Twenty-five years of epilepsy surgery at a Central European comprehensive epilepsy center - trends in intervention delay and outcomes.

The spectrum of epilepsy surgery is shifting towards non-lesional and extratemporal cases. While success rates of extratemporal resections at our center are getting better, the average duration of epilepsy before surgical intervention is still very long and is not improving. This underscores the need for stronger collaboration between epileptologists and outpatient neurologists to ensure prompt and effective treatment for patients with drug-resistant epilepsy.