Diagnosis, EEG and medical treatment under one roof, with a surgical opinion when seizures do not respond to medicines.
Around two-thirds of people with epilepsy become seizure-free on medication, often on a single well-chosen drug. Getting there depends on two things being right: the correct diagnosis of what kind of seizures these are, and the correct medicine at the correct dose.
Both can go wrong quietly. Events that are not epilepsy are sometimes treated as epilepsy for years, and genuine epilepsy is sometimes labelled as resistant when the dose was never pushed to where it needed to be.
At NeuroMet Wellness, epilepsy is assessed and treated by Dr. Bhupesh Kumar, Senior Consultant Neurologist, with EEG performed and reported at our own centre in Gurgaon.
A diagnosis of epilepsy rests more on the history than on any test. What happened before the event, what was seen during it, and how you felt afterwards often tell more than the investigations do. A witness account, or a phone video, is genuinely valuable.
EEG and MRI then support that picture: EEG looks at the electrical activity, MRI looks for a structural cause.
In about a third of people, seizures continue despite properly chosen and properly dosed medicines. Once two appropriate drugs have failed, the chance that a third or fourth will succeed falls sharply. That is called drug-resistant epilepsy, and it changes what should be considered next.
Many people are never told this. They continue for years adding one medicine to another, without anyone raising that surgery exists. For carefully selected patients it offers a real chance of freedom from seizures rather than merely fewer of them.
Dr. Puneet Rana, our visiting senior consultant neurosurgeon, started an epilepsy surgery programme in Central India and can give that opinion here. You can read more on functional and epilepsy neurosurgery.
Please note: NeuroMet Wellness is an outpatient clinic. Consultation, review of your scans, and second opinions happen here; if a surgery is advised, it is carried out by Dr. Rana at his hospital, Paras Health, Gurugram.
Mainly from a careful account of the events, supported by EEG and usually MRI. A witness description or a phone video of an episode is often more useful than any single test.
Yes. EEG is performed and reported at our Gurgaon centre by Dr. Bhupesh Kumar, so diagnosis and treatment happen in one place.
Not always. Some people can be gradually withdrawn after a long seizure-free period, depending on the type of epilepsy and the EEG. This is a decision to be made with your neurologist, never alone.
That seizures continue despite two appropriately chosen and properly dosed medicines. At that point surgery should be considered rather than simply adding a third drug.
Not always. Some operations remove the small area where seizures begin, others interrupt the pathway seizures travel along, or use stimulation. Which applies depends on where your seizures start.
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