Navigation Links
Potential Of Epilepsy Surgeries Are Not Fully Harnessed Say Brain Specialists

According to researchers, when drugs do not completely control epilepsy, surgery often can, and the sooner it is done, the better.

Yet epilepsy specialists are struggling to get that message to tens of thousands of adult patients, as children go under the knife at younger ages.

Says Dr. Deborah Holder, a neurologist at Children's Hospital of Pittsburgh: "Surgery used to be thought of as a last resort. Now we don't think that anymore. "In my perfect world, we'd take care of everybody when they're young."

Almost 3 million Americans have epilepsy, akin to periodic electrical storms inside the brain. When these circuits misfire fast enough, a seizure results. Many are born with it, but epilepsy can develop at any age, particularly after injury to brain cells such as head trauma, meningitis or a mini-stroke.

Up to 30 percent of patients have incurable epilepsy: Medicines do not prevent all their seizures, else they cause intolerable side effects. Many are candidates for surgery- where surgeons cut out the abnormal brain tissue that sparks seizures. At leading centers, up to 80 percent of surgery recipients become seizure-free, with few complications.

Thats not all. Improved technology is allowing surgeons to better pinpoint the bad spot and remove less brain tissue half as much as the most common epilepsy surgery removed just a few years ago, according to Dr. P. David Adelson, a neurosurgeon at the Pittsburgh children's hospital. Between 3,000 and 5,000 of the operations are performed annually, an increase from 1,500 in the early 1990s, estimates Dr. Robert Gumnit of the University of Minnesota, who heads the National Association of Epilepsy Centers.

However, a sizeable proportion more, 100,000 to 150,000 epilepsy sufferers, are considered surgery candidates. Most have two to five seizures a year despite medication, and have been told to live with it instead of being sent to an epilepsy center that specializes in complicated cases, says a frustrated Gumnit.

That may not sound like many seizures, but it means the people can't drive or perform certain jobs. "It's not the burning issue it ought to be," adds Dr. Jerome Engel of the University of California, Los Angeles. There is a major push to get youngsters, especially those with severe epilepsy, to the operating room sooner.

The reason? If two medications fail to control epilepsy at any age there's only a slight chance a third will help, according to recent research. Even worse, years of seizures can harm a child's development, sometimes permanently.

A Cleveland Clinic study in the journal Pediatrics this month is among the first to examine surgery on children younger than 3, and found that even among patients that young, earlier surgery predicted a better chance of normal development.

Yet, not everyone is eligible for surgery. Seizures may originate in a spot that can't be removed safely. In this case, the options are: Deep-brain stimulation Major studies are beginning to see if implanting an electrode that emits a low-level electrical current could zap the bad brain tissue and stop seizures as they form. It is already used to control tremors in Parkinson's disease. Vagus nerve stimulator Doctors also sometimes implant a 'Vagus nerve stimulator' which delivers tiny shocks to a nerve in the neck that in turn signals the brain. It doesn't cure epilepsy like surgery can, but can reduce some patients' seizures. Also under study is beaming the seizure spot with radiation, using a technique called the Gamma Knife.


'"/>




Related medicine news :

1. Potential New Cancer Gene Identified
2. Lack of Smell And Its Potential Risks
3. New Blood Thinner Pill - First Potential Alternative to Warfarin in 50 years
4. The Potential Of Cadaver Transplantation Programme In India
5. Another Potential Of Stem Cells Discovered: Used For Growing Cartilage
6. Yoga Guru Ramdev Invited to Tap Ayurveda Potential by Jharkhand Govt
7. A Protein In Yoghurt Has The Potential To Fight E. coli
8. Gold Therapy- A Potential Treatment For Autoimmune Diseases
9. Whirlpool Bath Tubs Contain Potentially Lethal Bacterial Strains
10. Potential Benefits Of New Nanotechnology
11. Hormone Can Foretell Presence Of Potentially Fatal Pulmonary Hypertension
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:12/6/2016)... ... 06, 2016 , ... The International Vaccine Institute (IVI) and ... the Middle East Respiratory Syndrome Coronavirus (MERS-CoV). The collaboration will accelerate MERS-CoV vaccine ... deployment in the event of a future outbreak. , IVI and GeneOne held ...
(Date:12/6/2016)... ... 2016 , ... According to a November 1 article published on ... or not drinking enough water, which can cause bad breath (known medically as halitosis). ... oral hygiene not only helps reduce the possibility of bad breath, but it can ...
(Date:12/6/2016)... ... December 06, 2016 , ... ... for population health management, announces today a strategic relationship with CitiusTech, a ... clinical rules engine that offers advanced Clinical Quality Measures (CQM) computation capabilities ...
(Date:12/6/2016)... ... December 06, 2016 , ... In anticipation for the New Year, ... availability of continuing education courses in 2017, dentists of all levels can continue to ... in January, dentists can attend a variety of continuing education courses each month on ...
(Date:12/6/2016)... ... ... Why does the prevalence of obesity continue to increase worldwide? Some would say ... the cause of obesity in his new book “Body Weight Regulation.” , “Body ... a healthy life. Proietto said understanding the regulation of body weight and the causes ...
Breaking Medicine News(10 mins):
(Date:12/6/2016)... 2016  Licenders is bringing their 100% all-natural lice removal service ... Slope at 203 13 th Street was specifically chosen to ... "Our goal is to ease parents, stress and bring ... get children right back to class without skipping a beat. The ... safe for the whole family," Licenders President Adie Horowitz ...
(Date:12/6/2016)... 2016 Diabetes & Obesity Drug Development Pipeline ... disease cluster is currently dominated by therapeutics indicated for ... mellitus (T2DM), and the majority of the pipeline, in ... attributable to these indications. While products indicated for obesity ... are a large number of these products in the ...
(Date:12/6/2016)... -- Human Vaccines Market: Scope and Methodology ... wise analysis of the human vaccines market. Stakeholders ... products, raw material suppliers, vaccine processing companies, and ... The report provides qualitative and quantitative analysis of ... market dynamics, trends, product overview, and country-level market ...
Breaking Medicine Technology: