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SURGICAL THERAPY OF TEMPORAL LOBE SEIZURES

SURGICAL THERAPY OF TEMPORAL LOBE SEIZURES Abstract DURING recent years the mechanisms involved in the production of focal temporal lobe seizures have gradually come to light. Many cases of epilepsy, formerly considered idiopathic, are now to be recognized as focal cerebral attacks. The result is that new knowledge has been gained of the function of the human temporal cortex and a new field of surgical therapy presents itself. In this paper we shall content ourselves with an analysis of the results of surgical therapy. In all of this work we have been greatly helped by Dr. Herbert Jasper; indeed, some of our success would have been impossible without his collaboration. This analysis covers a 10 year period which ended in April 1949. During that time 68 patients who suffered from temporal lobe seizures were operated on.1 The fact that during the 12 months that have followed that period 30 more such patients were subjected to operation References 1. The operations were carried out by one of us (W. P.) and occasionally by one of our associates in Montreal, Dr. Theodore Rasmussen or Dr. Keasley Welch. The follow-up analysis was carried out by the second author (H. F.). 2. Bravais, L. F.: Récherches sur les symptômes et le traitement de l'épilepsie hémiplégique , Thesis, Faculty of Medicine, Paris, 1827. 3. Taylor, James, and others: The Selected Writings of John Hughlings Jackson , London, Hodder & Stoughton, 1931-1932. 4. Gibbs, F. A.; Davis, H., and Lennox, W. G.: The Electro-Encephalogram in Epilepsy and in Conditions of Impaired Consciousness , Arch. Neurol. & Psychiat. 34:1133-1148 ( (Dec.) ) 1935. 5. 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. 6. Jasper, H. H.: Electroencephalography , in Penfield, W., and Erickson, T.: Epilepsy and Cerebral Localization , Charles C Thomas, Publisher, Springfield, Ill., 1941, chap. 14. 7. Jasper, H., and Kershman, J.: Electroencephalographic Classification of the Epilepsies , Arch. Neurol. & Psychiat. 45:903-943 ( (June) ) 1941. 8. Penfield, W., and Steelman, H.: The Treatment of Focal Epilepsy by Cortical Excision , Ann. Surg. 126:740-762, 1947. 9. One of us (W. P.) operated on a patient with temporal lobe epilepsy in 1928, and occasionally carried out similar procedures during the next 11 years, but it was not until the introduction of electroencephalography into clinical practice that the importance and frequency of this type of focal seizure became evident. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Neurology & Psychiatry American Medical Association

SURGICAL THERAPY OF TEMPORAL LOBE SEIZURES

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Publisher
American Medical Association
Copyright
Copyright © 1950 American Medical Association. All Rights Reserved.
ISSN
0096-6886
DOI
10.1001/archneurpsyc.1950.02310280003001
Publisher site
See Article on Publisher Site

Abstract

Abstract DURING recent years the mechanisms involved in the production of focal temporal lobe seizures have gradually come to light. Many cases of epilepsy, formerly considered idiopathic, are now to be recognized as focal cerebral attacks. The result is that new knowledge has been gained of the function of the human temporal cortex and a new field of surgical therapy presents itself. In this paper we shall content ourselves with an analysis of the results of surgical therapy. In all of this work we have been greatly helped by Dr. Herbert Jasper; indeed, some of our success would have been impossible without his collaboration. This analysis covers a 10 year period which ended in April 1949. During that time 68 patients who suffered from temporal lobe seizures were operated on.1 The fact that during the 12 months that have followed that period 30 more such patients were subjected to operation References 1. The operations were carried out by one of us (W. P.) and occasionally by one of our associates in Montreal, Dr. Theodore Rasmussen or Dr. Keasley Welch. The follow-up analysis was carried out by the second author (H. F.). 2. Bravais, L. F.: Récherches sur les symptômes et le traitement de l'épilepsie hémiplégique , Thesis, Faculty of Medicine, Paris, 1827. 3. Taylor, James, and others: The Selected Writings of John Hughlings Jackson , London, Hodder & Stoughton, 1931-1932. 4. Gibbs, F. A.; Davis, H., and Lennox, W. G.: The Electro-Encephalogram in Epilepsy and in Conditions of Impaired Consciousness , Arch. Neurol. & Psychiat. 34:1133-1148 ( (Dec.) ) 1935. 5. 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. 6. Jasper, H. H.: Electroencephalography , in Penfield, W., and Erickson, T.: Epilepsy and Cerebral Localization , Charles C Thomas, Publisher, Springfield, Ill., 1941, chap. 14. 7. Jasper, H., and Kershman, J.: Electroencephalographic Classification of the Epilepsies , Arch. Neurol. & Psychiat. 45:903-943 ( (June) ) 1941. 8. Penfield, W., and Steelman, H.: The Treatment of Focal Epilepsy by Cortical Excision , Ann. Surg. 126:740-762, 1947. 9. One of us (W. P.) operated on a patient with temporal lobe epilepsy in 1928, and occasionally carried out similar procedures during the next 11 years, but it was not until the introduction of electroencephalography into clinical practice that the importance and frequency of this type of focal seizure became evident.

Journal

A.M.A. Archives of Neurology & PsychiatryAmerican Medical Association

Published: Oct 1, 1950

References