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August 26, 1974

Psychomotor Epilepsy: A Polydimensional Study

Author Affiliations

Lankenau Hospital Philadelphia

JAMA. 1974;229(9):1230-1231. doi:10.1001/jama.1974.03230470072042

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This valuable cross-disciplinary approach to the mysterious biological phenomenon of the psychomotor seizure activity is most welcome, especially at this time. Dr. Jovanovic has created a remarkable book that in upto-date fashion reviews the multiple aspects of this complex symptom whose origin is in the temporal lobe. Anatomically and even etiologically, the author lists psychomotor seizures as arising from areas of excitement in the temporal lobe, which he entitles the first barrier; the medical structure of the brain he calls the second barrier; the neocortical areas, the third barrier; the lower parts of the brain stem, the fourth barrier, and finally, he lists the spinal cord as the fifth barrier. He agrees that the most common psychomotor firing comes forth from the hippocampal gyrus or the hippocampus itself.

For a condition so complicated and at the same time such a diagnostic challenge, the author has written a text of unquestioned