Epilepsy Surgery

Epilepsy Surgery: Advanced Care by Dr. Kapil M Khandelwal

Epilepsy is a neurological condition that causes recurrent seizures due to abnormal electrical activity in the brain. While many patients can manage epilepsy with medication, some cases may not respond to medical therapy. For these patients, epilepsy surgery offers a potential solution, aiming to control seizures and improve quality of life. Dr. Kapil M Khandelwal, an experienced neurosurgeon with over a decade of expertise, provides advanced epilepsy surgical treatments using cutting-edge techniques.

What is Epilepsy Surgery?

Epilepsy surgery involves identifying and removing or altering the part of the brain responsible for triggering seizures. The goal is to minimize or eliminate seizures while preserving essential brain functions. Dr. Khandelwal uses a patient-centered approach, focusing on accurate diagnosis, precise surgical planning, and personalized care to achieve the best outcomes.

When is Epilepsy Surgery Recommended?

Epilepsy surgery is typically considered when:

  • Seizures are not controlled despite trying multiple medications (drug-resistant epilepsy).
  • The location of seizure activity in the brain can be identified.
  • The surgery can be performed without significantly affecting critical brain functions.

Dr. Khandelwal conducts thorough evaluations, including advanced imaging studies and neurophysiological tests, to determine a patient’s suitability for surgery.

Types of Epilepsy Surgery Performed by Dr. Kapil M Khandelwal

1. Resective Surgery

This involves removing the portion of the brain where seizures originate, often in the temporal lobe (e.g., temporal lobectomy). Dr. Khandelwal uses advanced imaging and intraoperative monitoring to ensure precision and safety during these procedures.

2. Laser Interstitial Thermal Therapy (LITT)

A minimally invasive technique where a laser is used to target and destroy seizure-causing brain tissue. This procedure reduces recovery time and minimizes risks associated with open surgery.

3. Corpus Callosotomy

This surgery involves cutting the corpus callosum, a bundle of nerve fibers connecting the two hemispheres of the brain, to prevent the spread of seizures. It is often recommended for patients with severe, uncontrollable seizures that affect both sides of the brain.

4. Vagus Nerve Stimulation (VNS)

A device is implanted to send electrical impulses to the vagus nerve, which helps reduce seizure frequency. This is a less invasive option for patients who are not candidates for traditional epilepsy surgery.

5. Responsive Neurostimulation (RNS)

An advanced treatment where a device is implanted to detect abnormal brain activity and deliver targeted electrical stimulation to prevent seizures.

The Pre-Surgical Evaluation Process

Before recommending surgery, Dr. Khandelwal conducts a comprehensive evaluation, including:

  • Electroencephalogram (EEG) Monitoring: To pinpoint seizure origins.
  • Magnetic Resonance Imaging (MRI) and Functional Imaging: To identify structural abnormalities in the brain.
  • Neuropsychological Testing: To assess cognitive functions and predict potential impacts of surgery.

Benefits of Epilepsy Surgery

Epilepsy surgery offers significant advantages for eligible patients:

  • Reduction or complete elimination of seizures.
  • Improved quality of life, including greater independence.
  • Potential reduction in the need for medications and their side effects.

Dr. Khandelwal’s expertise in advanced techniques ensures that the risks of complications are minimized and outcomes are optimized.

Recovery and Post-Surgical Care

Recovery after epilepsy surgery varies depending on the type of procedure performed. Dr. Khandelwal provides personalized post-operative care, including:

  • Regular follow-up visits to monitor recovery and seizure activity.
  • Rehabilitation services to address any physical or cognitive challenges.
  • Adjustments to medications as needed.

Patients often experience significant improvements in seizure control and overall well-being within months of surgery.

Conclusion

Epilepsy surgery is a life-changing option for patients with drug-resistant epilepsy, offering hope for better seizure control and enhanced quality of life. Dr. Kapil M Khandelwal’s expertise in advanced epilepsy surgical techniques, coupled with his patient-focused approach, ensures the highest standard of care.

If you or a loved one is struggling with uncontrolled seizures, consult Dr. Kapil M Khandelwal to explore your options for epilepsy surgery and take the first step toward a healthier, seizure-free future.