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Advances in Neurology, Volume 84: Neocortical Epilepsies
edited by P.D. Williamson, A.M. Siegel, D.W. Roberts, V.M. Thadani, and M.S. Gazzaniga,
688 pp., ill., Philadelphia, Lippincott, Williams & Wilkins, 2000, $159
This volume, 84th in the Advances in Neurology series, is an outgrowth from the 1st International Dartmouth Symposium on Neocortical Epilepsies. As such, it is a collection of articles on the state-of-the-art and is not—nor was it intended to be—a comprehensive review on the order of Engel and Pedley’s opus. Still, we are presented with 50 chapters that cover a wide range of topics, by authors who are able to assess their areas within this field with critical and forward-looking attitudes. Their focus is neocortical epilepsies, with mesial temporal epilepsy and primary general epilepsies purposely excluded.
The organization of the volume proceeds logically. There are nine chapters at the beginning on the “functional anatomy” and functions of the neocortex. Although all of this work is relevant to human cortex, much of the presented work is based on primate investigation. On this foundation, sections follow that give an overview of the neocortical epilepsies, background on epileptic human cortex, clinical characteristics, methods of evaluation, psychologic and psychiatric aspects, pediatrics, and medical and surgical treatments. Properly, there is particular and extensive attention paid to evaluation methods and analyses (a full 17 chapters) and advances in surgical treatment (eight chapters); by contrast, there are only two chapters on psychologic aspects of these epilepsies and a single chapter on drug treatment.
As might be expected from articles based on a conference, there is a diversity of approaches among the chapters. Some are brief reviews of the topic; others combine a review with clinical example; and others are based primarily on clinical experience, such as the chapters on surgical treatment. Most authors took the opportunity to …
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