RT Journal Article
SR Electronic
T1 In refractory temporal lobe epilepsy, consider surgery sooner
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 649
OP 653
VO 70
IS 7
A1 Lachhwani, Redeepak
A1 Lüders, Hans
YR 2003
UL http://www.ccjm.org/content/70/7/649.abstract
AB 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.