The early identification of candidates for epilepsy surgery

摘要: The effectiveness of resective surgery for the treatment carefully selected patients with medically intractable, localization-related epilepsy is clear. Seizure-free rates following temporal lobectomy are consistently 65% to 70% in adultsand 68% 78% children.Extratemporal resections less commonly lead a seizure-free outcome, although one recent childhood series reported rate 62% extratemporal surgery.With both and resections, additional have reduction seizures but not completely seizure free. identification favorable surgical candidates has been subject extensive research, many investigators examined predictors outcome surgery. However, early potential candidate optimal timing only occasionally addressed literature. This issue methodologically challenging study since studies require large numbers new-onset partial who followed over time. purpose this article review current ability prediction medical intractability surgically remediable epilepsy. Emphasis will be placed on intractable lobe children adolescents, remains prototype surgery, may improve psychosocial younger patients.