Epilepsy Surgery

Before surgery, the patient undergoes a comprehensive epilepsy evaluation to identify the exact area of the brain where seizures originate. The evaluation may include: Neurological examination, MRI of the brain, Video EEG monitoring, PET or SPECT scan (if required), Neuropsychological assessment, Blood tests and anaesthesia fitness assessment. Patients are generally advised to: Follow fasting instructions before surgery, Inform the doctor about medications and allergies, Continue or adjust anti-epileptic medications as advised, Arrange support during the recovery period.

On the day of surgery, the patient receives general anaesthesia. The neurosurgeon performs the planned procedure by accessing the affected area of the brain through a carefully planned surgical approach. The seizure-producing brain tissue is removed or disconnected while protecting healthy brain structures. In selected cases, minimally invasive or laser-assisted techniques may be used. After ensuring the procedure is complete, the incision is closed with sutures or staples. The surgery usually takes 2–6 hours, depending on the type and complexity of the procedure.

After surgery, the patient is monitored in the ICU or neurosurgical ward. Neurological observation, pain management, and seizure monitoring are important during the recovery period. Patients are advised to: Continue prescribed anti-epileptic medications, Take adequate rest, Keep the surgical wound clean and dry, Avoid driving until medically cleared, Attend regular follow-up visits and neurological assessments. Seek immediate medical attention if you experience fever, severe headache, seizures, wound discharge, weakness, speech difficulty, or changes in vision.