Maharashtra Times Nagpur. Wednesday, 23 November 2022
Effective Treatment of Epilepsy: Epilepsy Surgery
Health Minister
Dr. Palak Jaiswal, Neurosurgeon
Epilepsy, a disorder that can cast a shadow over one's quality of life, often exists in the periphery of public awareness. You might have encountered someone experiencing a sudden seizure at school or in the workplace, leaving a profound impact on their daily life. While there's a wealth of information about epilepsy, the awareness about a groundbreaking solution—epilepsy surgery—is surprisingly limited. In this article, let's delve into the world of epilepsy surgery and how it holds the key to transforming lives.
When is Surgery Considered?
The initial line of defense against epilepsy is medication. However, for those whose seizures persist despite trying two or more medications, epilepsy surgery, known medically as Refractory Epilepsy, becomes a viable option. Patients undergo rigorous evaluations to determine their suitability for surgery. If deemed eligible, the surgery can significantly reduce or completely eliminate the need for ongoing medication.
Types of Epilepsy and Corresponding Surgeries
Epilepsy manifests in two primary types: focal, affecting one part of the body, and generalized, impacting the entire body with complete loss of consciousness. Different age groups may experience different types of epilepsy. Pediatric epilepsy, typically occurring from birth or a young age, often results from 'Temporal Lobe Sclerosis,' which is treatable through surgery.
Another potential cause is tumors within the brain, known as tumor-related epilepsy. Surgical interventions can effectively treat this form of epilepsy. Focal cortical dysplasia, arising when a part of the brain is not fully developed, is another factor leading to epilepsy. Various diagnostic tests, including functional MRI, Wada test, brain mapping, EEG, video EEG, and MRI, help pinpoint the origin of epilepsy in the brain. Neurosurgeons may also recommend neuropsychological tests to evaluate brain function. The ultimate goal is to identify the specific brain region causing epilepsy and determine if surgery can be performed without causing damage.
Age-Related Epilepsy and Treatment Options
Age-related epilepsy is another category, with pediatric epilepsy often diagnosed early in life. 'Temporal Lobe Sclerosis' can again be a contributing factor. Surgical interventions in these cases can significantly improve or cure epilepsy, allowing children to lead a more seamless life.
Genetic and Idiopathic Epilepsies
In cases of genetic epilepsies, where the exact cause remains unknown, and idiopathic epilepsies, where the origin is unclear, surgery might not be a viable option. However, effective control through minimal medication remains a feasible outcome.
The Crucial Role of Medical Professionals
The success of epilepsy surgery hinges on the type of epilepsy and its responsiveness to treatment. Achieving control over seizures with minimal medication signifies a successful surgical outcome. Epilepsy surgery, while relatively new, is proving to be a transformative treatment modality, enhancing the overall quality of life. If you or someone you know is grappling with epilepsy, reaching out to a neurosurgeon can open doors to a hopeful and fulfilling future.
Epilepsy surgery isn't just a medical intervention; it's a beacon of hope, promising a life less constrained by seizures and medication. The key is within reach—consult your nearest neurosurgeon to unlock the possibilities.