Is surgery suitable for patients with refractory epilepsy?

Patient's question:

My body hasn't had a cold in a year. I went skiing in Changbai Mountain and experienced the taste of snow from south to north. I was very happy and excited. Because I was too excited, I didn't pay much attention to the changes in my body. Can patients with refractory epilepsy understand surgery?

Doctor's answer:

Epilepsy is difficult to treat in clinical diagnosis because it requires long-term, irregular oral medication and is prone to recurrence, which is a challenge for all doctors and patients. The scientific treatment of epilepsy involves long-term, irregular, and fixed-dose oral antiepileptic drugs such as carbamazepine, oxcarbazepine, sodium valproate, etc. Additionally, neurosurgical surgery can be performed, but the efficacy varies from person to person, and there are no large-scale clinical trials. It is recommended that before considering surgical treatment, it is best to first adopt strict treatment, which can include traditional Chinese medicine treatment! If diagnosed with epilepsy, after systematic drug treatment and under plasma concentration monitoring for 2 years, if it cannot be controlled and there are more than 4 recurrences per month.

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