Published online by Cambridge University Press: 11 October 2019
More than 3 million individuals in the United States have epilepsy, and over 50 million worldwide. One million in the United States continue to suffer from seizures, despite medication. Their mortality is twice that of the general population, i.e., about 2% mortality per year.1,2 Surgery for epilepsy has a favorable outcome. Among well-selected patients, 70% are seizure-free after surgery. Many of the remaining patients have seizure frequency greatly reduced, e.g., from twice weekly to twice yearly. Surgical outcome avoids mortality risk, morbidity, and costs of medically refractory seizures, and greatly enhances the patient’s quality of life. Yet only 2000 patients per year undergo resective surgery. Surgery for epilepsy is very underutilized.3
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