The specific diagnosis for epilepsy still remains guiding to find the most effective treatment. It is recommended to start the epilepsy treatment once the disease is diagnosed, because the prognosis gets worse the more the treatment is delayed.
The initial treatment for a patient with epilepsy must always start by using an antiepileptic drug (AED). The aim of these drugs (AEDs) is to stop seizures. Meaning, this is not a curative treatment, it does not eliminate the cause of the seizures but it does eliminate the symptoms. Nowadays, this treatment is 70% effective on patients with epilepsy, but there may appear side effects.
However, we often find that patients with refractory epilepsy (RE) o drug resistance who are very difficult to control. This is perceived when there is no control over the crisis in a period of ten years and after having tried 3 or more different drugs. In those cases, surgery becomes the main alternative to provide the highest efficiency compared to other treatments.
Not all refractory patients are suitable candidates for surgery. Given that case, the patient may undergo other type of treatments such as the ketogenic diet, the vagal stimulator (VNS) or the hormonal treatment.
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When is surgical intervention required? Is everyone a suitable candidate to epilepsy surgery? What types of surgeries do they exist?
Ketogenic diet, vagal stimulator and hormonal treatment