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Correspondence
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Volume 346:292-295 January 24, 2002 Number 4
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Surgery for Temporal-Lobe Epilepsy

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To the Editor: The trial by Wiebe et al. (Aug. 2 issue)1 of surgery as compared with prolonged medical treatment for temporal-lobe seizures clearly demonstrated the superiority of surgical intervention and illustrated the feasibility of conducting randomized controlled trials in patients with epilepsy. In the accompanying editorial, Engel2 urges that more studies be performed to define more precisely the role and timing of conventional surgery in drug-resistant epilepsy. Other approaches to treatment, such as gamma-knife radiosurgery, are not considered. Gamma-knife radiosurgery is a noninvasive technique involving the selective delivery of concentrated radiation to a stereotactically defined intracranial target. The use . . . [Full Text of this Article]

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