Our understanding of cortical alterations and related epilepsies has grown
enormously in the last decade thanks to the explosion of basic information
from laboratory neuroscience combined with advances in diagnostic tools, th
erapeutic approaches and surgical techniques. In the present paper, we brie
fly review the most important advances in these fields from the point of vi
ew of the clinician concerned with cortical malformation-related epilepsies
. We propose that a highly effective way forward, expected not only to wide
n knowledge of the basic mechanisms of seizure generation, but also to impr
oved the management of patients, would be to promote interdisciplinary rese
arch programmes on resected human cortex that involve neurosurgeons, neurol
ogists and laboratory neuroscientists.