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Principles of Epilepsy Surgery 

Principles of Epilepsy Surgery
Chapter:
Principles of Epilepsy Surgery
Author(s):

Samden D. Lhatoo

DOI:
10.1093/med/9780199659043.003.0027
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date: 02 July 2022

The modern practice of epilepsy surgery involves multi-modal pre-surgical investigations such as surface and intra-cranial EEG, high resolution structural imaging and advanced functional imaging although the clinical analysis of seizures remains an important tool. A multidisciplinary approach is required, including close collaboration between neurologists, neurophysiologists, neurosurgeons, neuroradiologists, neuropsychologists, and neuropsychiatrists. Resective surgery in the refractory focal epilepsies offers significant chances of seizure freedom in temporal as well as extra-temporal lobe epilepsies provided patients are carefully selected, investigated and their eloquent cortex stringently identified prior to resection. For some patients who are not candidates for such surgery, vagal as well as deep brain stimulators may offer further options. In this chapter, we discuss the principles on which modern epilepsy surgical practice is based.

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