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David J. Anschel, MD; Pantaleo Romanelli, MD

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Having recently completed a review on the same topic,¹ we read the February 2008 article by Quigg and Barbaro² with great interest. The techniques of radiosurgery are rapidly evolving and its role in the treatment of epilepsy is being defined. Quigg and Barbaro provide support to our own conclusions regarding the developing role for the use of radiosurgery to treat medication-refractory seizures arising from surgically challenging regions of the brain, such as hypothalamic hamartomas and select cases of temporal lobe epilepsy.

Overall we believe that the future and to some extent the present role of radiosurgery for epilepsy is especially promising in the following 4 situations:

1. Epilepsy of temporal lobe origin in those patients with a contraindication to open surgery, such as cardiac or pulmonary disease.
   
2. Epilepsy of temporal lobe origin refractory to an initial open resection.
   
3. Extratemporal epilepsy that can be noninvasively . . . [Full Text of this Article]

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