The Neurosurgical Treatment of Epilepsy Vol. Despite the new advancements in antiepileptic drug development, thousands of people with epilepsy will remain intractable to medication. For a considerable proportion of these people, epilepsy surgery is a consideration for better control of their seizures.
Resective surgery is now standard practice for patients with medication-refractory epilepsy.
Temporal lobectomy continues to be the most common surgery performed. Once patients fail 2 to 3 optimal trials of antiepileptic medication, further drug therapy offers a minimal number of patients freedom from seizures. Arch Fam Med. Accepted for publication September 11, 2000. All rights reserved.