Abstract
It is known that in the course of temporal lobe epilepsy, psychic disorders independent of the actual seizures have considerable importance. However, opinions vary on the influence of lobectomy on psychic behavior. Pond and Hill stated, “We also performed operations on a small group of patients. These patients had their seizures under control, but they presented a psychotic mental disorder… Up to the present, we have only operated on a few cases and, frankly, we are not very satisfied with the results as far as an improvement in the mental state is concerned. Apparently, the operation might play a role in preventing a deterioration of the personality. Therefore, the reasons for operating epileptic foci in the temporal lobe region rather than those in other regions of the brain are that the seizures in this region are difficult to control and there is considerable risk for marked psychosis. At this stage of our limited experience, we consider this a rational method of treatment for the most common form of epilepsy with onset in the adult”.
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