Major determinants of the success of epilepsy surgery are the proper select
ion and evaluation of the patient. Candidates should have medically intract
able, disabling epilepsy. The evaluation requires a unified, systematic app
roach by a comprehensive team of health professionals. Key points, common t
o most evaluations, are enumerated and provide a useful tool for mental org
anization. In general, the greater the degree of congruent information deri
ved from these investigations, the better the candidacy for surgery. After
this, completeness of resection and etiology are other important predictors
of success. Children present unique challenges and opportunities owing to
the vulnerability and plasticity of the developing nervous system. Surgery
for intractable epilepsy can be a rewarding therapy, and in select children
, the only chance for cure and substantial development progress. Copyright
(C) 2001 S. Karger AG, Basel.