Does surgery or a brain device treat persistent epilepsy?

Question

Hello doctor,

I have had epilepsy since my teenage years, and I am still experiencing seizures despite being on medication. Does it mean something is wrong if the medication does not fully stop them? My doctor mentioned the possibility of surgery or a brain device. Could you tell me if those options are risky or potentially helpful? Also, I would like to know if stress can make epilepsy worse. I am tired of living in fear of the next seizure.

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Epilepsy that is not fully controlled by medication is known as drug-resistant epilepsy, and it is relatively common. This does not mean treatment has failed, but rather that additional or alternative approaches may be necessary. Several options beyond medication are available. Epilepsy surgery can be highly effective, particularly if the seizures originate from a specific area of the brain that can be safely removed. While surgery does carry some risks, many individuals experience a significant reduction in seizures or even complete seizure freedom as a result.

Another option is using neurostimulation devices, such as vagus nerve stimulation (VNS) or responsive neurostimulation (RNS), which help reduce the frequency of seizures by delivering electrical impulses to the brain. Stress is known to trigger or worsen seizures for some people, so managing stress through lifestyle adjustments, therapy, or relaxation techniques is an important part of overall care. It is recommended to consult with an epilepsy specialist who can evaluate your condition in detail and guide you toward the most suitable treatment options. If desired, I can help you develop a comprehensive plan to improve your quality of life and better manage your epilepsy.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.