Epilepsy surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Vishnu Vardhan Serla M.B.B.S. [2]

Indication

Surgery is not the first-line treatment option for patients with epilepsy. Surgery is usually reserved for patients who their seizure continues to happen despite using maximum dosage of anti-seizure drugs.(2?)

Surgery

The goal of surgery in epilepsy can be divided into two categories:

• Curative
  • Lesional resection
  • Lobectomy
  • Corticectomy
  • Hemispheric disconnection
  • Multiple subpial transactions
  • Gamma knife radiosurgery
• Palliative
  • hemispheric surgery
  • Multiple subpial transections
  • Disconnection procedures such as callosotomy
  • Stimulation procedures including vagal nerve stimulation deep brain stimulation.