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Updated: May 25, 2026

Anteromesial Temporal Lobectomy for Medically Intractable Temporal Lobe Epilepsy: An Operative Study
Published on: August 15, 2025
Non-resective surgery and radiosurgery for treatment of drug-resistant epilepsy
Pantaleo Romanelli1, Pasquale Striano, Manlio Barbarisi
1Cyberknife Radiosurgery Center, Centro Diagnostico Italiano, Milan, Italy. radiosurgery2000@yahoo.com
Abstract:
Epilepsy surgery is an effective treatment for properly selected patients with intractable seizures. However, many patients with medically intractable epilepsy are not excellent candidates for surgical resection of the epileptogenic zone. Due to recent advances in computer technology and bioengineering, several novel techniques are receiving increasing interest for their role in the care of people with epilepsy. Neuromodulation is an emerging surgical option to be used when conventional resective surgery is not indicated. We review the indications and expected outcomes of neuromodulatory treatments currently available for the treatment of refractory epilepsy, i.e., vagus nerve stimulation, deep brain stimulation, stereotactic radiosurgery, and multiple subpial transections.
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