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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 336:1373-1379 May 8, 1997 Number 19
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Case 14-1997— A 30-Year-Old Woman with Intractable Seizures Despite a Temporal Lobectomy
David W. Roberts, and Kathy L. Newell

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Presentation of Case

A 30-year-old woman was admitted to the hospital because of intractable seizures.

The patient was born of an uneventful full-term pregnancy. Her first seizure, at the age of 23 years, was characterized by an aura of "dizziness" with a "disconnected" feeling, followed by confusion with impaired consciousness that lasted about two minutes. She continued to have complex partial seizures with occasional secondary generalization despite anticonvulsant medications. Thirty-four months before admission, video electroencephalographic monitoring for five days indicated that the seizures arose from the right temporal region. Electroencephalographic abnormalities consisted of rhythmic activity of up to 6 Hz in the midtemporal . . . [Full Text of this Article]

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Dr. David W. Roberts's Diagnosis

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