What conditions can a person with epilepsy be able to operate?

In general, epilepsy patients can be operated, but most of the surgeries are refractory to surgery, and surgery can be arranged if the physical condition can undergo surgery. If the general situation is still through conventional drugs**, it is more reassuring.

A strict grasp of the surgical indications of epilepsy surgery is the premise and guarantee for good curative effect. Current indications for epilepsy surgery include:

Drug-refractory epilepsy, i.e., long-term use of antiepileptic drugs with no or little effect.

For lesion-related epilepsy, the application of pre-emptive neuroimaging and electrophysiological detection techniques can identify the "responsible lesions" that cause seizures. These lesions can be congenital or acquired, and can be single or multiple. Clinical practice has shown that even if the drug can control the seizure, the likelihood that the patient will not have a seizure in the future after stopping the drug is very low, so surgery can be considered appropriately and only with limited safety and safety**.

Surgery is not recommended if there are strong sequelae after surgery or if the results of the postoperative illness affect other normal functions of the human body are severe**.

Epilepsy is extremely harmful, loss of consciousness during seizures can cause physical falls, limb convulsions can lead to abrasions and bruises, and mental abnormalities can cause self-injury or injury to others. There is also apnea during seizures, which causes hypoxic edema and functional damage to brain tissue, and the high-frequency discharge of brain nerve cells directly causes damage to the brain, which leads to memory loss in patients over time. Guidance:

1.After the regular dual and triple antiepileptic drugs, the same reversal of the patient, or the effect is not good, then surgery is a necessary consideration. 2.

Through examination, it is found that there are lesions in the brain, such as: tumors, cortical dysplasia, inflammation, etc. 3.

If the patient presents with medial temporal lobe seizures, i.e., hippocampal sclerosis, surgery may be considered. 4.In infants and young children, especially those with catastrophic epilepsy that cause brain development to be retarded, surgery should be performed as soon as possible.

One is the presence of definite structural changes in the brain that cause epilepsy, such as epilepsy caused by tumors; Some patients have developmental abnormalities, and the drug ** is ineffective, and active surgery is required**; There is another type of patient who is not well controlled by formal drugs**, and these two patients are suitable for surgery**.

Surgery cannot be done during a seizure, surgery cannot be done if the lesion is in the brain area, surgery cannot be done if there is a mental illness, surgery cannot be performed if the body's immunity is too low, and surgery cannot be performed if there are other complex diseases.

The following people are not eligible for epilepsy surgery: patients with severe progressive neurological diseases, degenerative or metabolic diseases, malnutrition, cardiovascular diseases, respiratory insufficiency, coagulation disorders, etc. These disorders include:

Myocardial infarction, severe arrhythmia, respiratory failure, uremia, hemophilia, thrombocytopenia, etc.

Secondly, if the patient has a severe mental disorder, surgery is not appropriate. Because anxiety, depression, and mental disorders are also common in epilepsy, mental retardation is also common in children with epilepsy.

If there are certain contraindications or relative contraindications, epilepsy surgery should not be performed.

During the onset of the disease, the patient suffers from immune system disease, mental disorder, other complications, pregnancy, etc.

As we all know, the first type of epilepsy is mainly based on drugs and supplemented by surgery, so the indications for surgery are:

1. Clear diagnosis of epilepsy.

2. The course of the disease is at least 1-2 years, the seizures are frequent, after the honeymoon period of the drug, the anti-epileptic drugs are weakened, and the blood concentration cannot reach the effective level, but if it is caused by brain structural lesions, it can be exceptional.

3. At the same time, seizures seriously affect daily life.

There are many types of surgery, including excisional, palliative and neuromodulatory surgery, depending on the condition.

For example, excisional surgery is mainly suitable for obvious lesions, such as intracranial space-occupying lesions (tumors, vascular malformations, cysts, focal cortical dysplasia, cerebral hemorrhage, etc.), focal epilepsy, etc.

How to choose the appropriate surgical method for limb return should be considered in combination with multiple considerations, and should be viewed according to the patient's condition and family situation.

Yes, everyone is suitable for surgery**, the following are suitable:1Seizures such as not being controlled by medication or with medication** have severe***.

2.Seizures are always partial seizures that begin in the same part of the brain (localized seizure lesions). 3.

Seizures significantly affect the quality of your life. 4.The cause of the attack is an injury, such as scar tissue, brain tumors, arteriovenous malformations, or birth trauma.

5.Seizure discharges spread locally to the whole brain.

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1. Systemic symptoms: acute onset, chills, high fever, up to 39 40 °C, especially in young children can have convulsions, vomiting or lethargy, loss of appetite, constipation and general soreness due to high fever.

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Epilepsy patients have been systematically used 2 3 major antiepileptic drugs for 2 years, and surgery should be considered if the effect is not good; Surgery should be considered as early as possible if seizures interfere with the patient's education, employment, and maintenance of daily living skills, particularly in infants and children with frequent seizures. Patients who develop or cannot tolerate antiepileptic drugs*** may also consider surgery**.

The operation of children with epilepsy is not simple because the drug is not good, you can go to the operation, the first surgery for epilepsy has resection and palliative surgery, the requirements of resection are very high, to achieve the seizure can be located, the process is more complicated, generally need to carry out medical and surgical cooperation, to carry out a series of evaluation. If excisional surgery is ruled out, palliative surgery can be performed if the child is really not well with the medication, and palliative surgery is relatively simple, and the evaluation process is relatively simple.

Drug-refractory epilepsy: As a basic principle, patients with epilepsy should be considered for 2 years after systematic use of 2 3 major antiepileptic drugs** for 2 years, and cases with poor results should be considered;

Seizures significantly interfere with the patient's daily routine: if the seizures interfere with the patient's education, employment, and maintenance of the patient's ability to perform daily living, especially in infants and children with frequent seizures, surgery should be considered as early as possible to organize the impact of epilepsy on brain development. More consideration is given to the disabling nature of seizures, and the frequency of seizures is not clearly defined, and it is generally believed that it should be more than 1 month;

Seizures caused by intracranial mass lesions with seizures as the first symptom should be operated on aggressively, even if the patient has infrequent seizures;

The presence or intolerance of antiepileptic drugs is also an aspect of consideration for surgery.