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NEUROLOGY 1987;37:1255
© 1987 American Academy of Neurology

Intractable complex partial seizures

The "initial motionless stare" and surgical outcome following temporal lobectomy

L. B. Williams, MD, E. A. Thompson, RN and D. V. Lewis, MD

Departments of Medicine and Pediatrics, Duke University Medical Center, Durham, NC.

Complex partial seizures (CPSs) beginning with an initial motionless stare (IMS) have been reported to respond well to temporal lobectomy. CPSs without the IMS or with early lateralizing motor phenomena often persisted after temporal lobectomy. We have studied video-EEG-recorded seizures of 18 patients with depth electrodes who then underwent temporal lobectomy. The IMS did not correlate with success or failure of surgery. However, initial head and/or eye deviation was correlated with poor surgical outcome.

Address correspondence and reprint requests to Dr. Lewis, Box 3430, Duke University Medical Center, Durham, NC 27710.

Received July 7, 1986. Accepted for publication in final form October 14, 1986.




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