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Emergence of Temporal Lobe Surgery for Epilepsy
Kimford J. Meador, MD
Arch Neurol. 2001;58:1011-1012.
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INTRODUCTION
In 1888, Hughlings Jackson1 reported a
large series of patients from London, England, with
a variety of epilepsy . . . in which . . . "dream state" is a
striking symptom. . . . There is not always loss, but there is, I believe,
always, at least defect, of consciousness . . . [and in some cases] there
are exceedingly complex and very purposive-seeming actions during continuing
unconsciousness.
Two of these patients later came to autopsy.1, 2
In one, a woman with epilepsy manifested as "a crude sensation of smell and
a dreamy state" had a "tumour of the right temporo-splenoidal lobe." The other
patient, known as "Z," was a "medical man" who had his onset of seizures at
age 20 years. His attacks were characterized as a feeling of "reminiscence"
(ie, déjà vu), "dreamy state" with
altered consciousness, and automatisms.
With at least some . . . [Full Text of this Article]
ROLE OF ELECTROENCEPHALOGRAPHY
INITIAL SURGICAL SERIES FOR TEMPORAL LOBE EPILEPSY
From the Department of Neurology, Medical College of Georgia, Augusta.
Corresponding author and reprints: Kimford J. Meador, MD, Department
of Neurology, Medical College of Georgia, 1120 15th St (BA3440), Augusta,
GA 30912, (e-mail: kmeador@neuro.mcg.edu).
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