This patient illustrates well the most common surgically-remediable syndrome of drug-resistant temporal lobe epilepsy (TLE). The pre-surgical evaluation above is classic for concordance in TLE localization. Unfortunately only a small percentage of potential surgical candidates are being referred to surgical epilepsy centers1. Lengthy delays of 18-23 years are unfortunately common and in this case included a medical practitioner in the family that still saw epilepsy surgery "as a last resort" despite a practice parameter that was developed nearly 1 decade ago to help limit the adverse consequences of epilepsy.
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