Summary
The authors report on six cases of cerebral tumours: three astrocytomas (two temporal and one frontal), two meningiomas (one parietal and one frontal), and a metastasis with a temporal location causing sensory-motor epileptic seizures ipsilateral to the lesion. The discussion includes comments on the pathogenesis of these manifestations viewed in the light of experimental and electrophysiological data, and on the hypotheses of the “mirror focus”, irritation of the supplementary motor and secondary somato-sensory areas, compression of the opposite hemisphere, and possible absence of decussation of the sensory-motor pathways. The false localization suggested by this type of paroxysmal seizures and their rare clinical occurrence is emphasized.
Similar content being viewed by others
References
Arseni, C., Epilepsia in 1000 tumori cerebrale. Ed. Acad. R. P. R.II (1948), 1–13.
Bates, J. A. V., Stimulation of the medial surface of the human cerebral hemisphere after hemispherectomy. Brain76 (1953), 405–447.
Bates, J. A. V., 1966, cited by Hofman and Tasker, 1967.
Kofman, O., Tasker, R., Ipsilateral and focal inhibitory seizures. Neurology17, 11 (1967), 1082–1086.
Marsan, C. A., Gumnit, J. R., Neurophysiological aspects of epilepsy. In: Handbook Clin. Neurol. (Vinken, P. J., Bruyn, G. W., eds.), Vol. 15, 2, 30–59. Amsterdam: North Holland Publ. Co. 1974.
Morell, F., Secondary epileptogenic lesions. Epilepsia (Amst.)1 (1959), 539–560.
Penfield, W. G., Jasper, H. A., Epilepsy and the functional anatomy of the human brain, pp. 373–377. Boston: Little, Brown & Co. 1954.
Penfield, W. G., Rasmussen, T. B., The cerebral cortex of man, pp. 109–134. New York: MacMillan Co. 1950.
Rasmussen, T. B., Penfield, W. G., Furthner studies of sensory and motor cerebral cortex of man. Federation Proc.6 (1947), 452–460.
Woolsey, C. N., Fairman, D., Contralateral, ipsilateral and bilateral representation of cutaneous receptors in somatic areas I and II of the cerebral cortex of pigs, sheep and other mammals. Surg.19 (1946), 684–701.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Arseni, C., Maretsis, M. Focal epileptic seizures ipsilateral to the tumour. Acta neurochir 49, 47–60 (1979). https://doi.org/10.1007/BF01809173
Issue Date:
DOI: https://doi.org/10.1007/BF01809173