the tip of the temporal lobe and the frontal and temporal operculums. A specific form of electroencephalogram characterized by rhythmic sharp waves and 6 per second waves was first described by Gibbs, Gibbs and Lennox2 in 1938 as the typical electrographic manifestation of psychomotor seizures. It was References 1. Jackson, J. H., in Taylor, J.: Selected Writings of John Hughlings Jackson , London, Hodder & Stoughton, Ltd., 1931, vol. 1 and 2. 2. Gibbs, F. A.; Gibbs, E. L., and Lennox, W. G.: Cerebral Dysrhythmias of Epilepsy: Measures for Their Control , Arch. Neurol. & Psychiat. 39:298-314 ( (Feb.) ) 1938. 3. Jasper, H., and Kershman, J.: Electroencephalographic Classification of the Epilepsies , Arch. Neurol. & Psychiat. 45:903-943 ( (June) ) 1941. 4. Jasper, H. H.: Electroencephalography , in Penfield, W., and Erickson, T. C.: Epilepsy and Cerebral Localization , Springfield, Ill., Charles C Thomas, Publisher, 1941. 5. Lennox, M., and Brody, B. S.: Paroxysmal Slow Waves in the Electroencephalograms of Patients with Epilepsy and with Sub-Cortical Lesions , J. Nerv. & Ment. Dis. 104:237-248, 1946. 6. Walter, W. G., and Dovey, V. J.: Electroencephalography in Cases of Sub-Cortical Tumour , J. Neurol., Neurosurg. & Psychiat. 7:57-65, 1944. 7. Cobb, W. A.: The Electroencephalographic Localization of Intra-Cranial Neoplasms , J. Neurol., Neurosurg. & Psychiat. 7:96-102, 1944 8. Rhythmic Slow Discharges in the Electroencephalogram , Cobb J. Neurol., Neurosurg. & Psychiat. 8:65-78, 1945. 9. Gibbs, E. L.; Fuster, B., and Gibbs, F. A.: Peculiar Low Temporal Localization of Sleep-Induced Seizure Discharges of Psychomotor Type , Arch. Neurol. & Psychiat. 60:95-97 ( (July) ) 1948. 10. Gibbs, E. L.; Gibbs, F. A., and Fuster, B.: Psychomotor Epilepsy , Arch. Neurol. & Psychiat. 60: 331-339 ( (Oct.) ) 1948. 11. Hill, D.: The Electroencephalographic Concept of Psychomotor Epilepsy: A Summary , IVe' Congrès international de neurologie , 1949, vol. 1, pp. 27-33. 12. MacLean, P. D., and Arellano, A. P.: Basal Lead Studies in Epileptic Automatisms , Electroencephalog. & Clin. Neurophysiol. 2:1-16, 1950. 13. Penfield, W., and Flanigin, H.: Surgical Therapy of Temporal Lobe Seizures , Arch. Neurol. & Psychiat. 64:491-500 ( (Oct.) ) 1950. 14. Jasper, H. H., and Daly, D.: Suppression of the Electroencephalogram During the Onset of an Epileptic Seizure , Proceedings American Society of Encephalography , (June) 1947. 15. Mazars, G.: Interpretation du phémonène d'extinction dans la phase initiale de crises focales corticales , Electroencephalog. & Clin. Neurophysiol. 2:343, 1950. 16. Penfield, W., and Jasper, H. H.: Highest Level Seizures , A. Research Nerv. & Ment. Dis., Proc. 26:252-271, 1947. 17. Gibbs, F. A.: Ictal and Non-Ictal Psychiatric Disorders in Temporal Lobe Epilepsy , J. Nerv. & Ment. Dis. , to be published. 18. Ajmone-Marsan, C.; Stoll, J., and Jasper, H. H.: Electrophysiological Studies of Sub-Cortical Connections of the Tip of the Temporal Lobe , Electroencephalog. & Clin. Neurophysiol. 2:356, 1950.
A.M.A. Archives of Neurology & Psychiatry – American Medical Association
Published: Mar 1, 1951