Temporal lobectomy: a promising alternative.

Recent advances in the neurosciences have made temporal lobectomy a promising alternative for refractory seizures. Reportedly, postoperative seizure frequency decreases 95%. Specific criteria are used to determine a patient's suitability for surgery. Localization of the epileptogenic focus progresses from a series of noninvasive to gradually more invasive procedures. Pre- and postoperative management requires skilled nursing care. The nurse plays a vital role in patient and family education, observation and documentation of clinical events, physical care and psychological support.