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Surgical Treatment 

The surgical treatment of patients diagnosed in either the Kehl-Kork Epilepsy Clinic (http://www.diakonie-kork.de) or the Section for Epileptology at the Freiburg Neurocentre and recommended as suitable candidates for epilepsy surgery is undertaken at the Department of General Neurosurgery of the Neurocentre (Prof. Dr. J. Zentner). Considerable experience with the complete range of surgical forms of intervention has been collected. In the following, the surgical procedures are considered individually. 

1. Temporal Lobectomy/Topectomy		Removal of the temporal lobe or of specific areas by a lateral site of entry. This can be carried out in conjunction with a Amygdalohippocampectomy
2. Selective Amygdalohippocampectomy		Exclusive removal of epileptogenic temporomesial areas by a transsylvian site of entry
3. Extratemporal Lobectomy/Topectomy		Removal of a lobe on the brain or a specific resection of the epileptogenic zone within the lobe
4. Multilobectomy		Resection of specific alterations in several brain lobes
5. Multiple subpiale Transsections		Transection of horizontal nerve fibre connections (needed to spread seizure) while maintaining the vertical connections (responsible for the function)
6. Hemispherectomy/ Hemispherotomy		Disconnection of the diseased (epileptogenic) hemisphere
7. Callostomy		Palliative procedure that hinders the spread of the epileptic event from the one to the other hemisphere by transection of the corpus callosum
8. Implantation of a vagus stimulator		Procedure that should hinder the formation of this seizure by inducing desynchronisation of electric activity in the brain

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