Temporal Lobe Epilepsy

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Abstract
Temporal lobe epilepsy is a common type of focal cerebral seizure, usually readily diagnosed by the attack pattern and lateralized by electroencephalographic studies. Patients whose seizure tendency is severe and difficult to control with anticonvulsants should be considered as possible candidates for surgical therapy. In neurosurgical centers with a special interest in focal seizures, the risk of serious complications of temporal lobectomy is small. Of 389 surgically treated patients followed for 1 to 25 years (average, five years), 43 per cent are seizure-free and an additional 25 per cent have only isolated attacks separated by long intervals. The remaining 32 per cent obtained a less satisfactory reduction in seizure tendency.

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