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Epilepsy Surgery: Treatment, Cost and Side Effects

What is the Epilepsy Surgery? How is the Epilepsy Surgery treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the Epilepsy Surgery?

Mild seizures can be treated by certain medications, but, in case medicines do not improve a person’s condition surgery for treating epilepsy might be recommended. This surgery is very effective and most patients go back to leading a normal life post surgery. There are various surgeries to treat different type of epilepsy. These are as follows:

Resective surgery is performed to treat the most common types of epilepsy. This surgery deals with the removal of those parts in the brain where seizures occur. The doctor is able to locate the seizures using a MRI. Temporal Lobectomy is one of the most common kinds of a respective surgery.

In rare cases seizures occur at various parts of the brain. Multiple subpial transection is a type of surgery which is performed to treat serious cases of seizures. Here a part of be brain might be removed. If the seizure does not keep occurring in the same area of the brain then a multiple subpial transaction surgery can prove to be a more successful surgery option than a respective one.

Hemispherectomy is a type of surgery where the outer layer of one side of the brain is removed, which is affected by epilepsy.

Corpus callosotomy is a surgery that involves the cutting off of some of the nerve fibers in the brain. This surgery does not remove epilepsy completely, but after this surgery the intensity of epilepsy is reduced.

How is the Epilepsy Surgery treatment done?

Surgery to cure epilepsy is recommended to those people whose condition does not improve even after taking medicines. These are the various kinds of surgeries that are performed to prevent epilepsy.

Resective Surgery: This is the commonest type of intervention where the surgery is performed to remove that part of the brain which is the source of seizures. The doctor finds this source by running an MRI scan on the patient. In most cases the surgery helps a person to completely recover from epilepsy. The surgery can also be characterized by the removal of the brain lobe or a portion of the lobe depending on the condition of the patient.

Multiple Subpial Transection: If you are suffering from a condition where there is no single source of seizures, that is, they occur in various parts of the brain, you will have to undergo this surgery. Here different parts of the brain which trigger spasms are removed.

Hemispherectomy: If seizures cause brain damage, which is very rare, this surgery is performed. This surgery is mostly performed on babies who are born with congenital seizures and young adults. Here the entire outer layer of one side of the brain is surgically removed.

Corpus Callosotomy: There are nerve fibers that exist between the two sides of the brain. This surgery is characterized by the clipping off of these nerve fibers. This surgery is different from other types of surgeries in that it helps to reduce the intensity of the epilepsy but does not remove it completely.

Who is eligible for the treatment? (When is the treatment done?)

A person, who suffers from uncontrollable jerking movements throughout the body regularly, loses consciousness on a daily basis or observes psychological disorders like too much anxiety or fear is a suitable candidate for severe epilepsy. In such cases surgery might be required.

Who is not eligible for the treatment?

A person who finds relief from epilepsy by taking medicines does not need surgery. Only those who do not get respite from epilepsy even after taking medicines need epilepsy surgery.

Are there any side effects?

Brain surgery for epilepsy usually proves to be very effective. But this surgery is not risk-free. Some of the serious complications that might crop up owing to surgery include infection, stroke, paralysis, speech difficulties, vision disorders, motor skills impairment. In some cases, surgery, instead of removing seizures worsens the condition.

What are the post-treatment guidelines?

After surgery the patient will feel pain and swelling for a few days. The patient needs to take good rest and should not start normal activities before three months post surgery. Depending on the kind of surgery the patient might have to take anti-epileptic medicines for at least a year or two. Regular checkups might be needed too.

How long does it take to recover?

It takes a while before a person is fully recovered, almost three months, after which he/she can continue regular activities.

What is the price of the treatment in India?

The price of epilepsy surgery in India could be anywhere between INR 2,00000 and INR 2,50,000.

Are the results of the treatment permanent?

If the surgery is successful, then the patient stands a chance to enjoy permanent recovery. However, in case of Corpus Callosotomy, the nerve fibers are clipped off, and the intensity of seizures would reduce. But the result would not be permanent.

What are the alternatives to the treatment?

Some of the herbs that are used to treat epilepsy are burning bush, valerian, peony, mistletoe, mugwort etc. However, there is no scientific evidence to prove that these herbs are effective. So it is better to go for traditional treatment when it comes to treatment for epilepsy.

Popular Questions & Answers

Sir, in 2015 I have diagnosed with brain tumour surgery and medication of epilepsy I have completed my treatment using oxetol for 5 years, so actually my doubt is if I stop this will epilepsy (fits) come again. Please help me.

MD Medicine, DM Neurology
The guidelines are to stop medicines after a 3 years of last attack. I guess you have not had seiure at all and the medicine was prescribe as a precaution. Ideally youi should stop the medicine, it has to be tapered down gradually over 3 months, t...
1 person found this helpful

How can you describe a scar epilepsy? Very confused with this variant! Please can anyone help!

General Physician, Faridabad
Sometimes, epilepsy can be caused by scar tissue or a brain infection that can interfere with the brain's electrical signaling. Scar tissue in the brain can be caused by head injury, tumor, stroke or surgery.
2 people found this helpful

Dr. I had partial epilepsy at the age of 3 n I was on medication for 7 yrs. And after about 12 years I got this seizure episode which was a strong one. Now i'm on levepsy 500. I also have scoliosis for which we were planning surgery. Just during this time I got seizure. Now I can I go for surgery? I'm confused. please guide. Thanks dr.

MD Medicine, DM Neurology
Hello lybrate-user, the presence of seizures is no contraindication for surgery. You can undergo any surgery with ga. But yes first your surgeon and anesthesiologist should knno your problem and they will approach the problem correctly, you should...

Hi, Is it necessary to get a surgery for temporal lobe DNET which is static over 22 years?

Safdarjung Hospital, MS(gen.surg), M.B.B.S., l
General Surgeon, Kota
DNET is successfully treated by surgery now a days, in 2-3% symptoms come after 20 years of age, comman symptoms are epilepsy and seizure so this is your choic either wait for symptoms or correct it before symptoms appear.

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