EHS
EHS

The changing landscape of epilepsy surgery: No longer the “last resort”

Epilepsy surgery has traditionally been viewed as a therapy of last resort for the treatment of drug-resistant seizures. The results of a Canadian randomized trial demonstrated the superiority of surgery over continued pharmacologic therapy for short-term seizure control for patients with temporal lobe epilepsy. This trial confirmed conclusions from observational studies that demonstrated the effectiveness of surgery in controlling seizures in the long term1 with associated improvements in quality of life,2 as well as decreases in mortality3 and health care costs.4

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