Surgery may be recommended to those patients who do not respond to the usual seizure medications or other therapies available. It is only considered if the area of the brain where the seizures start can be clearly identified and will not affect critical functions such as speech, movement, and sensations.
Resective (Resection) Surgery: In resective surgery, an area of the brain that causes seizures is removed. The most common type of resective surgery is a temporal lobectomy or cortical resection, in which brain tissue is cut away from the temporal lobe to remove the seizure focus.
Corpus Callosotomy: The corpus collosum is a band of nerve fibers connecting the two halves of the brain. In a corpus callosotomy surgery, some or all of the fibers are cut to disable communication from one side of the brain to another, thus reducing generalized and drop attack seizures. Corpus callosotomy is usually an option when no single focus can be identified.
Functional Hemispherectomy: This is a procedure in which one entire hemisphere of the brain is removed.
Mutliple Sub-pial Transection: This is used to help control seizures that begin in the brain and cannot be safely removed. The procedure involves a series of shallow cuts in the tissue which interrupts the movement of seizures but does not disturb normal brain activity.