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Isolating an epileptogenic zone by disconnecting it from the rest of the brain is a principle that has gained more prominence in the last 15 years. Several variants of disconnection techniques (or deafferentation techniques) have been published, like the hemispherotomy procedures,1 ,2 but the principle of disconnection has also been used for other procedures, such as temporal lobe disconnection or temporo-mesial disconnection.
In the paper by Massager et al,3 the authors report on a sizeable group of temporal lobe epilepsy patients. The paper is of some interest since for the first time it provides long-term results on a disconnection procedure for mesio-temporal lobe epilepsy. A related technique has been proposed …