Letters Section Editor: Jody W. Zylke, MD, Senior Editor.
Author Affiliation: Servicio de Neurologia, Hospital Universitario Xeral-Cíes, Vigo, Spain (email@example.com).
To the Editor: The efficacy of epilepsy surgery (73% seizure-free) in the best-possible surgical candidates was corroborated by Dr Engel and colleagues.1 Their trial also showed that surgery can cause irreversible deficits because a statistically reliable decline in performance on memory tests was more frequent in the surgical group (36% in delayed recall and 55% in naming) than in the medical group (0% and 7%, respectively).1 Other aspects of the trial might deserve some clarification.
Gomez-Alonso J. Treatment of Refractory Mesial Temporal Lobe Epilepsy. JAMA. 2012;307(23):2483-2485. doi:10.1001/jama.2012.4987