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November 8, 1924


Author Affiliations

Assistant Professor of Surgery, in Charge of Neurologic Surgery, Emory University School of Medicine ATLANTA, GA.
From the Piedmont Hospital.

JAMA. 1924;83(19):1492-1493. doi:10.1001/jama.1924.02660190024007

Practically every case of jacksonian epilepsy should be subjected to an exploratory craniotomy in the hope of finding and removing a lesion causing the attacks. Unfortunately, those performing such exploratory operations are not infrequently disappointed in not finding such removable lesions. The problem under such circumstances is one of grave importance to the patient, and one that causes the neurologic surgeon considerable worry. Many years ago Sir Victor Horsley recommended excision of the so-called "epileptic zone," a procedure, however, of very doubtful value in that the defect is replaced by scar tissue, which, in turn, may give rise to irritative phenomena. In the two cases reported here, the so-called epileptic zone was first mapped out by faradic stimulation and then injected with 95 per cent, alcohol. I have been unable to find in the literature any reference to the clinical use of this method. Koljubakin and Uroda 1 proved that