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”Dual pathology” and the significance of surgical outcome in “Dostoewsky epilepsy“ Volume 2, issue 1, Mars 2000


   
  

Figure 1A, B, C, D, E. Pre-operative angiogram. A. Lateral and B. AP view right internal carotid artery injection. C. Lateral and D. AP view right vertebral artery injection. E. AP view right external carotid injection. F, G. Postoperative right internal carotid angiogram. F. Lateral and G. AP view. H. Postoperative CT scan showing right occipital lobectomy defect.




   
   Figure 2. Right temporal lobe corticogram under local anesthesia. A. Before right temporal lobectomy. B. Only four channels recording from the exposed right hippocampus and lower lateral surface of the temporal lobe. C. After removal of the exposed right hippocampus and mesial temporal lobe tip only two channels are recording from the bed of the hippocampectomy showing minimal very low voltage activity. Patient temporarily quiet. Inadequate surgical position. Calibration: 50 uV-1 sec.



   
   {Figure 3. J.S right hippocampus. H&E stain: A = x 250 and B = x 200. Gliosis and neuronal loss.