Surgical Treatment of Nonlesional Temporal Lobe Epilepsy

Epilepsy surgery is an effective therapeutic option for patients with focal seizures who do not respond to appropriate treatment with antiepileptic drugs (AEDs) [1]. Patients with temporal lobe epilepsy (TLE) are the most common surgical candidates. Anterior temporal lobectomy (ATL), which removes the anterior portion of temporal lobe along with the hippocampus and amygdala, has been the standard surgical technique when MRI indicates the mesial temporal area as being the only epileptogenic area [2–4].