[Epilepsy surgery of extra-temporal epilepsy]

Epilepsy is one of the most common neurologic diseases. Although in the vast majority of patients the epilepsy can be controlled by antiepileptic drugs, seizures remain medically refractory in about 30 to 40% of patients with focal epilepsy. In the latter patients, epilepsy surgery is an important therapeutic option. Epilepsy surgery in temporal lobe epilepsy has proven to achieve good seizure outcome. In extratemporal lobe epilepsy, however, both presurgical evaluation and surgical techniques are more challenging and, hereby, the results have been less favourable. In the last years, improved presurgical evaluations and sophisticated surgical techniques yielded to better seizure outcome. In this review, we discuss the diagnostic procedures and seizure outcome in extratemporal lobe surgery.