Epilepsy Surgery: Restoring Lives Through Precision and Care

Welcome to APCCs neurosurgery website, where we specialize in epilepsy surgery—an innovative approach that brings hope and transformative change to those living with intractable epilepsy. Our esteemed team of neurosurgical experts is dedicated to offering comprehensive epilepsy care, including surgical interventions that provide relief and a renewed quality of life.

Understanding Epilepsy: Epilepsy is a neurological disorder characterized by recurrent, unpredictable seizures. These seizures can disrupt daily life and impact overall well-being. While many individuals with epilepsy respond well to medications, in at least 30% of patients seizures remain uncontrolled, leading to a diminished quality of life.

In children particularly, certain conditions such as Rasmussen’s Epilepsy, hemimegancephaly, perinatal birth asphyxia and Sturge-Weber syndrome may involve an entire hemisphere rendering it almost non-functional. Electrical discharges from the hemisphere spread to the opposite side and suppress function. These children are typically on multiple drugs for epilepsy. The high dose of drugs in addition to the decreased brain function result in a child with markedly reduced cognition and with failure to develop new brain function. These children with Hemispheric epilepsies respond extremely well to disconnective surgeries

Expertise and Experience: Our neurosurgical team possesses the specialized knowledge and extensive experience necessary to tackle epilepsy through surgical interventions. With a focus on precision and patient safety, our experts aim to bring relief to those for whom medications have proven inadequate.

Conditions We Treat: Epilepsy surgery is considered for individuals with specific epilepsy types or when seizures originate from a well-defined area of the brain. Conditions we address include:

• Medically Intractable Epilepsy: When seizures do not respond to medications, surgery becomes a viable option to regain control.
• Lesional Epilepsy: Seizures caused by structural brain abnormalities, such as tumors or vascular malformations, may be treatable through surgical removal of the lesion.
• Temporal Lobe Epilepsy: A common epilepsy type where seizures originate in the temporal lobe of the brain, often treated with surgical resection that result in excellent outcomes.
• Focal cortical dysplasia: A condition characterized by maldevelopment of the layers of the cortex with bizarre orientation of the neurons.
• Hemispheric epilepsy: As mentioned above, children and young adults with this unfortunate condition respond very well to disconnective surgeries such as hemispherotomies, in which the diseased hemisphere is disconnected from the healthy one. Patients with this condition have a marked reduction in seizure frequency enabling reduction or almost complete elimination of drugs with improved cognition and function as the healthy hemisphere is released from the negative influence of the healthy hemisphere.



Comprehensive Evaluation: Prior to recommending epilepsy surgery, we conduct a thorough evaluation, that include:



• Clinical evaluation: To describe in detail the nature and type of seizures.
• Electroencephalogram (EEG): Monitoring brain activity to pinpoint the origin of seizures.
• Magnetic Resonance Imaging (MRI): Identifying structural abnormalities.
• Functional Imaging: Assessing brain function and mapping critical areas.
• Neuropsychological Testing: Evaluating cognitive function to ensure patient safety during surgery.



Epilepsy Board Meeting: The above evaluation is discussed in detail at an epilepsy meeting, where neurosurgeons, neurologists, neuroradiologists, neuropsychiatrists and neuropathologists sit together to decide whether surgery would be beneficial for the patient.




Patient-Centric Approach: The well-being of the patient and family is our priority. We engage in open dialogue, answering your questions and addressing concerns. We ensure you have a clear understanding of your condition, treatment options, and expected outcomes.




Recovery and Rehabilitation: Our postoperative care includes personalized recovery plans and rehabilitation to help you regain strength and independence.




At APCC, epilepsy surgery signifies our commitment to improving lives. Experience skilled expertise, personalized care, and lasting relief.