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July 1948

CALCIFYING EPILEPTOGENIC LESIONS: Hemangioma Calcificans; Report of a Case

Author Affiliations


From the Department of Neurology and Neurosurgery, McGill University, and the Montreal Neurological Institute.

Arch NeurPsych. 1948;60(1):20-36. doi:10.1001/archneurpsyc.1948.02310010026002

PECULIAR calcified neoplasms (or malformations) associated with symptomatic epilepsy have been encountered in the temporal lobe near the fissure of Sylvius. In order to gain an idea of their frequency, and as an aid to differential diagnosis, all cases of calcified epileptogenic lesions of the temporal region were collected in this institute for a six year period, and are reviewed here.

Our attention was called to these lesions when we were consulted by a man aged 21 because of epileptic seizures. His attacks were characteristic of temporal lobe origin and roentgenograms demonstrated a peculiar intracerebral calcification in that lobe.


Case 1 (J. S.).  —Study led to osteoplastic craniotomy, in 1938, and the following excerpt is from the operative note by one of us (W.P.) in October 1938:"About 1 cm. beneath the surface of the right temporal lobe, a nodular, hard object was encountered. The surface