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[Indications of the surgical treatment of epilepsy]
H G Wieser1, J Burcet, A Russi
1Unidad de Epilepsia, Hospital Universitario de Zurich, Suiza.
Introduction:
The surgery of epilepsy is expanding considerably all over the world. It is becoming a standard treatment in patients who are resistant to conventional medical treatment.
Development:
In this article we explain the methodology used by the authors and suggest concepts regarding the epileptogenous area. We also explain the procedures used in neuroimaging and neurophysiology studies.
Conclusions:
Good methodology, such as that used by the authors, results in up to 65% of the patients in whom amygdalo-hippocampectomy is done becoming completely seizure-free. Amygdalo-campectomy is the most specific indication in mesolimbic temporal epilepsy, which is also the main indication for the surgery of epilepsy.