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August 1959

Contribuicão ao estudo clínico da epilepsia temporal: Manifestacões clínicas em 1000 pacientes portadores de foco temporal no electroencefalograma.

AMA Arch Neurol. 1959;1(2):241-242. doi:10.1001/archneur.1959.03840020115016

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This is a detailed clinical study of 1,000 patients with electroencephalographic abnormalities limited to the temporal lobes. The patients were divided into groups according to the locus of the disturbance: unilateral vs. bilateral, anterior vs. posterior, superficial vs. deep, right vs. left. The symptomatology was then codified four ways, according to subjective vs. objective and paroxysmal vs. interval manifestations. An elaborate subdivision into vegetative, sensorial, and psychic phenomena was then undertaken. Excluded from consideration were patients who manifested signs of cerebral damage by roentgenograms and often by pneumoencephalograms and angiograms. The study is therefore the "temporal-spike syndrome."

Paroxysmal disturbances of consciousness occurred in 93%, automatisms in 63%, objective psychic manifestations in 62%, subjective in 58%, sensorial in 45%, and interval objective and subjective manifestations in 35% and 28%, respectively.

Analyzing the patients with unilateral vs. bilateral foci, vegetative manifestations were common to both, while sensorial phenomena were predominantly unilateral and

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