Current status of epilepsy treatment

  1. Q: Can epilepsy be cured rate?  A: Most epilepsies can be cured with treatment (some heal themselves without treatment), and a small number of patients will develop drug-refractory epilepsy. For drug-refractory intractable epilepsy, the cause needs to be found. Intractable epilepsy caused by tumors, vascular disease, parasites, abnormal brain development, etc. can generally be cured by surgical treatment. In contrast, very few intractable epilepsies are difficult to cure even with surgery.  2. Q: What can I do if my epilepsy is not controlled by medication?  A: Most patients with epilepsy can be controlled with medications, and in a few cases, medications are difficult to control. But the prerequisite must be regular treatment, choosing reasonable drugs, appropriate dosage, and reasonable combination. If it is still difficult to work after two years of formal treatment, or even gradually worsens, surgical treatment needs to be sought (of course, some cases suitable for surgery can be directly treated surgically), and surgical treatment methods include resective surgery and palliative surgery.  3. Q: What treatments are available for epilepsy?  A: There are two main types of treatment for epilepsy: medication and surgery. Drug treatment mainly refers to Western medicine, while Chinese medicine has rather limited efficacy on epilepsy. The surgical treatment methods include resection surgery and palliative surgery. In addition, the ketogenic diet can be tried for children with refractory epilepsy, but it is generally difficult to adhere to and the efficacy remains to be observed. There are also many attempts at transcranial magnetic stimulation and acupuncture. There are also a variety of treatments such as buried wires, buried drugs, buried magnetic tablets, bloodletting, qigong, etc. The efficacy is not exact.  4. Q: What is the formal treatment of epilepsy?  A: Formal treatment of epilepsy refers to the correct diagnosis of epilepsy, the selection of reasonable types and doses of antiepileptic drugs according to the method of evidence-based medicine, and the correct treatment under the guidance and monitoring follow-up of a specialist.  5. Q: What is ketogenic therapy for epilepsy and how does it work?  A: Ketogenic therapy is a high-fat, low-carbohydrate, low-protein diet in which the body relies primarily on fat rather than carbohydrates for energy supply. It treats epilepsy by simulating starvation therapy and can be tried for children with drug-refractory epilepsy.