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Despite the advent of efficient new drugs and the monitoring of blood levels, the idea that surgery can help patients with refractory epilepsy is one that persists. Currently, the hope is that operations other than block resection anterior to Labbe's vein will be of help to patients with psychomotor seizures. These operations may be either restricted in scope (eg, amygdalohippocampectomy) or more venture-some (eg, removal of the opercular cortex).
The author of this new book, building on the work of Talairach and Bancaud, reports his experience with 51 patients at the Kantonspital in Zurich. An attempt was made via depth EEG recordings to localize the source of patients' seizures and to guide surgeons to the site of excision. Wieser believes that there are five clinical appearances of psychomotor seizures with five different sites of origin: temporobasal-limbic, temporal pole, frontobasal-cingulate, opercular, and posterior neocortical-temporal.
The author recognizes some of the
Charlton MH. Electroclinical Features of the Psychomotor Seizure. Arch Neurol. 1984;41(1):21. doi:10.1001/archneur.1984.04050130027013
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