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Orrin Devinsky, MD, Discussant

JAMA. 2003;290:381-392.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

DR DELBANCO: Mr C is a 48-year-old man with a long history of cognitive and psychological problems, marked by mood swings, memory loss, and seizures involving the frontal and temporal lobes of the brain. A primary physician, a neurologist with special interest in seizures (Dr J), and a psychiatrist (Dr N) manage Mr C's care. He has private insurance, works part-time, and lives near Boston with his wife.

Mr C's problems likely date to birth. He was the product of an uncomplicated pregnancy but during labor there may have been some anoxia. He recalls a "foggy feeling" in his head from the first time he can remember. As a child, he fell out of a tree and hit his head without notable sequelae. In elementary school, he did well but had difficulty with his memory. He continued a successful academic experience in high school, . . . [Full Text of this Article]

MR C: HIS VIEW

DR J (NEUROLOGIST): HIS VIEW

DR N (PSYCHIATRIST): HIS VIEW

AT THE CROSSROADS: QUESTIONS FOR DR DEVINSKY

What Is TLE?

Epidemiology

Financial, Emotional, and Social Costs

Clinical Features

Diagnosis

Therapeutic Options

Recommendations for Mr C

QUESTIONS AND DISCUSSION

Author Affiliation: Dr Devinsky is Professor of Neurology, Neurosurgery, and Psychiatry, New York University School of Medicine, New York, NY.

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