Little has been known about the long-term success of epilepsy surgery, even though surgeons have performed the surgery for decades. In a recent study, researchers sought to determine whether epilepsy surgery would provide long-term improvements. Epilepsy affects the brain and causes seizures, which can occur in many different ways. Seizures can range from a few seconds of being confused to a complete lack of awareness of what is going on. People who suffer from epilepsy can be treated with medicine; however, in approximately 30% of people, the medicine does not stop the seizures. Individuals with epilepsy tend to have epilepsy surgery as relatively young adults in hopes of many years of a better quality of life ahead of them.
A specialized test for epilepsy patients is allowing doctors to better plan for epilepsy surgery, while avoiding catastrophic effects on speech and memory. “It involves using an anesthetic called etomidate to put one half of the brain to sleep at a time while testing the language and memory abilities in the opposite hemisphere,” explains neuropsychologist Antonina Omisade. Omisade says there are two main goals to the etomidate speech and memory test – or ESAM for short.
Drug-resistant children and adolescents that undergo epilepsy surgery have a significantly higher rate of seizure-free periods and better quality of life compared to those who simply continue medical therapy, according to a new study published in the New England Journal of Medicine. Manjari Tripathi, MD, DM Researchers led by Manjari Tripathi, MD, DM, professor of neurology at the All India Institute of Medical Sciences in New Delhi, examined how neurosurgical treatment affected seizure rates in 116 children and adolescents with epilepsy. In total, 77% (n = 44) of patients that received the surgery were free from seizures, compared to 7% (n = 4) in the medication group (P <.001).
Patients with epilepsy undergoing medial temporal lobe (MTL) surgery have increased prevalence of tinnitus (ringing in the ears) compared with controls and participants with self-reported epilepsy (SRE), according to a research letter published online Oct. 9 in JAMA Neurology. Sébastien Paquette, Ph.D., from the Assistance Publique-Hôpitaux de Paris in France, and colleagues examined the risk of tinnitus across 166 surgical patients who had undergone unilateral MTL resection encroaching on the amygdala for the relief of medically intractable epilepsy, 332 age- and sex-matched controls, and 332 participants with SRE.
Guitar players can strum almost anywhere, from a beach to a park bench to an operating room — while undergoing brain surgery. That’s where Abhishek Prasad peddled his musical wares during a four-hour surgery in India that aimed to correct cramping in his fingers, his surgeon said.
A technique called MRI-guided laser interstitial thermal therapy (MgLiTT) may be a potential treatment for epilepsy patients, according to a recent review. Researchers say that MgLiTT may be a particularly viable option for patients whose seizures are caused by tumor-like bodies affecting the hypothalamus, which are difficult to treat with traditional surgery.
Researchers studied the medical records of patients with drug-resistant focal epilepsy who underwent surgery for the disorder at the age of 50 or older and found that the treatment was as effective as it was for patients younger than 50. However, there was a higher risk of complications from the procedure.
For patients that find their seizures difficult to manage on medications, other treatment options such as diet, devices or surgery may be beneficial. Dr. Amy Crepeau, neurologist at Mayo Clinic in Arizona, discusses the evaluation of patients with epilepsy using brain mapping technology.
New research from the University of Liverpool, published in the journal Brain, has highlighted the potential reasons why many patients with severe epilepsy still continue to experience seizures even after surgery.
Nicole Born-Crow started to suspect something was wrong with her newborn son Finnegan when he was just 3 months old. While he had grown normally up to that point, Nicole and her husband eventually began to notice that their son had started to prefer doing activities with one side of his body. Concerned for their son’s health, the new parents consulted with Finnegan’s pediatrician, who referred them to a neurologist. Doctors conducted a number of tests to figure out what was happening, but they couldn’t pinpoint the root of the problem. Then when the family was on vacation in New York City, things took a turn for the worst – Finnegan suffered a severe seizure. “It was terrifying. We had no idea what it was,” Nicole Born-Crow, from Cleveland, Ohio, told FoxNews.com. “I had an idea of what ...