Outcome of Surgery

Abstract

In summarizing our observations about temporo-medial lesions, it appears evident that considerable overlap exists between structural and functional changes. Many of the processes involving the TMR are associated with intractable seizure disorders, and in some instances epilepsy dominates the clinical picture. Less frequently, the structural abnormalies do not involve the allocortical areas of the temporal lobe specifically, but affect it via other components of the central nervous system. Therefore, the criteria for evaluating the outcome of surgical treatment of temporo-medial lesions reflect those for surgery of intractable seizure disorders (Engel 1987).