Evaluation for epilepsy surgery – Why do patients not proceed to operation?

Surgical treatment for epilepsy is an effective and safe procedure for selected patients in drug resistant focal epilepsy. [1–3] The presurgical evaluation is time consuming and costly and entails a multidisciplinary approach including neuroimaging, video-EEG recordings, neuropsychiatric assessment and neuropsychological assessment. Recent studies have demonstrated the cost-effectiveness and health economic gains of successful surgery. [4] Most studies of epilepsy surgery focus on the outcome of patients who proceed to surgery.

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