Is epilepsy always solved by surgery?

  Many patients and friends ask their doctors whether they can treat seizures through surgery on their first visit, and here is a superficial introduction to epilepsy surgery.  Many of our friends with epilepsy are not found to have problems on ordinary cranial impactology, despite thinning scans, or have children with significant cerebral palsy or severe mental retardation combined with epilepsy, with extensive brain damage, and the first consideration for patients with epilepsy in this case is not surgery, but medication control. In the former case, the doctor considers the epilepsy to be drug refractory after medication, and surgery can be considered, but surgery for epilepsy is a very expensive and difficult procedure. In addition, if the epileptogenic foci are in important functional areas of the brain, if so, a series of adverse manifestations can occur after surgery, such as paralysis, aphasia, cognitive impairment, etc.; and for children with severe cerebral palsy or severe mental retardation, my advice is not to waste a lot of financial and material resources to go to some so-called epilepsy centers for surgery, the final possible result is that the talent is empty. This is the general situation. There are certainly some epilepsies that work well with surgical treatment, such as tumor secondary seizures, local cortical dysplasia (FCD), and other focal seizures with clear foci, and after surgery, you should also insist on taking antiepileptic drugs for a period of time to observe, and reduce and stop the drugs under the guidance of your doctor.