In Reply: The issues of the relative paucity of surgical epilepsy programs in the developing world and lack of a sophisticated referral base raised by Drs Malekpour and Sharifi were not discussed in our article, but they are important. Where there is a lack of understanding among physicians regarding the success of surgery in properly selected patients, an aggressive educational approach may lead to an improvement in quality of life. Education may also be cost-effective compared with pharmacotherapeutics. Articles such as ours in widely disseminated medical journals such as JAMA may be useful educational conduits for this type of activity.
Schomer DL, Black PM. Surgical Treatment for Epilepsy in Developing Countries—Reply. JAMA. 2009;301(17):1769-1770. doi:10.1001/jama.2009.584