Epilepsy

Epilepsy is a condition in which there is a problem with the brain that causes long term seizures in the person.

Neurosurgery involves the management of epilepsy:

  • when an epileptic seizure is the presenting symptom of an underlying lesion such as a brain tumor, AVM…
  • as a complication of head injury or intracranial surgery
  • in the surgical management of patients with intractable epilepsy, in particular, temporal lobe epilepsy

Indications for epilepsy surgery:

  • epilepsy is inadequately controlled by antiepileptic medication
  • that there is a focal origin for the attacks in an area of the brain that can be removed without producing a significant neurological deficit.

Presurgical evaluation:

  • MRI (functional MRI)
  • PET (positron emission tomography) scan
  • SPECT – scan single photon computed tomography (gamma camera)
  • routine EEG
  • 24 hour intensive video/EEG monitoring

Epilepsy surgery procedures:

  • lobectomy (temporal or extratemporal)
  • corticectomy
  • lesionectomy
  • hemispherectomy
  • functional hemispherectomy
  • Disconnection(callosotomy)
  • vagal stimulation

Post op. recommendations:

  • anticonvulsants 1 – 3 yrs
  • EEG control
  • Diet:
  • NO! drinks:
  • Aktivity:   Yes                                       No