Epilepsy brain surgery








Brain surgery - - Home of the Canadian

11/16/2014
02:21 | Author: Nicholas Clark

Epilepsy brain surgery
Brain surgery - - Home of the Canadian

What is the neuropsychological assessment for epilepsy surgery? suppress abnormal neuronal discharges and limit the spread of seizure activity in the brain.

How is the surgery performed?

A neurological history and physical examination is the first step in evaluating a patient with seizures. Patients considered for surgery must be well motivated to undergo the extensive series of tests required to localize the seizure focus and determine whether it can be safely surgically removed. This gives important clues into the many causes of the seizures and can identify the part of the brain from which the seizures are likely to be originating. Next, imaging the brain is important to identify any abnormalities which may causing seizures.

Comments (1)Read more



Outcomes Mixed for Brain Surgery in Epilepsy - MedPage Today

11/15/2014
12:18 | Author: Jeremy Rodriguez

Epilepsy brain surgery
Outcomes Mixed for Brain Surgery in Epilepsy - MedPage Today

Long-term follow-up in children undergoing hemispherectomy for refractory epilepsy showed that most were seizure-free and able to walk.

Cole Petrochko Staff Writer. Primary source: Epilepsia Source reference: Gupta A, et al "Long-term functional outcomes and their predictors after hemispherectomy in 115 children" Epilepsia 2013; DOI: 10.1111/epi.12342.

Walking outcomes were measured as independent walking ability, ability to walk a few steps with assistance, and unable to walk. Other domains were measured with good or poor binary outcomes.

Participants -- parents or guardians in most cases, but sometimes the patients themselves -- were interviewed 2 to 28 years after the procedure and answered a questionnaire about functional outcomes, including ambulation, visual symptoms, spoken language and reading abilities, behavior, and academic and employment achievement.

But they noted that only limited data were available on functional outcomes after the procedure, particularly in mobility, visual, cognitive, behavioral, and verbal domains, which can complicate family counseling prior to surgery.

Language deficits were predicted by structural abnormality in the unoperated hemisphere (OR 13.98, 95% CI 2.77-90.37) and preoperative indeterminate language status (OR 11.16, 95% CI 1.63-230.57) as well as seizure recurrence (OR 3.18, 95% CI 0.99-10.19).

Poorer outcomes for walking, speech, reading, and behavior were significantly more common if seizures had recurred, Gupta and colleagues found.

Among 115 children with a mean of 6.05 years of follow-up, 70 were seizure-free and 96 were able to walk without assistance, according to Ajay Gupta, MD, of the Cleveland Clinic in Ohio, and colleagues.

Additionally, poor motor outcomes were significantly associated with abnormalities in the unoperated hemisphere as seen on an MRI ( P <0.05) and preexisting quadriparesis ( P <0.01), they reported.

The authors received support from Epilepsy Currents, UCB, UCB Biosciences, UCB Pharma, Eisai, Questcor, Cyberonics, Upsher-Smith, Lundbeck, Pediatric Neurology and Epileptic Disorders, and the Scientific Advisory Board of the Tuberous Sclerosis Alliance.

Earn Free CME Credits by reading the latest medical news in your specialty.

Mean time to follow-up was 6.05 years (SD 3.1) at a mean patient age of 12.73 (SD 6.02).

Comments (2)Read more

Epilepsy surgery Epilepsy Society

9/14/2014
02:23 | Author: Steven Lewis

Epilepsy brain surgery
Epilepsy surgery Epilepsy Society

Epilepsy surgery is the name for the different types of brain surgery (also called neurosurgery) that some people with epilepsy have to stop or reduce the number.

Watch our epilepsy videos.

Having any kind of surgery on the brain is a big decision to make and you may have lots of questions or concerns that you need to discuss before you are able to make up your mind. The doctors will be used to this because it is an important part of deciding about, and preparing for, surgery.

Seizures after surgery can happen because of the direct stress the brain experiences in surgery, rather than because a person has a history of epilepsy. Some people who have brain surgery will have seizures within the first week of surgery - but this doesn’t mean the surgery has not been successful.

Switchboard 01494 601 300 Helpline 01494 601 400.

After surgery most people will still take their AEDs for some time.

Comments (3)Read more

Epilepsy Epilepsy Surgery Treatment Programs UCSF

7/13/2014
04:56 | Author: Chloe Allen

Epilepsy brain surgery
Epilepsy Epilepsy Surgery Treatment Programs UCSF

Patients with epilepsy, including those eligible for neurosurgery, are treated by at In this surgery, the area of the temporal lobe on the side of the brain.

Nalin Gupta MD, PhD Neurology Robert Knowlton MD Paul Garcia MD John Hixson MD.

Discharge Information and Instructions after initial Placement of Vagus Nerve Stimulator (VNS) or Battery Replacement.

Gamma Knife Radiosurgery Radiosurgery is most often used to treat seizures caused by hypothalamic hamartomas in adults and children (gelastic seizures). Resective surgery for epilepsy is tailored to each individual patient, and with resection some patients may require a two-step process that includes one to two weeks of intracranial EEG monitoring before any part of the brain is removed.

Comments (4)Read more

Epilepsy Surgery - Barnes-Jewish Hospital

5/12/2014
06:55 | Author: Molly Young

Epilepsy brain surgery
Epilepsy Surgery - Barnes-Jewish Hospital

Because of the thorough evaluation done before surgery, neurosurgeons are able to pinpoint the area of brain affected and avoid other areas that control critical.

Clint McMurphy from Makanda, IL was diagnosed with grand mal seizures and epilepsy at the age of 3. His doctors had it under control with medication most of his life, but by the time Clint was in his upper 20s, the seizures became uncontrollable, often making him lose consciousness. Learn more about Clint or see more patient stories. Neurosurgeon Eric Leuthardt, MD, performed a focal resection, removing the tissue from Clint’s left temporal lobe that was responsible for epileptic seizures.

Epilepsy surgery has become extremely safe, with a rate of serious complications of less than one percent.

Comments (5)Read more