Suppression of motor seizures after specific thalamotomy in chronic epileptic monkeys

In the monkey with a chronic motor epileptogenic focus, thalamic lesions restricted to the anterior part of the ventro-postero-lateral nucleus produced a long-lasting improvement, leading in most cases to almost complete seizure suppression. This improvement was attributed to the interruption of a long-loop recurrent excitatory mechanism, involving muscular afferents which are known to relay in the thalamic region where lesions were produced. The specific nature of this effect was suggested by the preliminary results of lesions performed in thalamic regions with non-specific cortical projections. Compared with the pre-lesional situation in which focal activity resulted in permanent motor troubles, the post-lesional state did not show any additional motor deficit. It is concluded that such lesions could be a new approach to controlling intractable motor epilepsies in man.