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Surgical Procedures for Epilepsy
- Seizures occur in just one part of the brain—partial or focal seizures
- Seizures begin as partial seizures before spreading to the rest of the brain
- Medications do not control the seizures or they cause severe negative side effects
- It is used to remove the underlying cause of the seizures, such as a brain tumor or excess fluid on the brain
- There is unilateral multifocal epilepsy with infantile hemiplegia, such as Rasmussens encephalitis
- Frequency and severity of your symptoms
- The area of the brain involved, and the importance of that area to everyday life
Lobectomy or Lesionectomy
Multiple Subpial Transection
- Rasmussens encephalitis
- Other severe damage to one brain hemisphere
- Have seizures greatly reduced or even eliminated
- Recover well from the surgery
Often recover nearly normal activities—however, there will be:
- Weakness and loss of some movement on one side of the body
- Loss of side vision
- Vagus nerve stimulator—delivers short bursts of electricity to the brain via the vagus nerve in the neck
- Responsive neurostimulator—detects electrical activity in the brain and delivers electrical stimulation before seizure symptoms occur
Epilepsy in adults. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated February 11, 2014. Accessed February 17, 2014.
Epilepsy in children. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated February 11, 2014. Accessed February 17, 2014.
FDA approves medical device to treat epilepsy. US Food and Drug Administration website. Available at: http://www.fda.gov/newsevents/newsroom/pressannouncements/ucm375041.htm. Accessed February 17, 2014.
NINDS Epilepsy information page. National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.nih.gov/disorders/epilepsy/epilepsy.htm. Updated February 14, 2014. Accessed February 17, 2014.
US approves antiepileptic brain implant. Epilepsy Research UK website. Available at: http://www.epilepsyresearch.org.uk/us-approves-antiepileptic-brain-implant/. Published November 15, 2013. Accessed February 17, 2014.
What is epilepsy? Epilepsy Foundation website. Available at: http://www.epilepsyfoundation.org/aboutepilepsy/whatisepilepsy/index.cfm. Accessed February 17, 2014.
Wiebe S, Blume WT, et al. Effectiveness and Efficiency of Surgery for Temporal Lobe Epilepsy Study Group. A randomized, controlled trial of surgery for temporal-lobe epilepsy. N Engl J Med. 2001 Aug 2;345(5):311-318.
- Reviewer: Rimas Lukas, MD
- Review Date: 02/2014
- Update Date: 02/17/2014