1043-3155 Pediatr Neurol Briefs pedneurbriefs Pediatr Neurol Briefs Pediatric Neurology Briefs Pediatr Neurol Briefs 2166-6482 1043-3155 2166-3155 Pediatric Neurology Briefs Publishers Chicago, IL, USA PNB-8-33-a 10.15844/pedneurbriefs-8-5-1 Seizure Disorders Neurology Pediatrics Nervous System Diseases Child Development Brain Diseases Neurosurgery Child Infant Anatomy of Deja Vu in Temporal Lobe Epilepsy http://orcid.org/0000-0002-0173-7931 Millichap J. Gordon MD 1 2 * Division of Neurology, Children's Memorial Hospital, Chicago, IL Departments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL Correspondence: Dr. J. Gordon Millichap, E-mail: jgmillichap@northwestern.edu 05 1994 01 06 2016 8 5 33 33 Copyright: © 1994 The Author(s) 1994 This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Anatomical origin of déjà vu and vivid ‘memories’ in human temporal lobe epilepsy

Sixteen patients, ages 16 to 32 years, implanted with depth electrodes at Hopital Saint-Anne, Paris, France, had experienced a dreamy state (deja-vu - deja vecu, memories of complete scenes, or vague reminiscence) during sterotactic EEG (SEEG).

 Depth Electrodes Temporal Neocortex Anterior Hippocampus

Sixteen patients, ages 16 to 32 years, implanted with depth electrodes at Hopital Saint-Anne, Paris, France, had experienced a dreamy state (deja-vu - deja vecu, memories of complete scenes, or vague reminiscence) during sterotactic EEG (SEEG). Seizures had been present from 2 to 25 years, they began before the age of 10 years in 50% of patients, and occurred at least once a week. Etiological factors included neonatal injury (6), febrile convulsion (1), tumors (3). Most patients had dreamy states in their spontaneous seizures; the amygdala, anterior hippocampus, and temporal neocortex were all involved in recordings. They were also evoked by stimulation of the temporal neocortex (88%), anterior hippocampus (83%), or amygdala (73%). The superior temporal gyrus was more responsive than the middle temporal gyrus. [1]

COMMENT. Deja vu and other dreamy states in patients with temporal lobe epilepsy may originate in and involve both medial and lateral aspects of the temporal lobe and especially the anterior hippocampus, amygdala and superior temporal gyrus.

 Bancaud J Brunet-Bourgin F Chauvel P Halgren E Anatomical origin of déjà vu and vivid ‘memories’ in human temporal lobe epilepsy Brain 1994 Feb 117 Pt 1 71 90 8149215 10.1093/brain/117.1.71