Epilepsy is a complex neurological condition that can lead to seizures due to abnormal electrical activities in the brain. While anti-epileptic drugs and other treatment methods are effective for many patients, they may be insufficient for some. At this point, Deep Brain Stimulation (DBS) surgery comes into play for epilepsy. In this article, you will learn about the role of DBS surgery in epilepsy treatment, how it works, and who it may be suitable for.
Epilepsy is a neurological disorder caused by abnormal electrical activities in the brain. Seizures that cannot be controlled with medication can significantly affect the quality of life. DBS surgery involves placing thin electrodes into specific areas of the brain and connecting these electrodes to a battery-operated device. These electrodes help to regulate brain activity.
Treatment DBS surgery is considered an option for the treatment of seizures that cannot be controlled with medication therapy. This surgery can help to reduce or alleviate epilepsy seizures. This method, used to regulate brain activity, can improve patients’ quality of life and reduce the frequency of seizures.
DBS surgery is a surgical procedure used to improve the quality of life for patients with drug-resistant epilepsy. During the surgery, bilateral deep electrodes are placed into the patient’s brain. These electrodes are used to regulate brain activity. Extension wires are then tunneled to the chest area and integrated with the electrodes and neurostimulator device. The neurostimulator provides electrical stimulation to the deep nuclei in the brain, which helps suppress abnormal electrical discharges in epileptic foci.
The effectiveness of DBS surgery for specific epileptic conditions like temporal lobe seizures is notable. Looking at long-term results, this method has been seen to provide significant seizure control for the patient. After the first year, seizure control is observed at 41%, after the second year at 55%, after the fifth year at 68%, and after the seventh year at 74%.
DBS surgery is applied to a specific group of patients suitable for epilepsy treatment. It is generally considered when medication therapy is ineffective or intolerable due to side effects. Candidates for surgery need to be carefully evaluated based on the type and frequency of their seizures. An expert neurologist plays a key role in making this decision.
Frequently Asked Questions
What is Deep Brain Stimulation (DBS) for epilepsy?
Deep Brain Stimulation is a surgical treatment that involves implanting electrodes within certain areas of the brain. These electrodes are connected to a neurostimulator device which sends electrical impulses to the brain to help reduce the frequency and severity of seizures in individuals with epilepsy.
Who qualifies for DBS treatment?
DBS is typically considered for individuals with epilepsy who do not respond to medication (drug-resistant epilepsy), and for whom surgery to remove the seizure focus is not an option. Each patient is assessed individually to ensure they are suitable for the procedure.
Is DBS surgery for epilepsy safe?
While all surgeries carry some risk, DBS surgery for epilepsy is generally considered safe and is performed by specialized neurosurgical teams. Possible risks include infection, bleeding, and hardware-related complications, but these are relatively rare.
How effective is DBS in treating epilepsy?
The effectiveness of DBS can vary. Some patients experience a significant reduction in seizure frequency, while others may have less pronounced results. Studies have shown that many patients see a substantial improvement over time.
What are the side effects of DBS?
Side effects of DBS can include headache, confusion, difficulty speaking, balance problems, and others. However, most side effects can be managed with adjustments to the stimulation settings and are often temporary.
Can DBS cure epilepsy?
DBS is not a cure for epilepsy, but it is a treatment that can significantly reduce the frequency and intensity of seizures in some patients.
What is the recovery time after DBS surgery?
Recovery times can vary; however, most patients can expect to spend one to two days in the hospital post-surgery and may return to normal activities within a few weeks. Full recovery and optimal adjustment of DBS settings can take several months.
Will I still need to take epilepsy medication after DBS surgery?
Most patients will continue to take antiepileptic drugs (AEDs) after DBS surgery, but some may be able to reduce their dosage under the supervision of their neurologist.
How does the neurostimulator device work?
The neurostimulator device generates electrical pulses that are sent to the brain through the implanted electrodes. The stimulation can be adjusted to provide the best seizure control with the fewest side effects.
Can the DBS device be removed if it doesn’t work for me?
Yes, the DBS system can be surgically removed. However, this is generally considered only if the system is not effective or if a patient experiences significant adverse effects.
Conclusion
DBS surgery offers a promising treatment option for patients with drug-resistant epilepsy. In this article, we have provided basic information about drug-resistant epilepsy and DBS surgery. To learn more and receive expert advice, you can contact International Plus. Our specialists will inform you about the treatment processes. For suitable candidates with epilepsy, the DBS treatment method can offer increased freedom of movement and comfort.
You can take the first step by calling us for the diagnosis of your disease or filling out our online form. Our experts will contact you and evaluate your needs and health history.
Our professional consultants will contact you to provide detailed information about your health status. They will answer your questions and illuminate you about treatment options.
Your illness Dr. Ersoy Kocabıçak will examine and if the treatment is deemed appropriate, it will create a customized treatment plan with all information from you. If you come out for treatment, we will invite you to our treatment center in Turkey.
