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Human Hippocampal Seizure Spread Studied by Depth and Subdural Recording: The Hippocampal Commissure
Authors:Susan S Spencer  Peter D Williamson  Dennis D Spencer  Richard H Mattson
Institution:Department of Neurology, Yale University School of Medicine, New Haven, CT 06510.
Abstract:Eleven patients had seizures with unilateral temporal lobe onset recorded with simultaneous bilateral medial temporal depth electrodes and neocortical (subdural) electrodes at least on the side of seizure onset. Of a total of 55 seizures, four had simultaneous onset in neocortex and hippocampus, and 51 had onset in unilateral hippocampus. None originated solely in temporal neocortex. Three reproducible patterns of seizure spread from hippocampus were defined in which seizures spread initially to ipsilateral neocortex (32 seizures), spread first to contralateral hippocampus (13 seizures), or spread simultaneously to ipsilateral neocortex and contralateral hippocampus. Although the region of hippocampus in which seizures arose was constant, patterns of spread sometimes varied in the same patient. When contralateral neocortical involvement occurred, it was after or with contralateral hippocampus but never before. These results suggest the existence of an operational hippocampal commissure in humans.
Keywords:Epilepsy  Seizures  Nervous system anatomy  Temporal lobe  Limbic system  Hippocampus  Neurologic diagnosis  Electroencephalography  Neurosurgery  Depth electrodes  Subdural electrodes
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