What type of epilepsia needs surgical treatment

summary

Recently, I've always been afraid of everything and flustered. No matter who I see, I feel inferior. I always feel that everyone looks down on me and is always abandoned by the people closest to me. No matter what I do, I have no sense of security. A few days ago, I didn't know what was going on. My hands and feet were weak, and my whole body was paralyzed on the bed, foaming at the mouth, which scared my family. When I was sent to the hospital, people said I was epileptic, but I don't know if this kind of epilepsy can be treated surgically. According to the doctor's advice, I know something about my condition. Let's share with you what kind of epilepsy can be operated on.

What type of epilepsia needs surgical treatment

The first: whether epileptic seizures will be progressive, is still controversial. The progressive exacerbation of epilepsy indicates that secondary epileptic foci are produced or the number of pathological neurons is increased, which aggravates the degree of epilepsy and reduces the effect of drug and surgical treatment. In animal models, it has been observed that secondary epileptic foci and more neurons participate in discharges with the progression of epilepsy. This is suitable for epilepsy surgery. If in the process of treatment, the condition is serious, it is the most suitable for surgery.

Second: in newborns and young children, long-term seizures are more likely to have a negative effect on normal brain development. As newborns and infants are in the critical stage of brain plasticity, the development of normal brain tissue outside the epileptic focus depends on the stimulation of sensory conduction pathway and physiological signals of adjacent cerebral cortex, while abnormal discharge from epileptic focus forms abnormal electrochemical environment, resulting in permanent abnormal development of cortex at synapse and cell membrane level. Infants and children can also be treated by surgery, because after all, the harm of drugs is relatively large, not suitable for children.

Third: after the systematic treatment of antiepileptic drugs, the patients with frequent seizures should consider surgery. There is no clear definition of the frequency of epileptic seizures, generally more than once per month. For cases with only a few episodes per year, it takes several years to judge whether the treatment is effective or not, otherwise the value of surgery is not easy to evaluate; when the concentration of therapeutic drugs has brought serious toxic and side effects to patients, surgical treatment should be considered. If the use of drug treatment is more frequent and the effect is not satisfactory, then surgical treatment must be selected.

matters needing attention

Epilepsy is a complex disease. Regular review is also needed after the operation. The purpose of reexamination is to understand whether epilepsy still has seizures after surgery? Whether EEG has improved? When can the drug be stopped? How to stop the drug and so on. After the operation, there must be some psychological shadows. At this time, the family must care about the patients. Epilepsy is actually very easy to do well, especially if the choice of surgical methods, then the effect is very fast, the effect will be better.