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April 6, 1940

PNEUMO-ENCEPHALOGRAPHIC AND ELECTROENCEPHALOGRAPHIC LOCALIZATION OF AN EPILEPTOGENIC FOCUS

JAMA. 1940;114(14):1345-1346. doi:10.1001/jama.1940.62810140005012c

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Abstract

A case illustrating successful localization of an epileptogenic focus by pneumo-encephalogram is presented together with a confirmatory localization by electro-encephalogram. Conclusions were derived from the latter procedure independently of the clinical and pneumo-encephalographic observations.

REPORT OF CASE  A white man aged 30, unmarried, was admitted to the Montefiore Hospital for Chronic Diseases on Sept. 11, 1938, with the complaint of epileptic seizures of four months' duration. Eight years before he had been thrown from a rapidly moving truck, sustaining a basilar skull fracture from which he made a slow but complete recovery. In April 1937 he was stated to have dislocated his right shoulder during sleep wherein he was heard to make "funny noises." Reduction of the dislocation was successfully carried out the following day; since that time the patient had frequently dislocated the same shoulder, learning to reduce it himself. His health was otherwise unimpaired until May 15, 1938,

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