Abstract

Summary 1. Surgical treatment for focal epilepsy should be considered when medical management has failed. 2. The focal nature of an epilepsy may be suggested by the clinical history, the electroencephalogram, pneumoencephalogram, and angiogram, but only established by the critical examination of the entire clinical picture colored by the results of the various diagnostic tests. 3. Three cases are presented illustratingthe various types of cortical resections for focal epilepsy. 4. Depending upon the extent of thefocus, subpial resection, partial lobectomy, or hemispherectomy may be necessary to eliminate the abnormal activity. 5. The results offer promise to agroup of focal epilepsies otherwise considered incurable.

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