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Jamie J. Van Gompel, Jesus Rubio, Gregory D. Cascino, Gregory A. Worrell, and Fredric B. Meyer

-related epilepsy is the extent to which surrounding parenchyma is resected beyond the confines of the cavernoma. 3–7 , 16–18 Although it is clear that the excision of these vascular lesions leads to good outcomes in patients with recent-onset seizures—with ~ 90% demonstrating a decrease in seizure frequency and 60–80% gaining seizure freedom 3 , 4 , 15 , 16 —it is unclear how aggressive resections should be in patients with medically refractory epilepsy. The need for more extensive surgery in patients with intractable epilepsy may be attributable to the induction of secondary