
ASSFN Podcast
Decision-making in Surgical Epilepsy with Dr. Kai Miller
<p>In this episode of the ASSFN Podcast, Dr. Kai Miller (Functional Neurosurgeon at Mayo Clinic in Rochester, MN) talks with cohosts Dr. Robert Ziechmann (Jefferson S&F Neurosurgery Fellow) and Andreas Seas (Duke Medical Student) about surgical decision-making in epilepsy, centered on the principle of <b>concordance</b>—aligning seizure semiology, imaging, and electrophysiology to guide treatment. He reviews how multidisciplinary evaluation, stereo-EEG, and functional mapping shape decisions between resection, laser ablation, disconnection, and neuromodulation.</p><p>The conversation highlights challenges in dominant temporal lobe epilepsy, balancing seizure freedom with language and memory preservation, and contrasts approaches in pediatric ve...

