Practical Neurology

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Practical Neurology 2006;6:368-371; doi:10.1136/jnnp.2006.107227
Copyright © 2006 by the BMJ Publishing Group Ltd.

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Neurological rarities

Transient epileptic amnesia

Christopher R Butler

Visiting Neurology Fellow, Memory and Aging Center, University of California at San Francisco, Suite 502, 350 Parnassus Avenue, San Francisco, CA 94143, USA; cbutler@memory.ucsf.edu

The first 150 words of the full text of this article appear below.

In 1889, the British neurologist John Hughlings Jackson described the case of Dr Z, a medical practitioner who suffered from an unusual variety of epilepsy. During his seizures, he retained consciousness and was able to engage in complex, purposeful behaviour for which he was later amnesic. On one occasion he felt the onset of a seizure while examining a patient. During this attack, he correctly diagnosed pneumonia, prescribed treatment and wrote in the patient’s notes, but later had no recollection of having done so (fig 1Go).


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Figure 1 John Hughlings Jackson (1835–1911) documented the case of Dr Z, who describes one of his amnestic seizures in the extract (Brain, 1889).

 
Reports of pure amnestic seizures have appeared sporadically in the literature over the past 50 years. Recent work, however, has suggested that such cases are underrecognised and appear to have several clinical features in common.

CASE STUDY

A 69 year old, . . . [Full text of this article]







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Copyright © 2006 by the BMJ Publishing Group Ltd.