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In his 1907 book, The Border-land of Epilepsy, William R. Gowers1 wrote in the Preface that he “kept a special list of all cases which seemed to be in the border-land of epilepsy- near it, but not of it… [w]hen these cases were collected and classified, their comparison and study revealed a large number of unfamiliar facts and many instructive lessons, throwing light on the nature of the affections, and on their relation to epilepsy, and on questions of practical diagnosis.” Depression, or at least depressed moods in people with epilepsy, was not on Gowers's list but should now be added to the border-lands as it is near it, but not of it too. Epilepsy specialists often recognize the connection between depression and epilepsy, as depression is more common in their selected population with the most intractable epilepsy; yet the magnitude of the problem of depression in epilepsy is probably not as well-recognized by general neurologists and primary care physicians.
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See page 590
- © 2013 American Academy of Neurology
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