Epilepsy Surgery Treatment In Jaipur
Understanding Epilepsy Surgery
Epilepsy surgery involves removing a specific area of the brain responsible for seizures. This procedure is recommended when seizures originate from a single location and have not responded to two or more anti-epileptic medications. The goal of epilepsy surgery is to control seizures while preserving brain function. Prior to surgery, various diagnostic tests are conducted to assess eligibility. For those seeking epilepsy surgery treatment in Jaipur, comprehensive evaluations ensure the best possible outcomes.
Types of Epilepsy Surgery
Epilepsy surgery treatment in Jaipur at Pinkstar Hospital encompasses several approaches tailored to individual needs:
- Resective Surgery: Removes a small area of the brain where seizures originate, often due to malformation, tumors, or injury, such as in the temporal lobes controlling emotions and language comprehension.
- LITT (Laser Interstitial Thermal Therapy): Uses MRI-guided lasers to precisely target and remove brain tissue causing seizures, offering a less invasive option.
- Deep Brain Stimulation: Involves implanting a device to emit electrical signals that disrupt seizure activity, with the generator placed in the chest, guided by MRI.
- Corpus Callosotomy: Disconnects nerves between the brain’s hemispheres to prevent seizure spread, typically for children with severe seizures affecting both sides of the brain.
- Hemispherectomy and Functional Hemispherectomy: Removes or disconnects a cerebral hemisphere to control seizures originating from one side of the brain, often in pediatric cases.
Eligibility for Epilepsy Surgery
Candidates for epilepsy surgery treatment in Jaipur typically have seizures uncontrolled by medications, localized seizure foci, or seizures caused by conditions like brain tumors or malformations, significantly impacting quality of life.
Surgical Tests for Epilepsy Surgery
Diagnostic tests at Pinkstar Hospital include EEG, video EEG, MRI, PET, SPECT, functional MRI, Wada Test, brain mapping, and neuropsychological evaluations to pinpoint seizure origins and assess brain function.
Complications in Epilepsy Surgery
While rare, complications may include infections, bleeding, anesthesia reactions, and temporary neurological effects like language or memory impairments. Rigorous pre-surgery testing minimizes these risks.
Procedure of Epilepsy Surgery
Patients undergo anesthesia, and surgeons use EEG monitoring to precisely locate seizure origins before making a small skull opening for surgery. Post-surgery, patients recover in the ICU for 3 to 4 days, managing pain and swelling with medications.
Outcomes of Epilepsy Surgery
Successful epilepsy surgery treatment in Jaipur at Pinkstar Hospital aims to achieve seizure control, often allowing reduction or cessation of anti-epileptic drugs. Patients typically resume daily activities gradually after recovery.
If you or a loved one is considering epilepsy surgery, contact Pinkstar Hospital in Jaipur for expert care and personalized treatment plans.
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FAQ
Epilepsy surgery is a medical procedure performed to remove or alter an area of the brain where seizures originate. The goal of the surgery is to reduce or eliminate the frequency and severity of seizures, especially when they are not well-controlled by medication.
Candidates for epilepsy surgery typically include patients who have focal epilepsy (seizures that originate in a specific part of the brain) and have not responded to at least two anti-epileptic drugs. Comprehensive pre-surgical evaluations, including brain imaging and video EEG monitoring, help determine if surgery is a viable option.
There are several types of epilepsy surgery, including:
- Resective surgery: Removal of the part of the brain where seizures originate.
- Laser ablation: Minimally invasive procedure using laser technology to destroy the seizure focus.
- Vagus nerve stimulation (VNS): Implanting a device that stimulates the vagus nerve to reduce seizure frequency.
- Responsive neurostimulation (RNS): Implanting a device that detects and responds to seizure activity in real-time.
- Corpus callosotomy: Cutting the nerve fibers connecting the two hemispheres of the brain to prevent seizure spread.
As with any surgery, epilepsy surgery carries risks and potential side effects, which may include infection, bleeding, and neurological deficits such as speech or memory problems. The specific risks depend on the type of surgery and the location of the brain involved. However, many patients experience significant improvement in seizure control with minimal long-term side effects.
The recovery process varies depending on the type of surgery performed. Generally, patients can expect a hospital stay of a few days to a week. Physical and cognitive rehabilitation may be necessary to help patients regain any lost functions. Follow-up appointments are crucial to monitor recovery and adjust medications as needed. Most patients gradually return to their normal activities within a few months.