When is epilepsy surgery appropriate?
When a patient with epilepsy shows repeated resistance to antiepileptic drugs and attempts to prevent seizures are unsuccessful, the best option for treatment is surgery. First, the use of antiepileptic drugs must be attempted for one year in children and two years in adults. Then, if the patient has not achieved an acceptable quality of life, surgery must be considered. Whether or not surgery is appropriate for a patient depends on a number of factors, the most important of which are professional experience and available technology.
The degree of experience of a professional epileptologist will determine their capacity to deal with different individual situations.
Recent technology is key to epilepsy surgery, and having the most advanced equipment at our disposal allows us to use surgery more often.
- Resection surgery, with intraoperative electrocorticography.
- Disconnective surgery: callosotomy, hemispherotomy.
- Device implantation: vagus nerve stimulation