MULTIPLE SUBPIAL CORTICAL TRANSECTIONS FOR THE CONTROL OF INTRACTABLEEPILEPSY IN EXQUISITE CORTEX

In 5 cases suffering from intractable seizures and ictal onset in exqu isite (primary somatosensory or language related) cortex, surgical the rapy has been done consisting wholly or in part of multiple subpial tr ansections. In two cases with involvement of the primary somatosensory cortex, good seizure control without detectable neurological deficit was achieved. In the other three cases with involvement of the languag e cortex, deficits were minimal and cleared with time. Patients became seizure-free.