The question of why does additional training in residency pertaining specifically to epilepsy may be raised. There are many reasons for this, even independent of exposure to and possible future academic subspecialty preparation. Epilepsy and its clinical diagnoses and treatment remains one of the major challenges of the general neurologist and changes in the field have accumulated at such a rapid pace that additional training in a specialized program is invaluable for anyone in general Neurology practice. Additionally, many of the diagnostic studies including various types of imaging, electrophysiology and neuropsychological evaluation, are pertinent to the diagnostic approaches to many neurologic problems. The expertise gained in the context of an epilepsy setting is well applied to many aspects of general neurology practice.
Finally, an understanding of the kinds of specialized diagnostic approaches that are available in epilepsy centers in various locations of the United States and the world, is invaluable to the practicing Neurologist who can refer patients for these types of studies when they understand the utility and the extent of such additional evaluation. Ultimately, the diagnostic acumen required for localization of epilepsy in the context of surgical evaluation is a lesson in cerebral functional cortical anatomy that clearly has application to formulation of all neurologic diagnoses and approaches.