Treatment,Epilepsy,Neurosurgeo health Treatment of Epilepsy by Neurosurgeons in Louisiana
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A medical website has defined neurosurgery as the study and surgical treatment of various diseases of the nervous system. And the nervous system refers to the brain, spinal cord, cranial nerves which connect the face, nose, throat, ears and eyes, peripheral nerves connected to the legs and arms, and body muscles. Neurosurgeons are the doctors trained and specialized to perform the surgery involving diseases of the nervous system. Neurosurgeons have all-embracing experience and expertise in performing surgical procedures for conditions involving the brain, spine, head, peripheral nerves and cerebrovascular system.Neurosurgeons in Louisiana usually work in close collaboration with some other specialists such as Neurology, Orthopedics, Neuro-oncology, Endocrinology, Neuro-radiology and Otorhinolaryngology or ENT. This collaboration benefits the patients as they get to have direct access to an incredible range of expertise. Neurosurgeons have a team of specialists and highly-skilled medical support staff and state-of-the-art and high-tech instruments and equipment that will facilitate the surgery procedure to be as convenient and comfortable as possible for the patients.One of the most common conditions treated by neurosurgeons in Louisiana is epilepsy. While medication is usually recommended to control seizures, about 30% of epileptic patients cannot tolerate the seizure episodes even if they are under medication. In these cases, brain surgery is offered as an option. Epilepsy surgery is the surgical procedure performed on the brain to control or minimize the seizures and improve the quality of life of the epileptic patient. Epilepsy surgery is done by neurosurgeons for two reasons:To remove the brain area which produce the seizures if patient is not responding to medication for seizure controlTo interrupt the nerve pathways where seizure impulses can pass through and spread within the brainHowever, not all patients with epilepsy are treated with surgery. It is only done if the brain area where seizures start is clearly and properly determined and if the target area for removal is not responsible for any vital functions involving language, sensation and movement. The neurosurgeons have to order extensive assessment and testing to determine if surgery may be allowed.There are different surgical procedures available to treat epilepsy. The type of surgery used depends on the type of seizures and the area of the brain where the seizures start. The surgical options include:Temporal lobectomy. This is the most common type of epilepsy surgery, removing a limited part of the anterior temporal lobe along with the amygdala and a part of the hippocampus.Cortical excision. This is the second most common type of surgery for epileptic patients, removing the outer layer (cortex) of the brain at the seizure focus area.Hemispherectomy. This surgery involves the removal of the brain's outer layer (cortex) and anterior temporal lobe on one half of the brainPalliative procedures are performed when a specific brain area is not clearly identified or when the seizure focus areas overlap areas in the brain vital for speech, movement or vision.Corpus callosotomy is the procedure used to disconnect nerve fibers across the corpus callosum in order to prevent generalized seizures from spreading from one side of the brain to the other.Multiple subpial transaction is the procedure involving making small incisions in the brain, which interfere with the spread of seizure impulses. This procedure is used when the seizure focus is in a critical area, the removal of which is no possible. It may also be used in combination with a lobectomy.Vagus nerve stimulation (VNS) is used for treatment of partial or generalized seizures in people over age 12.
Treatment,Epilepsy,Neurosurgeo