What is Epilepsy surgery?
If anti-epileptic medications do not control epilepsy seizures, brain surgery can be considered for some patients.
The most commonly performed type of brain surgery is called Resective Brain Surgery. Resective surgery for epilepsy is used to remove the part of the brain that is causing the seizures. This means that it can only be used for people where the seizures start in one area of the brain. When seizures start in one part of the brain only, this is called Focal Epilepsy.
There are different kinds of Resective Brain Surgery that occur in different parts of the brain, depending on where the seizures start. Some surgeries mainly involve removing a lesion as seen on the MRI – this is called a lesionectomy. Other surgeries involve larger parts of the brain. They may involve all or most of one of the lobes of the brain. The brain is divided into four paired sections:
- The frontal
- Temporal lobes
Epilepsy Surgery Treatment in Pune , In epilepsy surgery, the surgeon removes the abnormal portion of brain that is causing the seizures. Brain tumors, vascular (blood vessel) abnormalities, old strokes, and congenital (inherited) irregularities might also be treated if they are believed to be causing the seizures.
Q: How common is Epilepsy?
RMR: Epilepsy is very common – it affects over 3 million people of all ages in our country, that’s about 1% of the population. To put it into perspective, that’s more people than have multiple sclerosis, cerebral palsy, muscular dystrophy, and Parkinson’s Disease combined, and in the U.S., epilepsy is as common as breast cancer, and it takes as many lives. Anyone with a brain can have epilepsy; this disease affects people from all walks of life.
Frequently Asked Questions
- Answer: It’s a common brain (neurological) disease characterized by recurrent seizures, which are brief disruptions in normal brain activity that interferes with brain function. Seizures can manifest as full-body convulsions, but there are many kinds – with some types, you might not even notice a seizure at all. Currently, there is no cure, and for many it is lifelong.
- Answer: Epilepsy is diagnosed by a physician or nurse practitioner. The health care professional may ask questions about the seizure such as what happened before, during, and after it. The person will also have an electroencephalogram (EEG) test to measure the electrical activity in the brain. Additional imaging tests such as MRIs and/or CT/CAT scans might be done as well. Then, based on the information gathered, a diagnosis of epilepsy might be made.
- Answer: Medication is the most common and effective way to treat epilepsy; however, there are also non-drug treatments such as surgery, ketogenic diets, and nerve stimulation. Many people utilize complementary medicine in their care as well. It’s important to remember that everyone is different, and everyone responds differently, so a person with epilepsy should discuss their care with their physician before making any active decisions.
- Answer: Epilepsy is not rare – in fact, about 1 in every 100 Canadians has epilepsy and about 50 million people worldwide. It can affect anyone of any age, race, and sex. Many famous people have had (or are suspected to have had) epilepsy, including Pope Pius IX, Prince John, Neil Young, Susan Boyle, Harriet Tubman, and many others! However, it should be noted that epilepsy is an umbrella term for a large variety of different kinds of seizure disorders. While epilepsy in general is common, the individual diseases that fall under that umbrella are typically rare in respect to the overall population.