In refractory temporal lobe epilepsy,consider surgery sooner |
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Authors: | Lachhwani Redeepak Lüders Hans |
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Affiliation: | Department of Neurology, The Cleveland Clinic Foundation, OH 44195, USA. |
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Abstract: | Despite evidence that surgery for temporal lobe epilepsy is safe and effective, physicians continue to view it as a last resort in people who do not respond to medical therapy. A randomized study in Canada has demonstrated significantly higher rates of freedom from seizures in patients who underwent surgery rather than medical therapy. If we wait too long to rule a patient's epilepsy medically refractory, we increase the patient's risk of morbidity and death, and we miss a window of opportunity to eliminate seizures and permit the patient a full and productive life. |
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