Neurology
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Review Meta Analysis Comparative Study
Systematic review and meta-analysis of standard vs selective temporal lobe epilepsy surgery.
To compare standard anterior temporal lobectomy (ATL) with selective amygdalohippocampectomy (SAH) for postoperative seizure control in temporal lobe epilepsy (TLE). ⋯ Standard ATL confers an improved chance of achieving freedom from disabling seizures in patients with TLE. Improved seizure freedom must be balanced against the neuropsychological impact of each procedure. A randomized controlled trial is justified.