Surgical options for seizures that medicines have not controlled, with Dr. Puneet Rana, visiting senior consultant neurosurgeon.
Most people with epilepsy become seizure-free on medication. But in roughly a third, seizures continue despite properly chosen and properly dosed drugs. Once two appropriate medicines have been tried without control, the chance that a third or fourth will succeed falls sharply. That situation has a name: drug-resistant epilepsy.
It is worth knowing this, because many people continue for years adding one medicine after another without ever being told that surgery exists as an option. For carefully selected patients, surgery offers a real chance of freedom from seizures, not merely fewer of them.
Dr. Rana trained at NIMHANS, Bengaluru, and started an epilepsy surgery programme in Central India as well as a functional neurosurgery programme in the region.
Epilepsy surgery is never decided on a single test. The purpose of the evaluation is to work out where the seizures begin, and whether that area can be operated on safely without affecting speech, movement or memory.
That assessment usually combines seizure history, EEG recording, and MRI, often with further specialised tests. NeuroMet Wellness performs EEG at our Gurgaon centre, reported by Dr. Bhupesh Kumar, so a large part of this groundwork can be done here before any surgical discussion.
Functional neurosurgery treats conditions where the problem is how the nervous system is working rather than a growth or an injury. Rather than removing disease, these operations aim to change abnormal activity in a specific circuit of the brain.
It covers surgery for drug-resistant epilepsy, and for movement disorders such as Parkinson’s disease, tremor and dystonia, where deep brain stimulation may be offered. You can read more about deep brain stimulation in Gurgaon on its own page.
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.
If seizures continue despite two appropriately chosen and properly dosed medicines, that is the usual definition. At that point it is worth asking whether surgery should be considered, rather than simply adding a third drug.
Not always. Some operations remove the small area where seizures start, while others interrupt the pathway seizures travel along, or use stimulation. Which applies depends entirely on where your seizures begin.
Yes. EEG is performed and reported at our Gurgaon centre by Dr. Bhupesh Kumar, so much of the initial evaluation can be completed here.
Every operation carries risk, and the evaluation exists precisely to judge whether the area can be operated on without affecting speech, movement or memory. That assessment comes before any recommendation.
Consultation and assessment happen at NeuroMet Wellness. If surgery is advised, it is carried out by Dr. Rana at his hospital, Paras Health, Gurugram.
Leave your number and our clinic team will call you back to fix a time. Dr. Rana’s clinic at NeuroMet runs 6:00 PM to 8:00 PM by prior appointment.
