Investigations into the anatomical substrate of temporal lobe epilepsy
have yielded a number of important observations regarding the involve
ment of the piriform and perirhinal cortical areas in temporal lobe se
izure propagation. Although early reports indirectly suggested that th
e circuits of the piriform cortex might act as a critical conduit for
Limbic seizure discharges to access motor systems, recent reports more
strongly implicate the perirhinal cortex in this process. In the foll
owing report, we provide a brief summary of the earlier work involving
the piriform cortex and its potential involvement in kindled limbic s
eizures. This is followed then by the results of several recent in viv
o and in vitro electrophysiological studies that ascribe a critical im
portance for the perirhinal cortex in convulsive limbic seizures. Fina
lly, since our anatomical studies indicated that the perirhinal cortex
densely innervates the frontal motor cortex, we examined the involvem
ent of this latter region in amygdala kindled seizures using the rever
sible functional lesion of cortical spreading depression. Based on the
se findings we suggest that the circuits of the perirhinal cortex may
be important in the amplification and distribution of temporal lobe se
izure discharges, providing access to structures that are capable of d
riving a convulsive response.