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January 1939

EPILEPTOGENIC CORTICAL SCARSRESULTS OF SURGICAL REMOVAL

Author Affiliations

NEW HAVEN, CONN.

From the Department of Surgery, the Yale University School of Medicine.

Arch NeurPsych. 1939;41(1):73-82. doi:10.1001/archneurpsyc.1939.02270130083004
Abstract

The surgical treatment of traumatic epilepsy is chiefly a product of the postwar period. Interest in this subject received its primary impetus from the works of Foerster,1 in Europe, and of Penfield and his associates,2 in America. At present, widespread attention is being directed toward many phases of the problem of convulsions. It appears desirable, therefore, to analyze the surgical results obtained by various workers in this rather specialized field.

It is of paramount importance that any form of therapy, especially one of such magnitude as surgical removal of the cerebral focus, should be based on fundamental knowledge of the disease process. Though many gaps exist in the present understanding of the convulsive mechanism, the basic factor of a primary cerebral focus seems fairly well established in a certain group of cases. Thus, a tumor, cicatrix, degenerative area or porencephalic lesion may set off the complex sequence of

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