What conditions allow epilepsy patients to undergo surgery?

Patient's question:

I have suffered from epilepsy since I was a child and have always been treated with medication. Although I was taking the medication, I still had episodes, basically once a year. This year, however, I suddenly had two consecutive episodes. I am questioning the long-term use of epilepsy medication, as I believe I have developed resistance to these drugs. It is said that surgery can also be used to treat epilepsy now.

Doctor's answer:

Generally, medication is used to help patients control epilepsy (). Most people achieve good results, but a small portion have very poor treatment outcomes, at which point surgery can be considered. For example, if epilepsy () patients have been systematically treated with 2-3 main antiepileptic drugs for 2 years without significant improvement, surgery should be considered. If seizures significantly interfere with the patient's daily life—such as disrupting education, employment, and the ability to maintain daily living skills, especially in infants and children with frequent recurrences—surgery should be considered as early as possible. For severe epilepsy patients, it is recommended to seek medical attention promptly and follow the doctor's advice for timely treatment.

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