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October 29, 1949, Vol 141, No. 9 >
Other Articles | October 29, 1949

SURGICAL TREATMENT OF FOCAL EPILEPSY

JAMA. 1949;141(9):604-605. doi:10.1001/jama.1949.02910090030008.
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Horsley, in 1909, described a method of excision of an area of motor cortex for the relief of athetoid and convulsive movements of an upper extremity. Sachs, in 1935, reported observations on 11 patients on whom "The Horsley Operation" was performed. There were 9 patients cured, 1 death and 1 recurrence in these 11 cases of Jacksonian epilepsy. Furlow,1 in 1938, reported on 16 more patients from the same clinic with 2 deaths, a cure in 7 instances, improvement in 6 and no change in 1. Penfield and Erickson2 published in 1941 an analysis of all patients who had cortical excision carried out during a ten year period, 1929-1939. One hundred and fifteen of these patients were followed from one to eleven years; 43 per cent were free from seizures or had one or two attacks; 26 per cent considered themselves 50 per cent improved; 9 per cent

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