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EPILEPSY AND SURGICAL THERAPY
WILDER PENFIELD, M.D., D.Sc.
Arch Neurol Psychiatry 1936;36(3):449-484.
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TOPICAL HEADINGS- Introduction
- Preliminary case study
- Pattern of attack
- Neurologic signs
- Encephalography
- Electrical exploration
- Idiopathic (essential) epilepsy
- Pathologic physiology
- Results of sympathetic ganglionectomy
- Results of removal of carotid body and denervation of the carotid sinus
- Results of subtemporal decompression
- Results of spinal insufflation of oxygen
- Epileptiform seizures secondary to subdural exudation
- Epilepsy associated with injury at birth and with congenital abnormality of the brain
- Epileptiform seizures secondary to intracranial tumors
- Epileptiform seizures associated with meningocerebral cicatrix, cerebral cicatrix and cerebral atrophy
- Pathologic anatomy
- Results of craniotomies
- Radical excision
- Exploration without excision
- Ligation of cerebral arteries
- Evacuation of subdural fluid
- Summary and comment
INTRODUCTION
Surgical intervention should be employed in the treatment of epilepsy only when the operator has studied carefully the physiologic mechanism and the pathologic cause in the individual instance. The surgeon who performs a craniotomy without a carefully considered constructive hypothesis "places himself on a level with the
. . . [Full Text PDF of this Article]
Author Affiliations
MONTREAL, CANADA
From the Montreal Neurological Institute.
Footnotes
Read before the International Neurologic Congress, London, July 30, 1935.
The words "pathologic" and "neurologic" are used in order to conform to the terminology which is compulsory for publication in the Archives of Neurology and Psychiatry. The author would prefer to use the words "pathological," "neurological," etc.
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