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Transcript
THE ILAE AND THE FLOWERING OF BASIC
RESEARCH IN THE EARLY POST–WAR YEARS
In its first series, Epilepsia published few basic science
papers. One of the earliest was by Bouché, a Belgian scientist, who wrote on the topic of the mechanisms of tonic
seizures in 1914. However, after the second war, basic science research in epilepsy began to emerge strongly, and
this was reflected in the ILAE congresses and particularly in Epilepsia. The ILAE conference in 1946 in New
York included three basic research papers, on cerebral metabolism and metrazol convulsion in the dog, changes in the oxygen tension of the
cerebral cortex of the cat in experimentally induced convulsions, and histochemical
and action potential studies on epileptogenic areas of the cerebral cortex in man and
the monkey (the latter by Pope, Morris, Jasper, Elliott and Penfield). The 1949 Paris
congress included a presentation, in French, on the role of the diencephalo–hypophyso–cortical system in the pathogenesis of epilepsy by Stubbe Teglbjaerg. The 1953
congress in Lisbon was devoted to temporal lobe epilepsy, and Gastaut described,
at the congress, the creation of experimentally induced psychomotor seizures using
stimulation and aluminium oxide, noted the importance of involvement of limbic
structures, specifically piriform cortex, amygdala and hippocampus, and discussed
contemporary neuroanatomic data concerning the connections of mesial temporal
structures that he believed to be the anatomic substrates for temporal lobe epilepsy.
In the 3rd series of Epilepsia , an excellent report is published of a symposium on seizure mechanisms. This symposium, organised by Earl Walker and held during the
1952 meeting of the American League against Epilepsy in Louisville, shows the remarkable developments of the time. One of the first papers reporting the intracellular analysis of pyramidal neurons during hippocampal seizures was published in Epilepsia by Kandel and Spencer
in 1961, and Kandel was subsequently awarded the Nobel Prize in
Physiology or Medicine. He was one of only two Nobel prize winners to publish in Epilepsia (the other was JC Eccles).
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