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Surgery in Epilepsy

 

Another possibility for selected people only. Consider individuals include those with intractable epilepsy (those who don't respond to any form of drug therapy) and having too frequent seizures recurrence such that their life has been disabled. In addition, extensive testing is performed to ensure that the 3 criteria for surgery are met.

Criteria for surgery

1.      Partial onset with exact focal onset (point of origin directed to one area)

2.      Area of surgery should not be vital to patientís future quality of life

3.      Successful result would significantly improves patientís quality of life

Surgical procedures involve accurate identification and removing a part of the brain where the seizure is starting off or interruption of the electrical activity in the brain during seizure via surgically disconnection or isolating the abnormal areas and stop the seizures from spreading to the neighboring normal regions.

Depending upon the type of epilepsy and the procedure performed, up to 90% of patients treated surgically may improve or becomes seizure free. However, there shanít be any inappropriately high expectations for seizure free outcome. As with any operation, there are some risks involved (mortality approximate 1%). Cost can be high but intractable epilepsy for a lifetime can be even higher!  

Evaluation for suitability & Types of Surgery perform

Professional details on surgery for epilepsy

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