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The surgical treatment of childhood epilepsy is growing rapidly with favorable results . It is extremely important not to wait for remission in most children with intractable epilepsy .If a surgical solution is possible it should be used early in the child’s decline . Patients must undergo an extensive presurgical evaluation to localize definitely the focus from which the seizures arise. Standard evaluation : General medical and neurological history Seizure history ( etiology , description , anti-epileptic drug history ) Neurological , psychiatric , neuropsychological and psychological evaluation CT and MRI scans Waking and sleeping EEG and review of previous EEG’s Video- EEG recording SPECT , PET