Fear of surgery, ignorance of treatment options, and tolerance of symptoms are the primary responses found to influence treatment-decision making for patients with epilepsy who are eligible for surgical treatment. Researchers examined twelve papers that examined patient perceptions of epilepsy surgery and physician attitudes. The authors conclude that patient and physician treatment misperceptions can lead to undertreatment and serious health consequences.
Dewar SR, Pieters HC. Perceptions of epilepsy surgery: a systematic review and an explanatory model of decision-making. Epilepsy Behav. 2015;44C:171-178.