Treatment of epilepsy

  Drug therapy Drug therapy is preferred for epilepsy, and about 60% of epilepsy patients can be cured by drug therapy.  The effectiveness of drug therapy depends on the following factors: 1. Whether the treatment is standardized, the selection of drugs should be based on the type of epilepsy, the patient’s gender, age, and life needs. If the wrong type of drug is selected, the efficacy is definitely poor. Some patients need to study, work, get married and have children, while the chosen medicine has the side effects of decreased intelligence, slow reaction, lack of energy, drowsiness, and even destruction of ovaries and causing malformations, and patients are unwilling to insist on eating or eat too little, which will also make the treatment worse. The actual fact is that you can get more reasonable and standardized medication guidance in the epilepsy specialist in the big hospital, which greatly improves the drug efficacy.  The first thing you need to do is to take a new medication, but after a year or two the effect will decline and the seizures will return, and then you need to treat them by other means such as surgery.  Do prescriptions and acupuncture point injections work?  These treatments have not been validated by international medical organizations.  Surgical treatment 1. Radical surgery. Through imaging tests such as MRI and other tests such as EEG, magnetoencephalography, PET, etc., the point of origin of epilepsy in the brain is found and then removed, such as anterior temporal lobectomy, which is a common radical surgery. If the localization is accurate, the radical cure rate can reach more than 80%.  2. Palliative surgery. It means that the point of origin of epilepsy cannot be found, so radical surgery cannot be performed, but the structure of the brain can be surgically altered so that the number of seizures is reduced or the degree of seizures is reduced. It includes corpus callosotomy and vagus nerve stimulation.