Abstract
The management of extratemporal epilepsy (ETLE) presents a difficult clinical dilemma. Outcomes of surgery for ETLE are less favorable than for medial temporal lobe epilepsy, and are even poorer in patients with non-lesional ETLE. Although the surgical goal still remains removal of the epileptogenic zone, precisely defining this epileptogenic zone involves a number of nuanced and specific issues that are confounded by poor seizure semiology and inconsistent ictal and interictal patterns of EEG activity. This chapter discusses these various issues that one must consider in developing an optimal surgical strategy to treat this disorder.
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