4 doctors weighed in:
How effective is the surgery to cure epilepsy?
4 doctors weighed in

Dr. Jeffrey Cohen
Neurology
1 doctor agrees
In brief: Usually effective
Effectiveness may be related to a number of factors: location (temporal lobe best), presence of mesial temporal sclerosis, and presence of a structural lesion on imaging.
Experience and skill of treatment team also important. Extratemporal epilepsy may also be effective, but rates of cure are below temporal lobe surgery. For most, epilepsy surgery is a better option vs. Best medical treatment.

In brief: Usually effective
Effectiveness may be related to a number of factors: location (temporal lobe best), presence of mesial temporal sclerosis, and presence of a structural lesion on imaging.
Experience and skill of treatment team also important. Extratemporal epilepsy may also be effective, but rates of cure are below temporal lobe surgery. For most, epilepsy surgery is a better option vs. Best medical treatment.
Dr. Jeffrey Cohen
Dr. Jeffrey Cohen
Thank
Dr. William Goldie
Pediatrics - Neurology
In brief: Difficult question
Large epilepsy centers can cite from 30% to 50% cure of epilepsy if patient has a defined single focus in the temporal lobe.
More complex patients have less success. Careful selection of patient and of surgery center is necessary for the best outcome. Workup with careful eeg monitoring, MRI and pet and meg and spect all help with the appropriate surgery.

In brief: Difficult question
Large epilepsy centers can cite from 30% to 50% cure of epilepsy if patient has a defined single focus in the temporal lobe.
More complex patients have less success. Careful selection of patient and of surgery center is necessary for the best outcome. Workup with careful eeg monitoring, MRI and pet and meg and spect all help with the appropriate surgery.
Dr. William Goldie
Dr. William Goldie
Thank
Dr. Roger Frankel
Neurosurgery
In brief: Depends
Epilepsy surgery can be very effective.
However, the role of surgery in this situation depends on the type of seizure disorder, the age of the patient and if a clear structural abnormality can be located. Surgery is usually onlconsidered if medicatherapist is inadequate. Having surgery does not mean that anti seizure medications can be stopped.

In brief: Depends
Epilepsy surgery can be very effective.
However, the role of surgery in this situation depends on the type of seizure disorder, the age of the patient and if a clear structural abnormality can be located. Surgery is usually onlconsidered if medicatherapist is inadequate. Having surgery does not mean that anti seizure medications can be stopped.
Dr. Roger Frankel
Dr. Roger Frankel
Thank
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