Best Epilepsy Treatment in Chennai, India - Comprehensive Epilepsy Care at Gleneagles Hospitals

Best Epilepsy Treatment in Chennai, India - Comprehensive Epilepsy Care at Gleneagles Hospitals

The Institute of Neurosciences at Gleneagles Health City is a center of excellence, led by Dr. Dinesh Nayak, a leading epileptologist, along with a team of experienced neurologists, neurosurgeons, neuroanaesthetists, neuro intensivists, neuro-rehabilitation specialists, and allied disciplines. Our institute provides the best care for patients with a comprehensive and multi-disciplinary approach.

Our neurologists specialize in diagnosing and treating a wide range of neurological disorders. We are deeply committed to understanding and treating epilepsy with advanced surgical techniques, ensuring optimal patient care. With his extensive expertise, Dr. Dinesh Nayak leads our efforts in providing holistic epilepsy care, integrating surgical interventions with ongoing support and rehabilitation to enhance patient outcomes. Our expertise extends to the management of movement disorders such as Parkinson's disease and dystonia.

Our neurosurgeons are highly skilled in performing complex neurosurgical procedures, particularly in epilepsy surgery and functional neurosurgery. They are dedicated to providing holistic care, combining surgical precision with comprehensive patient support to achieve the best possible outcomes. The neurosurgery operation theatre is equipped with the latest technology, enabling minimally invasive techniques and ensuring the highest standards of care during surgery.

We excel in handling neuro trauma, offering cutting-edge care for patients with brain injuries. We also provide specialized care for complex brain tumors and strokes, including comprehensive rehabilitation programs to aid in recovery. Our team of experts ensures that patients receive holistic care, addressing all aspects of neurological health.

At the Institute of Neurosciences, we strive to deliver exceptional care and advanced treatments, making us a trusted destination for patients with neurological disorders, epilepsy, stroke, neurotrauma, brain tumors, movement disorders, auto-immune disorders, and spine conditions.

Comprehensive Epilepsy Care Centre

Information about Epilepsy

Symptoms

Epilepsy is a complex neurological disorder that manifests through a variety of symptoms, depending on the type of seizures experienced. Common symptoms include:

• Temporary Confusion: A period of disorientation that can last from a few seconds to several minutes.
• A Staring Spell: Episodes where the individual appears to be staring into space and is unresponsive.
• Uncontrollable Jerking Movements: Sudden, forceful movements of the arms and legs, commonly known as convulsions.
• Loss of Consciousness or Awareness: Seizures can cause a brief loss of awareness or consciousness, affecting overall alertness.
• Psychological Symptoms: Feelings of fear, anxiety, or déjà vu, which may precede or accompany a seizure.

Recognizing these symptoms early is crucial for timely diagnosis and intervention, greatly enhancing the quality of life for those affected by epilepsy.

Diagnosis

Accurate diagnosis of epilepsy is essential for effective treatment and management. The diagnostic process typically involves several steps:

• Medical History: A comprehensive review of the patient’s medical history and detailed accounts of seizure episodes.
• Neurological Examination: Tests to evaluate motor abilities, sensory function, behavior, and cognitive skills to identify neurological deficits.
• Electroencephalogram (EEG): This test measures electrical activity in the brain to detect abnormalities that indicate epilepsy.
• Imaging Tests: MRI scans dedicated to Epilepsy are used to visualize the brain’s structure, identifying any anomalies or lesions that could be causing seizures.

With precise diagnosis, our team of specialists can develop a personalized treatment plan tailored to each patient’s unique needs.

Treatment Options

Epilepsy can be managed effectively through a variety of treatment options, aimed at reducing or eliminating seizures. These options include:

• Medications: Anti-seizure medications (anticonvulsants) are often the first line of treatment, helping to control seizures in the majority of patients.
• Surgery: For patients who do not respond to medication, surgical options such as resective surgery, disconnective surgeries, radiofrequency ablation, and deep brain stimulation (DBS) are available.
• Therapies: Ketogenic diets can be effective for certain types of epilepsy.
• Lifestyle Adjustments: Implementing lifestyle changes, such as maintaining a regular sleep schedule, managing stress, and avoiding seizure triggers, can significantly improve seizure control.

Our goal is to provide comprehensive and compassionate care, utilizing the latest advancements in epilepsy treatment to improve our patients’ lives.

Living with Epilepsy

Living with epilepsy presents challenges, but with the right support and management strategies, individuals can lead fulfilling lives. Key aspects of living well with epilepsy include:

• Education: Understanding the condition, treatment options, and self-care strategies empowers patients and their families.
• Support Networks: Joining support groups and connecting with others who have epilepsy can provide emotional support and practical advice.
• Regular Medical Care: Consistent follow-up with healthcare providers ensures optimal management of the condition.
• Safety Measures: Implementing safety measures at home and in daily activities can reduce the risk of injury during a seizure.

At the Institute of Neurological Sciences, we are dedicated to providing comprehensive support and resources to help our patients thrive despite their epilepsy diagnosis.

Epilepsy Surgery

At the Institute of Neurological Sciences, led by the esteemed Dr. Dinesh Nayak, we are proud to offer advanced epilepsy surgery options, providing effective treatment for patients who do not respond to medication. Our comprehensive approach ensures that each patient receives the best possible care tailored to their specific needs. Below, you can find detailed information about the types of epilepsy surgery we offer, the surgery process, our success rates, and post-surgery care.

Types of Epilepsy Surgery

We offer several advanced epilepsy surgery options, each designed to address different aspects of the disorder:

• Resective Surgery:
  • Description: We remove the part of the brain where seizures originate.
  • Indications: This surgery is suitable for patients with focal epilepsy where the seizure focus is identified.
  • Benefits: Resective surgery has a high success rate in reducing or eliminating seizures, significantly improving quality of life.
  • Electrocorticography (ECoG): We use this during surgery to identify the exact area of the brain causing seizures.
  • Awake Craniotomy: This procedure is performed while the patient is awake to monitor brain function in real-time, especially important when operating near critical areas of the brain.
  • Eloquent Cortex Focal Cortical Dysplasia (FCD) Resection: We remove dysplastic tissue in areas responsible for essential functions like speech, movement, and sensory processing.
• Disconnective Surgery:
  • Hemispherotomy: We disconnect one cerebral hemisphere from the other to prevent seizure spread, primarily in severe cases where one hemisphere is extensively affected.
  • Posterior Quadrant Disconnection (PTOD): This involves disconnecting the posterior part of the brain to control seizures originating from this region.
  • Corpus Callosotomy: We cut the corpus callosum to prevent seizures from spreading between the two hemispheres, often used for atonic or drop seizures.
• Stereotactic Radiofrequency Ablation:
  • Description: We use focused radiofrequency energy to destroy seizure-causing brain tissue in a minimally invasive procedure.
  • Indications: Ideal for patients with well-defined seizure foci that are not easily accessible by traditional surgical methods.
  • Benefits: This procedure offers reduced recovery time, minimal scarring, and a lower risk of complications compared to open surgery.
• Deep Brain Stimulation (DBS):
  • Description: We implant a device in the brain that sends electrical impulses to specific brain regions to regulate abnormal activity.
  • Indications: Suitable for patients with medically refractory epilepsy that does not have a single focal point.
  • Benefits: DBS reduces seizure frequency and severity, and can be adjusted non-invasively to optimize therapeutic effects.
• Stereoelectroencephalography (SEEG):
  • Description: This diagnostic procedure allows us to precisely locate the seizure focus using electrodes implanted in the brain.
  • Indications: Recommended for patients with complex or poorly localized epilepsy.
  • Benefits: SEEG provides detailed mapping of seizure activity, guiding effective surgical treatment.

Pre-Surgery Workup Process

The journey towards epilepsy surgery with us involves several critical steps to ensure the best outcomes:

• Initial Evaluation:
  • We conduct a comprehensive review of your medical history and seizure characteristics.
  • Physical and neurological examinations are performed to assess overall health and neurological function.
• Video EEG Monitoring (VEEG):
  • Duration: You will typically stay in the hospital for several days, during which continuous video and EEG recording is performed.
  • Experience: During your stay, you will be closely monitored in a comfortable and safe environment. Seizure activity is recorded to capture detailed information about each event.
  • Purpose: This monitoring helps us pinpoint the origin of seizures, assess their frequency and severity, and determine the suitability for surgery.
• Imaging Studies:
  • MRI: We take high-resolution images of the brain to identify structural abnormalities.
  • PET: This measures brain metabolism to locate seizure foci.
  • Image Processing and AI Tools: We use advanced tools like resting-state fMRI (rsFMRI) and Diffusion Tensor Imaging (DTI) for precise mapping of brain networks and pathways.
• Stereoelectroencephalography (SEEG):
  • We implant electrodes in specific brain regions to record electrical activity.
  • SEEG provides precise localization of seizure focus for targeted surgical intervention.
• Pre-Surgical Counseling:
  • We have detailed discussions with you and your family about the surgical procedure, potential risks, and expected outcomes.
  • Psychological support and education are provided to prepare you for surgery and post-operative care.
• Surgical Procedure:
  • Our team of experienced neurosurgeons performs the surgery using state-of-the-art technology.
  • We carefully monitor and make adjustments during the procedure to ensure safety and efficacy.

Success Rates

Epilepsy surgery with us has a high success rate, especially for patients with well-defined seizure foci. Key benefits include:

• Seizure Reduction: Many of our patients experience a significant reduction in seizure frequency and intensity.
• Seizure Freedom: A substantial percentage of our patients achieve complete seizure freedom, transforming their lives.
• Improved Quality of Life: Enhanced ability to participate in daily activities, improved mental health, and greater independence.
• Long-Term Benefits: Reduces the long-term impact of epilepsy on cognitive function and overall health.

Post-Surgery Care

Post-surgery care is a vital component of our treatment plan, ensuring the best possible recovery and long-term outcomes:

• Immediate Post-Operative Care:
  • We monitor you in a specialized neuro-intensive care unit.
  • Pain management and prevention of complications are provided.
• Rehabilitation:
  • Physical therapy is offered to aid recovery and improve strength and coordination.
  • Occupational therapy helps you with daily activities and reintegration into work and social environments.
• Follow-Up Appointments:
  • Regular check-ups are scheduled to monitor your progress and adjust medications as needed.
  • Our multidisciplinary team offers ongoing support to address any concerns and provide continued care.
• Support for Patients and Families:
  • We provide education about epilepsy and post-surgery expectations.
  • Psychological support helps you and your family adjust to life after surgery.
  • Support groups and resources are available to connect with others who have undergone similar experiences.

Long-Term Cost-Benefit

Epilepsy surgery not only improves health and quality of life but also offers significant long-term cost benefits:

• Reduced Medical Costs: Decreased need for emergency care and hospitalizations due to seizures.
• Improved Productivity: Enhanced ability to work and participate in educational and social activities.
• Family Well-Being: Reduced stress and burden on family members, leading to better overall family health and happiness.

Achieving Drug Freedom with Epilepsy Surgery

For many patients with epilepsy, achieving drug freedom is a significant goal. Long-term use of anti-epileptic drugs (AEDs) can come with side effects and may not always provide complete seizure control. Epilepsy surgery offers a promising alternative, with the potential to reduce or eliminate the need for medication. By addressing the underlying cause of seizures, surgery can lead to better seizure control and, in many cases, complete freedom from AEDs.

This not only improves the patient's quality of life but also reduces the long-term healthcare costs associated with ongoing medication and its side effects. Achieving drug freedom allows patients to enjoy a more active and fulfilling life, free from the constraints of daily medication regimens and the constant fear of seizures.

Our Experience and Expertise

We have performed over 300 epilepsy surgeries, demonstrating our commitment to excellence and patient care. Under the expert leadership of Dr. Dinesh Nayak, our team has been treating patients from all over India and Middle Eastern countries for over 10 years. We are dedicated to providing top-tier care and advanced surgical options to help our patients achieve better health and a higher quality of life.

Choosing epilepsy surgery can be a transformative decision, offering a path to a healthier, more fulfilling life. At the Institute of Neurological Sciences, we are committed to providing exceptional care and support every step of the way.

Diseases Treated Effectively by Epilepsy Surgery

Epilepsy surgery is highly effective for various conditions where seizures are resistant to medication. Here are the primary diseases and disorders treated effectively by epilepsy surgery:

• Temporal Lobe Epilepsy (TLE)
  • Mesial Temporal Sclerosis (Hippocampal Sclerosis): Characterized by scarring in the hippocampus, this is the most common indication for resective surgery.
• Frontal Lobe Epilepsy (FLE)
  • Frontal Lobe Lesions: Includes conditions such as cortical dysplasia, tumors, and vascular malformations that cause seizures originating in the frontal lobe.
• Parietal Lobe Epilepsy
  • Parietal Lobe Lesions: Seizures arising from structural abnormalities such as tumors or malformations in the parietal lobe.
• Occipital Lobe Epilepsy
  • Occipital Lobe Lesions: Seizures resulting from tumors, cortical dysplasia, or other abnormalities in the occipital lobe.
• Posterior Cortex Epilepsy
  • Posterior Quadrant Epilepsy: Seizures originating in the parieto-occipital or occipito-temporal regions, often caused by lesions or malformations in these areas.

Pathologies treated by Epilepsy surgeries

• Cortical Dysplasia
  • Focal Cortical Dysplasia (FCD): Abnormal brain development leading to localized seizure activity.
• Tumors
  • Low-Grade Gliomas: Slow-growing brain tumors that can cause seizures, effectively treated by surgical resection.
  • Gangliogliomas: A type of tumor often found in the temporal lobe, associated with seizures.
• Vascular Malformations
  • Cavernous Malformations: Abnormal blood vessels in the brain that can cause seizures.
  • Arteriovenous Malformations (AVMs): Abnormal connections between arteries and veins that can lead to seizure activity.
• Genetic and Developmental Disorders
  • Tuberous Sclerosis Complex (TSC): A genetic disorder causing benign tumors in multiple organs, including the brain, leading to seizures.
  • Sturge-Weber Syndrome: A neurological condition associated with a facial birthmark and brain abnormalities that cause seizures.
  • Periventricular Nodular Heterotopia: A condition where neurons fail to migrate properly during brain development, leading to clusters of neurons along the ventricles that can cause seizures.
  • Hypothalamic Hamartoma: A benign tumor-like malformation in the hypothalamus that can cause gelastic (laughing) seizures.
• Traumatic Brain Injury (TBI)
  • Post-Traumatic Epilepsy: Seizures that develop after a head injury, particularly when there is a focal brain lesion.
• Neonatal Insults
  • Hypoxic-Ischemic Insult and Hypoglycemic insult: Brain damage caused by lack of oxygen or blood flow around the time of birth, leading to chronic seizures.
• Neurocutaneous Syndromes
  • Rasmussen’s Encephalitis: A rare, chronic inflammatory neurological disease causing progressive brain damage and seizures, often treated with hemispherotomy or other resective surgeries.

Epilepsy surgery offers hope for patients with these conditions, providing a potential path to seizure freedom and improved quality of life. At the Institute of Neurological Sciences, we leverage our expertise to tailor surgical solutions to the specific needs of each patient, ensuring the best possible outcomes.

How Our Centre Supports Patients with Epilepsy - Children and Adults

At the Institute of Neurological Sciences, we are committed to providing comprehensive and compassionate care for both children and adults living with epilepsy. Our approach is holistic, addressing not only the medical aspects of the condition but also the emotional, social, and educational needs of our patients and their families. Here’s how we support our patients:

Multidisciplinary Care Team

Our team includes experienced neurologists, neurosurgeons, epileptologists, neuropsychologists, nurses, and social workers. This multidisciplinary team works together to develop individualized treatment plans tailored to each patient's unique needs. Regular team meetings ensure coordinated care and optimal outcomes.

Personalized Treatment Plans

Our treatment plans are customized based on the individual’s specific type of epilepsy, seizure patterns, and overall health. We offer:

• Medication Management: Optimizing anti-epileptic drug (AED) regimens.
• Dietary Therapies: Including ketogenic and modified Atkins diets for seizure control.
• Surgical Interventions: For those who do not respond to medication.
• Behavioral and Cognitive Therapies: To address the psychological impact of epilepsy.

Support for Children with Epilepsy

Children with epilepsy and their families face unique challenges. We provide specialized care that includes:

• Pediatric Neurology Services: Focused on the unique needs of children.
• Educational Support: Collaborating with schools to ensure children receive appropriate educational accommodations.
• Family Counseling: Helping families understand epilepsy and manage its impact on daily life.
• Developmental Monitoring: Regular assessments to track and support the child’s developmental progress.

Support for Adults with Epilepsy

Adults with epilepsy often need support in managing their condition while leading active lives. Our services for adults include:

• Employment Support: Assisting with workplace accommodations and career planning.
• Independent Living Skills: Training and resources to help adults live independently and safely.
• Counseling Services: Providing psychological support to manage stress, anxiety, and depression associated with epilepsy.

Living with Epilepsy

Living with epilepsy presents challenges, but with the right support and management strategies, individuals can lead fulfilling lives. Key aspects of living well with epilepsy include:

Education

Understanding the condition, treatment options, and self-care strategies empowers patients and their families. We offer:

• Educational Workshops: Regular sessions on epilepsy management, treatment options, and lifestyle adaptations.
• Patient and Family Education: Comprehensive resources to help families understand epilepsy and its management.

Support Networks

Joining support groups and connecting with others who have epilepsy can provide emotional support and practical advice. We facilitate:

• Support Groups: Regular meetings for patients and families to share experiences and support each other.
• Community Events: Activities to raise awareness and foster a supportive community.

Regular Medical Care

Consistent follow-up with healthcare providers ensures optimal management of the condition. Our services include:

• Routine Check-Ups: Regular appointments to monitor health and adjust treatment as needed.
• 24/7 Access: Emergency contact options for immediate support during seizures or complications.

Safety Measures

Implementing safety measures at home and in daily activities can reduce the risk of injury during a seizure. We provide:

• Safety Assessments: Home visits to identify and mitigate potential hazards.
• Seizure Response Training: Educating patients and families on how to handle seizures safely.

Psychological and Social Support

We understand the psychological and social impact of epilepsy and offer:

• Counseling Services: Individual and group therapy sessions to address mental health needs.
• Social Skills Training: Programs to help patients build social connections and improve communication skills.

Technological Support

We leverage technology to enhance care:

• Telemedicine: Virtual consultations for easy access to specialists.

Our Commitment

At the Institute of Neurological Sciences, we are dedicated to providing comprehensive support and resources to help our patients thrive despite their epilepsy diagnosis. Our holistic approach ensures that every aspect of our patients' lives is considered, from medical treatment to emotional well-being, enabling them to lead fulfilling, productive lives.