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Development of Surgical Therapy of Epilepsy at the Montreal Neurological Institute

Published online by Cambridge University Press:  18 September 2015

William Feindel
William Feindel*
Affiliation:
Montreal Neurological Institute and hospital, Department of Neurology and Neurosurgery, McGill University, Montreal
*
Montreal Neurological Institute, Suite 110, 3801 University Street, Montreal, Quebec, Canada H3B 2B4
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Abstract:

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Wilder Penfield's development of surgical methods for treating focal cerebral seizures, beginning with his early work in Montreal in 1928, is reviewed. The reliance on seizure pattern and focal brain pathology was enormously enhanced by the advent of EEG and direct electrical recording from the cortex during surgery. The recognition in the early 1950's of mesial temporal structures in the pathogenesis of temporal lobe epilepsy with automatism lead to more rational and successful surgical treatment. Positron emission tomography and especially magnetic resonance imaging have recently added to the essential diagnostic information of focal epilepsy provided by EEG.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 18 , Issue S4 , November 1991 , pp. 549 - 553
Copyright
Copyright © Canadian Neurological Sciences Federation 1991

References

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