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Medical Treatments

Epilepsy Surgery

Epilepsy surgery is a treatment for people with epilepsy whose seizures do not improve with medication. This surgery aims to reduce or eliminate seizures by targeting the part of the brain where they originate. Doctors use special tests and scans to locate the source of the seizures in the brain precisely. Once they identify the spot, they can determine the best approach to treat it. Sometimes, the surgery involves removing the part of the brain that causes seizures. In other cases, doctors may use techniques to reduce the activity in this area or prevent it from sending signals that trigger seizures. Before the surgery, doctors conduct a thorough evaluation of the patient to ensure it's the right option. They also discuss potential risks and benefits with the patient. Afterward, patients may need some time to recover and adjust to their new situation. Overall, the goal is to help people live a more normal life by reducing the frequency and severity of seizures.

Signs & Symptoms

 Epilepsy is marked by recurrent seizures, which can differ in type and severity:

  • Generalized seizures involve the entire brain and may result in loss of consciousness, muscle stiffness, and jerking movements.

  • Focal seizures originate in one area of the brain and can cause unusual sensations, movements, or emotions. They may or may not result in a loss of consciousness.

  • Additional symptoms can include:

  • Confusion or disorientation after a seizure.

  • Unusual behaviors or sensations before a seizure (aura).

  • Memory loss related to seizure episodes.

Causes

 Various factors can cause epilepsy:

  • Genetic factors: Family history or genetic mutations may contribute to the development of this condition.

  • Brain injury: Trauma, stroke, or infection can lead to epilepsy.

  • Brain tumors: Growths in the brain can cause seizures.

  • Developmental disorders: Conditions affecting brain development, such as cortical dysplasia.

  • Neurological conditions: Conditions like neurodegenerative diseases can be linked to epilepsy.

When to seek medical attention?

 Seek medical attention if:

  • Seizures are frequent: If seizures occur despite medication.

  • Seizures are worsening: Increasing in frequency or severity.

  • Seizures are uncontrolled: Medication doesn't seem to help.

  • New symptoms develop: Changes in seizure patterns or the emergence of new symptoms.

Diagnostics & Tests

 To determine if epilepsy surgery is appropriate, doctors use various tests:

  • Electroencephalogram (EEG): Measures electrical activity in the brain to locate seizure focus.

  • Magnetic Resonance Imaging (MRI): Provides detailed images of brain structures to identify abnormalities.

  • Functional MRI (fMRI): Assesses brain activity and helps in planning surgery.

  • PET scan: Shows how brain tissues use glucose and can identify areas involved in seizures.

  • Stereoelectroencephalography (SEEG): Involves placing electrodes in the brain to pinpoint seizure origins.

Do’s & Don’ts

 Do's:

  • Follow pre-surgery instructions: Adhere to guidelines provided by your healthcare team.

  • Discuss all options: Understand the risks, benefits, and expected outcomes of the surgery.

  • Prepare for recovery: Arrange for post-surgery care and follow-up appointments.

  • Engage in rehabilitation: Participate in therapy to aid recovery and adaptation.

 Don'ts:

  • Avoid skipping medications: Continue taking prescribed medications until advised otherwise.

  • Don't ignore symptoms: Report any new or worsening symptoms to your doctor.

  • Avoid making rash decisions: Ensure you understand all options and implications before proceeding with surgery.

  • Don't overlook lifestyle adjustments: Follow recommendations for lifestyle changes that may support recovery and seizure management.

Disclaimer:

Our medical content authors have diligently gathered and synthesized information on this topic to offer valuable insights to our readers. Drawing from a range of reputable medical journals and health resources, this content aims to enhance understanding of the subject. It's essential to remember that while this information is informative, it should not replace personalized consultation or treatment from a qualified healthcare professional. For further details, please refer to our Editorial Policy.

For this topic, our authors used some of the following resources:

Epilepsy Foundation | Risks and Benefits of Epilepsy Surgery

Mayoclinic | Epilepsy surgery

Epilepsy Foundation | Epilepsy Surgery

Cleveland Clinic | Epilepsy Surgery

Mayoclinic | Epilepsy

Frequently Asked Questions For Epilepsy Surgery

Epilepsy surgery can be very effective in reducing or eliminating seizures, especially in cases where medication doesn't work.

Risks can include infection, bleeding, changes in cognitive function, and memory issues. The specific risks associated with the surgery depend on its type and location.

Recovery usually takes several weeks to months. Complete recovery might take longer, and ongoing therapy could be necessary.

Many patients continue to take medications after surgery, although the dosage may be reduced or adjusted based on seizure control.

In many cases, epilepsy surgery significantly reduces or eliminates seizures, but it may not cure epilepsy entirely for everyone. Continuous follow-up is essential.

Best Hospitals in Epilepsy Surgery

Explore All Hospitals in Epilepsy Surgery
BLK-MAX Super Specialty Hospital, Delhi – State-of-the-art medical facility
BLK-MAX Super Specialty Hospital

Pusa Road, Radha Soami Satsang, Rajendra Place New Delhi, 110005 India

Accord Superspeciality Hospital, a leading healthcare facility in Faridabad, offering advanced treatments with modern infrastructure.
Accord Superspeciality Hospital

Budena Village, Sector 86, Faridabad, Haryana 121002, India

High-tech medical equipment at Artemis Hospital, Gurgaon, ensuring accurate diagnostics and advanced treatment solutions.
Artemis Hospital

Artemis Hospitals Sector 51, Gurugram 122001 Haryana, India

PARAS Health, Gurugram – top multispecialty hospital for international patients via VivaVel.com
PARAS Health, Gurugram

C-1, Sushant Lok- 1, Sector-43, Phase- I, Gurugram, Haryana, 122002

Amrita Hospital, Faridabad – India's largest multispecialty hospital with cutting-edge healthcare infrastructure and global standards.
Amrita Hospital

Mata Amritanandamayi Marg, Sector 88, Faridabad, Haryana, India 121002

Columbia Asia Extended Care Hospital, Kuala Lumpur – Specialized elderly care with VivaVel
Columbia Asia Extended Care Hospital

Lot 2, Jalan Baung 17/22, Seksyen 17, 40200 Shah Alam, Selangor Kuala Lumpur, 40200 (Malaysia)

Top Doctors in Epilepsy Surgery

Explore All Doctors in Epilepsy Surgery
Rohit Gupta
  • Dr. Rohit Gupta
  • Chairman, Neurosciences
  • Neurology
  • 17 Years Experience
  • Accord Superspeciality Hospital

Dr. (Prof.) Rohit Gupta is a well-known neurologist in Faridabad, Haryana, India, with over 17 years of experience in clinical neurology. He achieved academic success...

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Sandeep Ghosh
  • Dr. Sandeep Ghosh
  • Consultant
  • Neuro-Surgeon
  • 11 Years Experience
  • Accord Superspeciality Hospital

Dr. Sandeep Ghosh is a highly regarded consultant neurologist, currently practicing at the esteemed Neurosciences Department of Accord Superspeciality Hospital in Faridabad, ...

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Vikram Dua
  • Dr. Vikram Dua
  • Director – Dept Of Brain & Spine Surge...
  • Neurosurgery & Spine
  • 26 Years Experience
  • Accord Superspeciality Hospital

Dr. Vikram Dua is one of India's top neuro and spine surgeons. With over 26 years of experience, he has performed over 10,000 surgeries, with a success rate excee...

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L. N. Tripathy
  • Dr. L. N. Tripathy
  • Senior Vice Chairman, Director & Senior ...
  • Neuro-Surgeon
  • 31 Years Experience
  • Manipal Hospital (E.M. Bypass), Kolkata

Dr. LN Tripathy is a highly esteemed neurosurgeon with an impressive 31-year career. Since April 2010, he has been the Director of the Medica Institute of Neurologica...

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Anish Kumar Ghosh
  • Dr. Anish Kumar Ghosh
  • Consultant
  • Neurology (Medicine)
  • 20 Years Experience
  • Manipal Hospital (E.M. Bypass), Kolkata

Dr. Anish Kumar is a highly experienced medical professional with over 21 years of experience, including more than 11 years dedicated to neurology. He is currently a ...

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Kaushik Sen
  • Dr. Kaushik Sen
  • HOD & Senior Consultant
  • Neurologist
  • 18 Years Experience
  • Manipal Hospital (E.M. Bypass), Kolkata

Dr. Kaushik Sen is a  highly esteemed senior consultant neurologist with over 18 years of post-DM experience in neurology. He holds a gold medal in MBBS, an MD i...

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