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June 30, 1951

SURGICAL TREATMENT OF FOCAL EPILEPSY

JAMA. 1951;146(9):820. doi:10.1001/jama.1951.03670090052020
Abstract

Most patients with chronic epilepsy can be more or less successfully treated with anticonvulsant drugs, psychotherapy and occupational rehabilitation. Anticonvulsant medication, according to Walker,1 will eliminate the attacks in more than 50% of the cases and markedly decrease seizures in another 25%. It is in the resistant 25% that surgical treatment may be considered. This type of treatment is applicable to cases of focal epilepsy. Diagnosis of focal epilepsy is arrived at by a careful study of the clinical history of the patient, in particular of the character of the seizures, of electroencephalograms, roentgenograms of the skull, pneumoencephalograms and cerebral angiograms. The character of the seizures is so important for the diagnosis that at times it is advisable to bring on an attack by intravenous injection of pentylenetetrazole. The provoked seizures have all the characteristics of a spontaneous one. Electroencephalogram has become an indispensable test in the diagnosis of

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