History of Neurology: Seminal Citations |

Emergence of Temporal Lobe Surgery for Epilepsy

Kimford J. Meador, MD
Arch Neurol. 2001;58(6):1011-1012. doi:10.1001/archneur.58.6.1011.
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In 1888, Hughlings Jackson1 reported a large series of patients from London, England, with

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.

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Location and area of spread of the psychomotor focus (from Gibbs et al5).

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