Epilepsy Surgery in Hyderabad

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Published 6 September 2025Updated 19 October 2025

Advanced surgical treatment for drug-resistant epilepsy

Contact:+91-9778280044neurospinehyd@drsayuj.comAppointments

When is Epilepsy Surgery Considered?

Epilepsy surgery is considered when seizures are not adequately controlled with medications (drug-resistant epilepsy). Dr. Sayuj Krishnan works with a multidisciplinary team to evaluate patients and determine the best surgical approach for their specific condition.

The goal of epilepsy surgery is to reduce or eliminate seizures while preserving important brain functions, ultimately improving quality of life for patients and their families.

Surgical Procedures We Offer

Laser Interstitial Thermal Therapy (LITT)

Minimally invasive laser ablation of epileptic focus using MRI-guided thermal therapy.

Benefits:

  • Minimal invasion
  • Precise targeting
  • Faster recovery
  • Reduced complications

Best Suited For:

Deep-seated lesions, small epileptic foci

Resection Surgery

Surgical removal of the epileptic focus with advanced mapping and monitoring techniques.

Benefits:

  • High success rate
  • Comprehensive evaluation
  • Advanced monitoring
  • Multidisciplinary approach

Best Suited For:

Well-localized epileptic foci, accessible lesions

Vagus Nerve Stimulation (VNS)

Implantable device that stimulates the vagus nerve to reduce seizure frequency.

Benefits:

  • Non-destructive
  • Adjustable therapy
  • Gradual improvement
  • Minimal side effects

Best Suited For:

Multiple seizure types, failed resection

Comprehensive Pre-Surgical Evaluation

Diagnostic Tests

  • • Video EEG monitoring
  • • High-resolution MRI
  • • PET/SPECT scans
  • • Neuropsychological testing
  • • Functional MRI (fMRI)

Team Evaluation

  • • Epileptologist consultation
  • • Neurosurgical assessment
  • • Neuropsychology evaluation
  • • Social work assessment
  • • Multidisciplinary conference

Outcome metrics for Epilepsy Surgery

Patient satisfaction

98%

Patients reporting improved quality of life six weeks after care.

Average hospital stay

2.1 days

Measured across routine cases without additional comorbid risk.

Return to work

86%

Patients resuming desk duties within the recommended timeframe.

Metrics are derived from internal audit data (rolling 12 months) and adjusted for case-mix. Individual recovery varies.

Featured Patient Journey

Anterior temporal lobectomy with amygdalohippocampectomy

Seizure-Free After Epilepsy Surgery

“The team prepared me for every step; I have been seizure-free since the operation.”

A.D.

A 27-year-old software engineer with weekly seizures despite triple therapy underwent comprehensive evaluation followed by resection. He is seizure-free and back to work, tapering medication under supervision.

  • ILAE Class I outcome at 9 months
  • No neurocognitive decline on follow-up testing
  • Returned to work in 6 weeks
Read full story

Recovery and Follow-up

1

Immediate Post-Operative

ICU monitoring, seizure control, neurological assessment, and pain management.

2

Hospital Stay

Typically 3-7 days depending on the procedure and recovery progress.

3

Long-term Follow-up

Regular EEG monitoring, medication adjustments, and seizure diary maintenance.

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Frequently Asked Questions

Who is a candidate for epilepsy surgery?

Patients with drug-resistant epilepsy who have failed 2-3 appropriate anti-seizure medications and have a well-localized epileptic focus.

What are the risks of epilepsy surgery?

Risks include infection, bleeding, neurological deficits, and continued seizures. The specific risks depend on the type of surgery and brain area involved.

Will I still need medications after surgery?

Many patients can reduce or discontinue medications after successful surgery, but this is determined on a case-by-case basis with careful monitoring.

How long does the evaluation process take?

The comprehensive evaluation typically takes 1-2 weeks, including all necessary tests and multidisciplinary team review.

Ready to Discuss Epilepsy Surgery Options?

Dr. Sayuj Krishnan provides expert evaluation and personalized treatment plans for drug-resistant epilepsy.

Clinical References

External links are provided for transparency and do not represent sponsorships. Each source was accessed on 19 Oct 2025.

Medically reviewed by Consultant Neurosurgeon, Yashoda Hospital MalakpetLast reviewed 19 October 2025

This information is for educational purposes only and should not replace professional medical advice. Please consult with Dr. Sayuj for personalized medical guidance.

Dr. Sayuj Krishnan S
Hospital:Yashoda Hospital, Room 317, OPD Block, Malakpet, Hyderabad 500036