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The successful comprehensive epilepsy care and awake surgery at KMC, Manipal

Published On : 20 Jul 2016   |  Reported By : Richard D'Souza


Manipal:  The successful comprehensive epilepsy care and awake surgery programme at Neurology and Neurosurgery department of Kasturba Hospital.

Addressing to media persons at Udupi Press Club, the team of surgeons of Kasturba Hospital, Manipal said that one of 26 years old female from North Kerala, presented to the Dept. of Neurology Surgery, Kasturba Hispital, Manipal with history of recurrent seizures since the age of six months. She used to get a feeling of fear, nausea followed by some abnormal lip and jaw movements. This would soon turn into a full blown seizure and she would lose consciousness for some time. She was on regular medication since childhood but would still get around 6-10 attacks every month. She was dropped out of school for this reason and had studied only till 8th standard. After detailed evaluation by Dr. Jayakrishanan, Consultant Neurologist, Kasturba Hospital Manipal – which included MRI, video EEG and neuro-psychological tests, it was found that her epilepsy was arising from a part of the brain called the right temporal lobe. She was diagnosed to have condition called right mesial temporal sclerosis. She was operated by Dr. Girish Menon, Head in the department of Neuro Surgery and the expert surgical team on the 2nd March, 2016. She is recovering well after the surgery.

The Dept. of Neurology and Neurosurgery Kasturba Hospital Manipal under the leadership of Brigadier Dr. Sankar Prasad Gorti (Neurology) and Dr. Girish Menon have taken the lead in this field and have developed a comprehensive programme for the evaluation and management of persons with medically refractory epilepsy. The Comprehensive programme is mentored by eminent neurologist and Epilepsy specialist Dr. K. Radhakrishnan who is the Professor Emiretus at Kasturba Hospital, Manipal. Seven patients have undergone epilepsy surgery with good results. In a carefully selected patient surgery offers a nearly 80% chance of seizure freedom and a drug free life. There are only a few centers in the country that has full-fledged and established comprehensive programme for the evaluation and management of persons with medically refractory epilepsy.

Epilepsy constitutes a major public health problem both in India and about five out of every 5000 people suffer from epilepsy. 70-80 persons with newly diagnosed epilepsy will get controlled with medicines within two years of the onset of epilepsy. The other 20-30 however continue to have chronic recurrent seizures despite optimal medical treatment with antiepileptic drugs. The last few years have witnessed remarkable advances in the evaluation and treatment of patients with refractory epilepsy. Surgical treatment is an option in such selected patients with medically refractory epilepsy. Advances in technology such as video EEG, advanced MRI techniques etc. have facilitated the selection of ideal surgical candidates and thereby have improved post operative outcome. Studies have shown that seizure outcome is far superior in surgically treated refractory temporal lobe epilepsy patients when compared to those continued on medical treatment. Assuming that 20 patients with active epilepsy would be resistant to AED treatment, among the nearly one billion population of India, there would be about one million people with medically refractory epilepsy who may be surgical candidates. Surgical treatment is certainly a cost effective option in carefully selected patients with medically refractory partial epilepsy.

During the press meet, Brigadier Dr. Sankar Prasad Gorti, Dr. Jayakrishanan, Dr. Girish Menon, Dr. Vinod Kumar and Mr. Anil Jacob were present.







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