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NEUROLOGY 1984;34:1
© 1984 American Academy of Neurology

Type I1 complex partial seizures

Poor results of anterior temporal lobectomy

G. O. Walsh, MD and A. V. Delgado-Escueta, MD

From the Comprehensive Epilepsy Program (Drs. Walsh and Delgado-Escueta) and the VA Southwest Regional Epilepsy Center (Dr. Delgado-Escueta), Neurology Service, Los Angeles VA Medical Center (Wadsworth), and the Department of Neurology (Drs. Walsh and Delgado-Escueta), Reed Neurological Research Center. UCLA Center for the Health Sciences, Los Angeles, CA 90024.

Reasons why nine patients with Type II complex partial seizures continue to have disabling attacks after anterior temporal lobectomy were sought. Videotaped seizures revealed extratemporal features during onset of ictus, such as postural, contraversive head, eyes, and focal motor movements in four patients, and automatic ambulation, running, and motions similar to bicycling action or "bringing in a catch of fish" in five patients. Depth electrographic patterns also suggested a focus outside the hippocampus or amygdala in seven patients. Two patients had frontal lobe dysfunction on neuropsychological tests. Anterior temporal lobectomy is not indicated in Type II complex partial seizures.

Address correspondence and reprint requests to Dr. Walsh, the Department of Neurology, Reed Neurological Research Center, UCLA Center for the Health Sciences, Los Angeles, CA 90024.

This study was supported in part by Contract fiNOI-NS-02332 from the Department of Health and Human Services (A.V. Delgado-Escueta, MD), Grant fiNS-012808 from the National Institutes of Health and the Southwest Regional Epilepsy Center, Neurology and Research Services at the Veterans Administration Wadsworth Medical Center, Los Angeles.

Accepted for publication April 26, 1983.




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