Goal of Pre Surgical Evaluation

In carefully chosen patients with focal drug resistant epilepsy surgery to remove the seizure focus can offer major reduction or even cure of seizures Pre surgical evaluation aims to localise this focus determine its relationship to critical brain areas and assess potential benefits versus risks of surgery

Components of Evaluation

The work up usually includes prolonged video EEG monitoring to record typical seizures high resolution MRI looking for structural lesions functional imaging such as PET or SPECT in some cases and detailed neuropsychological testing to map cognitive functions and lateralisation For language or motor areas near the suspected focus additional functional mapping techniques may be used in collaboration with neurosurgery teams

Decision Making and Referral

Findings are discussed in a multidisciplinary epilepsy surgery conference involving neurologists neurosurgeons neuroradiologists and neuropsychologists If surgery appears promising patients are counselled about expected seizure control rates possible cognitive or neurological risks and the need for ongoing follow up Those suitable are then referred to a dedicated epilepsy surgery centre while pre and post operative care can continue through Livasa Hospital Mohali

NAP Contact Details Mohali Unit

Livasa Hospital Mohali
Sector 71 Sahibzada Ajit Singh Nagar Mohali Punjab 160071