Journal
ANNALS OF NEUROLOGY
Volume 83, Issue 4, Pages 676-690Publisher
WILEY
DOI: 10.1002/ana.25205
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Funding
- Wellcome Trust [WT106882]
- National Institute for Health Research University College London Hospitals/University College London Biomedical Research Centre Scheme
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Neurosurgery is an underutilized treatment that can potentially cure drug-refractory epilepsy. Careful, multidisciplinary presurgical evaluation is vital for selecting patients and to ensure optimal outcomes. Advances in neuroimaging have improved diagnosis and guided surgical intervention. Invasive electroencephalography allows the evaluation of complex patients who would otherwise not be candidates for neurosurgery. We review the current state of the assessment and selection of patients and consider established and novel surgical procedures and associated outcome data. We aim to dispel myths that may inhibit physicians from referring and patients from considering neurosurgical intervention for drug-refractory focal epilepsies. Ann Neurol 2018;83:676-690
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