Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-05T13:57:08.413Z Has data issue: false hasContentIssue false

Clinical, Socio-Economic, and Psychological Changes after Temporal Lobectomy for Epilepsy

Published online by Cambridge University Press:  29 January 2018

David C. Taylor
Affiliation:
Guy's-Maudsley Neurosurgical Unit, Human Development Research Unit, and Park Hospital for Children, Old Road, Oxford
Murray A. Falconer*
Affiliation:
Guy's-Maudsley Neurosurgical Unit, De Crespigny Park, London, S.E.5
*
Reprint requests to Murray A. Falconer

Extract

Since 1952 over 200 patients have been treated in the Guy's-Maudsley Neurosurgical Unit for intractable temporal lobe epilepsy by anterior temporal lobectomy. Each case has been evaluated before and after operation by a neurosurgeon, psychiatrists, and psychologists. Electroencephalography and air encephalography have been routine and the operative technique standardized. The resected portion has been removed in one piece allowing detailed pathological examination. The results in terms of relief of seizures, effects on personality, effects on psychological test scores, and the pathological findings have been reported at intervals (Hill, Pond, Mitchell and Falconer, 1957; Falconer and Serafetinides, 1963; Falconer, Serafetinides and Corsellis, 1964).

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1968 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bates, J. A. V. (1962). “The surgery of epilepsy.” In Modern Trends in Neurology. (3) (ed. Willams, D.). London: Butterworths.Google Scholar
Gastaut, H., and Colomb, H. (1954). “Etude du comportement sexuel chez les épileptiques psychomoteurs.” Ann. méd.-psychol., 112, (2); 657696.Google Scholar
Gelder, M. G., Marks, I. M., and Wolff, H. H. (1967). “Desensitization and psychotherapy in the treatment of phobic states: a controlled inquiry.” Brit. J. Psychiat., 113, 5373.CrossRefGoogle Scholar
Falconer, M. A., and Serafetinides, E. A. (1963). “A follow-up study of surgery in temporal lobe epilepsy.” J. Neurol. Neurosurg. Psychiat., 26, 154165.CrossRefGoogle ScholarPubMed
Falconer, M. A., and Taylor, D. C. (1967). “Driving after temporal lobectomy for epilepsy.” Brit. med. J., i, 266269.CrossRefGoogle Scholar
Falconer, M. A., Serafetinides, E. A., and Corsellis, J. A. N. (1964). “Etiology and pathogenesis of temporal lobe epilepsy.” A.M.A. Arch. Neurol., 10, 233248.CrossRefGoogle ScholarPubMed
Ferguson, S. M., and Rayport, M. (1965). “Living without epilepsy.” J. nerv. ment. Dis., 140, 2637.CrossRefGoogle ScholarPubMed
Hill, D., Pond, D., Mitchell, W., and Falconer, M. A. (1957). “Personality changes following temporal lobectomy of epilepsy.” J. ment. Sci., 103, 1827.Google Scholar
James, I. P. (1960). “Temporal lobectomy for psychomotor epilepsy.” Ibid., 106, 543558.Google ScholarPubMed
Kessel, N., and Grossman, G. (1961). “Suicide in alcoholics.” Brit. med. J., ii, 16711672.CrossRefGoogle Scholar
Miles, H., Barabee, E., and Finesinger, J. (1951). “Evaluation of psychotherapy, with a follow-up study of 62 cases of anxiety neurosis.” Psychosom. Med., 13, 82105.Google Scholar
Penfield, W., and Steelman, H. (1947). “The treatment of focal epilepsy by cortical excision.” Ann. Surg., 126, 740762.CrossRefGoogle ScholarPubMed
Slater, E., Beard, A. W., and Glithero, E. (1963). “The schizophrenia-like psychoses of epilepsy.” Brit. J. Psychiat., 109, 95150.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.