Director Zhang Guangming’s Epilepsy Treatment

  Zhang, 26, from Lingqiu County, Shanxi, was born with an intracranial hemorrhage that led to seizures. Since then, his family has taken him around to seek medical treatment, applied a variety of anti-epileptic drugs, and underwent a surgical procedure at a local hospital, but without significant results.  In early 2015, Zhang and his family came to a hospital in Beijing, where the attending physician thought Zhang’s condition was complex and that it would be difficult to solve the problem with drugs, and suggested that he go to the Epilepsy Center of the Department of Functional Neurological Surgery of the Aviation General Hospital to see Zhang Guangming, director of the Epilepsy Center.  At the Epilepsy Center, Zhang underwent meticulous preoperative examinations, including video EEG monitoring to capture seizures, functional MRI, PET-CT, and neuropsychological examinations. After discussion and evaluation, the group decided to perform a cerebral hemispherectomy, which was performed by Guangming Zhang.  Zhang Guangming found that due to the patient’s previous history of intracranial hemorrhage and craniotomy, the intracranial adhesions were serious, and due to his long-term and heavy use of antiepileptic drugs, the coagulation function was relatively poor, and a small amount of preservation was required in the central region, making the surgery more difficult than a general hemispherectomy.  Finally, the operation lasted nearly 8 hours and was a complete success. After the operation, the patient recovered smoothly with no remaining functional impairment and the epilepsy was cured.  Epilepsy, commonly known as “goat horns” or “goat epilepsy”, is a chronic disease caused by sudden abnormal discharge of neurons in the brain, resulting in transient brain dysfunction.  The first thing you need to do after a diagnosis of epilepsy is to take regular, long-term anti-epileptic drugs, which generally takes about three years. The actual fact is that you can’t get a good deal on your own, but you’ll be able to get a good deal on your own. In fact, most anti-epileptic drugs are safe as long as liver and kidney functions and blood tests are normal. The majority of patients can be cured through medication. The majority of patients can be cured through regular treatment. However, about 20-30% of patients turn into intractable epilepsy because the medication does not completely control it or they do not receive the correct diagnosis and treatment.  ”Patients with intractable epilepsy or those who cannot tolerate the side effects of medication need to consider surgery. Through preoperative evaluation, about 70-80 percent of them can be treated surgically, and about 70 percent of the patients who have surgery can be cured. However, many patients with intractable epilepsy turn to various informal treatments because they are afraid of the risks of surgery.” Zhang Guangming said.  At present, there are a conservative estimate of 9 million epilepsy patients in China, of which about 30 percent are patients with intractable epilepsy. According to data, the antiepileptic effect of hemispherectomy has been confirmed by patients, and the postoperative efficiency is over 90%, and the seizure disappearance is up to 80%. However, due to the complicated preoperative evaluation and high surgical difficulty, the majority of hospitals nationwide cannot perform this surgery in neurosurgery.  It is reported that Zhang Guangming, deputy chief physician of Aviation General Hospital, has more than 100 cases of cerebral hemisphere resection surgery treatment experience, and the number of surgical cases is among the highest in China.