How Diagnosis of Epilepsy is Done? A type of brain condition epilepsy is usually diagnosed via a multi-step procedure. The steps in this method are usually as follows: Medical history, blood tests, and other clinical tests and neurological exams such as EEG, CT scan, functional MRI, SPECT, and PET imaging…
How Diagnosis of Epilepsy is Done?
A type of brain condition epilepsy is usually diagnosed via a multi-step procedure. The steps in this method are usually as follows:
- Medical history, blood tests, and other clinical tests and neurological exams such as EEG, CT scan, functional MRI, SPECT, and PET imaging are used to confirm epileptic seizures in patients.
- The type of seizure that the patient is having is determined by the results of the tests.
- To determine the cause of epilepsy, a clinical examination is performed.
- On the basis of the foregoing findings, the most appropriate therapy is chosen.
What is Epilepsy Surgery?
Epilepsy surgery refers to a variety of brain surgeries aimed at reducing epileptic episodes. Some techniques have the potential to entirely eliminate seizures for years.
Epilepsy surgery involves removing a portion of the brain from which seizures occur.
When seizures occur in a single region in the brain, epilepsy surgery is most successful. When at least two anti-seizure drugs have failed to control seizures, epilepsy surgery is considered as a last resort.
To assess whether you are eligible for epilepsy surgery and how the procedure is performed, a variety of pre-surgical tests are required.
The success rate of brain surgery for epilepsy is very high. It has the potential to improve your quality of life significantly.
Types of Epilepsy Surgery
Epileptic seizures are caused by aberrant brain cell activation (neurons). The kind of surgery required is regulated on the location of the neurons that cause the seizure and the patient’s age.
Epilepsy brain surgery can be very different from one person to the next. There are several forms of surgery that can be used to treat it, including:
Resective Surgery:
The removal of a small fragment of the brain is the most common epilepsy surgery. The surgeon removes brain tissue from the area of the brain where seizures occur, which is usually due to a tumor, brain damage, or abnormality. The temporal lobes, which control visual memory, language understanding, and emotions, are the most common targets for respective surgery.
LITT (laser interstitial thermal therapy):
It is a minimally invasive procedure in which a laser is used to identify and destroy a small piece of brain tissue. The surgeon utilizes magnetic resonance imaging (MRI) to direct the laser.
Hemispherectomy:
It is a technique that involves removing one side (hemisphere) of the brain’s folded grey matter (cerebral cortex). This operation is normally reserved for children who have seizures originating from many sites in one hemisphere, which is frequently the result of a disease present at birth or in early childhood.
Corpus Callosotomy:
It is a surgery that removes all or part of the portion of the brain that links the right and left sides of the brain’s nerves (corpus callosum). This is most commonly utilised with youngsters who have aberrant brain activity that spreads from one side to the other.
Suggestion
People whose epilepsy originates in a specific area of the brain and does not respond to medicines may benefit from epilepsy surgery. Various procedures may be beneficial, and a neurologist can advise on the best solutions based on the individual’s needs.
Infection, hemorrhage, and scarring are all risks of brain surgery. Certain cognitive skills can be temporarily altered by epilepsy procedures, although these abnormalities can sometimes become permanent. Before undertaking a surgical treatment, it is critical to consider the benefits and risks with a medical team.
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