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NEUROLOGY 1985;35:143
© 1985 American Academy of Neurology

Type I complex partial seizures of hippocampal origin

Excellent results of anterior temporal lobectomy

Antonio V. Delgado-Escueta, MD and Gregory O. Walsh, MD

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

Seventeen patients had type I complex partial seizures (CPS) with three consecutive phases: initial motionless staring, oral-alimentary automatisms, and reactive quasipurposeful movements during impaired consciousness. Fifteen patients had stereoelectroencephalography. Focal or regional 8- to 20-Hz low-voltage epileptiform paroxysms in either hippocampus (10 patients), amygdala (1 patient), or both (1 patient) preceded initial motionless staring. Focal sphenoidal or nasopharyngeal ictal paroxysms preceded seizures in three other patients who underwent lobectomy. All 15 patients are seizure-free 2 to 11 years after temporal lobectomy. Type I CPS are most commonly of hippocampal origin.

Address correspondence and reprint requests to Dr. Delgado-Escueta, VA Medical Center West Los Angeles, Wilshire & Sawtelle Blvds, Los Angeles, CA 90073.

Supported in part by contract N01-NS-02332 with the Department of Health and Human Services (Dr. Delgado-Escueta), grant NS-012808 from the National Institutes of Health, and the Southwest Regional Epilepsy Center, Neurology and Research Services, Veterans Administration, Wadsworth Medical Center.

Accepted for publication May 1, 1984.




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