In patients with medically-refractory left temporal epilepsy, and left dominant language and memory, how should you approach surgical intervention?

Dominant temporal lobe epilepsies are often not candidates for hippocampal ablation or anterior temporal lobectomy because the risk for memory decline is deemed to be too high. Although having left temporal lobe epilepsy does not rule out the possibility of a resective/ablative surgery, in your part...

The approach is tailored to the individual patient and their particular case. If the neuropsychological profile suggests they have significant deficits already in verbal memory, then the risk is usually not as significant for them to notice a clinically meaningful post-surgical decline as it is for ...