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Costs for pre-surgical evaluation, anterior temporal lobectomy, and all subsequent follow-up medical care until death were estimated to be $109,362. For only medical management over the same time interval, the estimated cost was $84,276.
Source: Langfitt J. Cost-effectiveness of anterior temporal lobectomy in medically intractable complex partial epilepsy. Epilepsia 1997;38:154-163. With more attention being paid to cost-effective medicine, expensive therapies such as epilepsy surgery have come under considerable scrutiny.