title: A case report of a Wada test after dominant hemisphere multiple hippocampal transections: Pathophysiology of confusion after amobarbital injection.
abstract: Dialepsis is defined as a predominant alteration of consciousness with preservation of motor tone and the ability to perform movements. While dialepsis is a common feature of both focal and generalized epilepsies, its precise symptomatogenic zone and pathogenesis remain undefined. This case report describes a patient who underwent intracarotid amobarbital procedures before and after dominant hemisphere multiple hippocampal transections. From our observations, we propose a possible pathogenesis for the generation of dialeptic seizures.
authors: University Hospitals, Case Medical Center, Department of Neurology, Epilepsy Division, 11100 Euclid Avenue, Lakeside 3200, Cleveland, OH, USA ; University of Kansas Medical Center, Department of Neurology, 3599 Rainbow Blvd, Kansas City, KS 66103, USA.
authors: Patrick
authors: P
authors: Landazuri
authors: University Hospitals, Case Medical Center, Department of Neurosurgery, 11100 Euclid Avenue, Lakeside 3200, Cleveland, OH 44106, USA.
authors: Jonathan
authors: J
authors: Miller
authors: University Hospitals, Case Medical Center, Department of Neurology, Epilepsy Division, 11100 Euclid Avenue, Lakeside 3200, Cleveland, OH, USA.
authors: Hans
authors: H
authors: Lüders
keywords: Dialepsis; Multiple hippocampal transections; Semiology; Symptomatogenic zone; Wada