Epilepsy is a lasting noncommunicable disease of the brain that affects more than 50 million people worldwide. It is characterised by frequent seizures, which can either last for long or can be a prolonged episode of involuntary movement. It can affect either a section of the body or the entire body.
There can be two different types of seizures, depending on the location of epilepsy in the brain and its symptoms.
A partial seizure means the epileptic activity took place in just a portion of the brain and not the entire brain. Partial Seizures are basically of two types:
The patient affected by this kind of disorder is conscious during the annexation. In maximum conditions, the patient is well aware of the events and the surroundings around him irrespective of the seizure is in advancement.
In this case, the patient is unaware of all the ongoing events around him. In short, he is not conscious. Once the patient is out of the phase, he will never remember about the seizure. Even if he does, the memory will be vague.
A generalised seizure is a condition in which epilepsy strikes both the sides of the brain. The patient loses consciousness when the seizure is in progress.
The cost of the Epilepsy treatment in India generally starts with USD 3,300. It may vary depending on factors like choice of hospital, the doctor/surgeon, the condition of the patient, type of surgery performed etc. Apart from these factors, there can be various other factors that determine the cost of treatment, such as the priority for stay, room service charges, duration of stay, cost of travelling, etc. However, if you calculate the overall cost of treatment inclusive of everything, the value of the procedure is less in comparison to any other developed country.
It is possible to treat Epilepsy with antiepileptic medications (AEDs), diet therapy and surgery. Medicines are the first treatment choice for almost all patients with multiple seizures. They are highly effective and can completely control seizures in the majority (approximately 70%) of patients. Before you start taking any drug, it is essential to discuss the potential benefits, side effects and risks with the doctor. While approximately 70 per cent of patients have well-controlled seizures with these modalities, the remaining 30 per cent do not and are considered medically resistant. Patients with medically resistant epilepsy can find the cure at specialised epilepsy centres in a multi-disciplinary fashion. With the help of epilepsy surgery, a surgeon removes the area of the brain that causes seizures. Doctors opt for the surgery when the test results reveal that: Your seizures initiate in a small, well-defined part of your brain The section of your brain to be operated on doesn't affect vital functions such as speech, language, motor function, vision or hearing Out of all types of surgeries, surgical resection offers maximum chances of eradicating seizures a patient seizure-free. Surgical Resections: Surgical resection for epilepsy can be divided into the following categories: Lesionectomy: A lesion refers to a generic term for brain aberrations that are visible on imaging. Some types of injuries, like cavernous malformations (blood vessel abnormality) and tumours, are prone to cause seizures. When the pre-operative testing shows that these lesions are the cause of epilepsy, they can be removed surgically. Lobectomy A lobectomy is a surgical process used to remove a lobe of the brain. Removal of one of the temporal lobes called a temporal lobectomy is a common epilepsy surgical treatment. Other types of lobectomies may depend on more particular testing and operation to prove a lack of dynamic function (such as speech, memory, vision, motor function). Multilobar Resection: This process involves the removal of two or more sections of the brain. The surgeons use this process for more complex cases like widespread abnormalities such as seizures, only if there is no harm in performing surgery in that portion of the brain. Hemispherectomy: In certain conditions, children may suffer severe, overpowering and devastating seizures. It may be because of the weakness on one lateral of the body. The treatment helps to get rid of the hemisphere responsible for the disorder. There exist many subtypes of this type of surgery, the two main divisions being anatomic and functional hemispherectomy. Surgical Disconnection: This type of surgeries involve cutting and dividing fibrous bundles that are responsible for connecting various parts of the brain in the human body. The purpose of the treatment is to separate the area of the brain generating the seizures from the healthy portion. Corpus Callosotomy: It is one of the principal fibre bundles that connect the two hemispheres. When debilitating generalised seizures or falling-type seizures affect a particular side of the brain and starts spreading to the other part; doctors make use of this procedure to treat the patients. Multiple Subpial Transections (MST): In some instances of epilepsy, the seizures arise in an area of the brain; from where the safe removal is not possible. In this procedure, the surgeons place a small wire into the brain to conduct communications at various points. The process helps decrease seizures by disconnecting the cross-communication of neurons. Stereotactic Radiation Surgery: It this process, the surgeons, deliver a focused beam of radiation to the target area. It is a type of gamma knife radiosurgery. It is the most common preferred procedure of radiosurgery because of its fruitful results. In this method, the doctors make use of gamma rays to target the affected area. Neuromodulation: Presently, there are currently two types of FDA. It includes vagus nerve stimulation and responsive neurostimulation. These devices can modulate the nervous system with the goal of improved seizure control. The surgeon connects both the tools palliative in that the goal is improved seizure control, and rarely do patients become seizure free. After surgery Some people who go through brain surgery may have seizures within the first week of operation, but this does not mean the treatment is not successful. Seizures post-surgery can be because of the direct stress the brain experienced during therapy. How long you need to stay in the hospital post surgery depends on the type of surgery. It also depends on how the doctors feel about your recovery. Generally, the doctors might expect you to get back to your regular activity within six weeks of your surgery, but this cannot be true for everyone. For some people, a “successful surgery” can be the complete eradication of seizures. While, for others, it may mean reducing the signs, symptoms and severity of the seizures. Generally, it takes two years after surgery to adequately measure how successful your operation has been. Questions to Ask Before Undergoing Epilepsy Treatment To be sure about the epilepsy treatment, it is essential that you clear all your doubts. Sit and talk to the surgeon and ask all the critical questions like: What technology and procedures do they use? Who will be on my care team? What outcome can I expect? What can be the possible side effects of this procedure? You must take sufficient time before deciding regarding the surgery and know all the pros and cons behind it. You must know how essential the operation is for your condition and how it can help you to be back to your reasonable shape. Risks of Epilepsy Treatment: Excessive bleeding Infection Loss of hearing Memory loss Speech disorders Inability to sense etc.
If you wish to seek Epilepsy treatment in India, it is always preferable to seek help from medical tourism companies like Denesa Health. Our company, with our highly dedicated team, will help you in gaining complete knowledge about the best hospitals and the best doctors in the country. Not only this, but we would also assist you in appointments with the best doctor/surgeon for the treatment. Denesa Health, along with its team, is always ready to help you in all the possible ways during your stay as a medical tourist to India. Planning your healthcare travel for your treatment is wise as well as the beneficial decision in all possible ways. The reason for the same is the presence of a highly experienced pool of doctors/surgeons, best-in-class treatment, use of advanced technology, low cost of treatment and the essential factor: successful results.
Epilepsy has a cure, but it highly depends on the condition of the patient. The chances of healing are higher in children compared to adults. A patient has first to undergo the evaluation process to know if the cure is possible or not.
The treatment of epilepsy can be surgical or non-surgical. The doctors make a personalised treatment plan for the treatment of the patient after the complete evaluation. Treatment proceedings include diet-therapy, antiepileptic drugs, and the method of surgery. The surgery is usually minimally invasive in nature.
The leading causes of epilepsy include: Brain stroke Tumour Head injury due to an accident Congenital Disorders Damage in the brain.
BLK Super Speciality Hospital in Delhi NCR is one of the best treatment centres for epilepsy in India. The hospital provides the best quality treatment at highly affordable prices.
Dr Ashish Kumar Srivastava has the best records in providing the cure for epilepsy.
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