Can surgery control epileptic seizures?

Feb 10, 2025 Source: Cainiu Health
Dr. Lv Zhiqin
Introduction
For patients with refractory epilepsy whose seizures remain uncontrolled despite prolonged, standardized medical treatment, surgical intervention may be an effective option. By removing or disconnecting the epileptic focus, or by implanting a neurostimulator to suppress abnormal brain activity, surgery can significantly reduce seizure frequency and may even achieve clinical remission.

Surgery can usually control epileptic seizures, but not all cases of epilepsy require surgical treatment. It is recommended to seek medical attention promptly and proceed with treatment under the guidance of a physician.

For patients with drug-resistant epilepsy—those who have undergone long-term standardized medication treatment without effective control of seizures—surgery may be an effective option. By removing or blocking the epileptic focus or implanting a neurostimulator to suppress abnormal brain discharges, surgical intervention can significantly reduce the frequency of seizures and, in some cases, achieve clinical remission. The effectiveness of surgery is generally better when the epileptic focus is clearly identified and located in an area accessible to surgical intervention.

However, it is important to note that not all patients with epilepsy are suitable candidates for surgery. For patients with an unclear epileptic focus or a focus located in a critical functional area of the brain, the risks of surgery are higher, and the procedure may fail to effectively control seizures or even cause neurological damage. It is recommended to determine the appropriateness of surgical treatment following an evaluation by a specialist.

During the treatment process, patients should maintain a healthy lifestyle, avoiding excessive fatigue and mental stress, which can help control epileptic seizures.