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Surgical management of epilepsy Smith JR; Flanigin HF; King DW; Gallagher BB; Loring DW; Meador KJ; Murro AM; Lee GPSouth Med J 1989[Jun]; 82 (6): 736-42About 300,000 people in the United States suffer from medically uncontrolled focal epilepsy. It is estimated that about 40,000 of these patients are candidates for surgery. Underuse of surgical treatment of epilepsy is reflected by the fact that only about 1% of these candidates are operated on. Candidates for ablative surgery (ie, removal of seizure focus) must have a focus demonstrated by either extracranial or intracranial electrode recordings. Nearly half of the patients who have ablative surgery become seizure-free, and nearly two thirds have no seizures or only rare ones. Candidates for corpus callosotomy are those patients with multiple seizure types and nonfocal EEG abnormalities. Almost half of these patients have at least a 50% reduction in seizure frequency. Patients with infantile hemiplegia and seizures may have marked improvement in seizure control after physiologic hemispherectomy.|Corpus Callosum/surgery[MESH]|Electric Stimulation[MESH]|Electroencephalography[MESH]|Epilepsy, Temporal Lobe/mortality/physiopathology/*surgery[MESH]|Evaluation Studies as Topic[MESH]|Follow-Up Studies[MESH]|Humans[MESH]|Methods[MESH]|Temporal Lobe/surgery[MESH] |
