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Comment & Response
September 2016

Surgical Treatment of Temporal Lobe Epilepsy: Type and Extent of Surgery Matters

Author Affiliations
  • 1Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia
JAMA Neurol. 2016;73(9):1157. doi:10.1001/jamaneurol.2016.1847

To the Editor I read with interest the evidence-based review by Jones and Cascino.1 The authors performed a systematic review of 27 studies with 3163 patients who underwent epilepsy surgery and demonstrated that magnetic resonance imaging–identified mesial temporal sclerosis is associated with a favorable outcome after surgery, while there is paucity of evidence of the usefulness of positron emission tomography and single-photon emission computed tomography in selecting patients for epilepsy surgery.

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