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Progress in Pediatrics
May 1948

WHAT TYPES OF EPILEPTIFORM-LIKE SEIZURES ARE AMENABLE TO SURGICAL TREATMENT?Surgical Treatment of Epilepsy Due to Atrophic Cerebral Lesions

Author Affiliations

MADISON, WIS.
This paper and the six which follow it were presented at the Symposium on Encephalopathies at the meeting of the American Academy of Pediatrics, Hotel William Penn, Pittsburgh, Wednesday, Feb. 26, 1947.

Am J Dis Child. 1948;75(5):712-720. doi:10.1001/archpedi.1948.02030020729007
Abstract

THE TERM epileptiform-like seizures contained in my title is not to my liking, for it carries a double implication that there are seizures like epilepsy which are not true epilepsy. This concept of true, essential or idiopathic types of epilepsy obscures the facts. Epileptic seizures are a symptom of some abnormal condition affecting the central nervous system and causing an excessive and abnormal neuronal discharge, the type of seizure depending on the particular portion, or portions, of the brain involved. Although more than sixty "causes" of epilepsy have been described, it is often impossible to determine the actual cause, and one is then forced to speak of idiopathic or, better, cryptogenic epilepsy. The number of patients with the latter type will no doubt become fewer as knowledge increases.

For the purpose of the present discussion, patients with epilepsy may be placed in two general groups: those with and those without

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