Who is a good candidate for this procedure?

Ideal candidates are patients with medically refractory epilepsy, specifically those with confirmed unilateral hippocampal sclerosis on MRI and concordant EEG findings. Contraindications include bilateral hippocampal involvement, severe cognitive impairment, or significant psychiatric comorbidities that may affect postoperative care. A thorough presurgical evaluation, including neuropsychological testing and sometimes intracranial EEG monitoring, is required to confirm suitability.