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Epilepsy Surgery in Monmouth County, NJ

Learn More about Treating Neurological Conditions

Because epilepsy and its related concerns are caused by chemical imbalances in the brain, some patients may require surgery. Amor Mehta MD – Neurology Center for Epilepsy & Seizures, LLC provides cutting-edge treatments with the most up-to-date medical knowledge. Speak with your doctor about undergoing surgery for your neurological condition. We serve patients in Monmouth County and throughout all of New Jersey. Below you’ll find information about the surgeries we offer.

Common Surgeries

There are two ways to manage seizures: Remove them and/or prevent them from spreading. These are known as curative and palliative, respectively, with one removing problem tissue in the brain and the other cutting the pathways that help seizures spread to other parts of the brain.

The surgeries most often performed for seizure patients are:

  • Lobectomy: As the most common surgery used to treat epilepsy, this surgery involves removing part of a lobe within the brain (most commonly the temporal lobe) in order to eliminate the area in the brain where the seizures begin. While the rate of success is becoming higher for this surgery with modernity, there is a risk of loss of memory and reduced language ability.
  • Lesionectomy: Lesions are any damage that exists in brain tissue. Because of the malformations that can occur from lesions, they can cause irregular electrical activity thus increasing the risk for development of epileptic seizures. This surgery involves finding out where the lesion is and then removing it provided that the lesion does not exist within “eloquent cortex”.
  • Hemispherectomies: These surgeries remove part of the brain’s cortex to help patients suffering from brain damage that affects only specific areas of the body. Many times, these patients suffer pain on only one side. Success rates for hemispherectomies are high, with around 80% of patients reporting improvement in seizure control, cognition, attention, and behavior.
  • Corpus callosotomy: Unlike the previous operations listed above, corpus callosotomy is not a curative procedure. This surgery is used when the problem area of the brain either cannot be targeted or is too close to critical brain areas. By severing the corpus callosum, your brain will be able to isolate seizures to stop them from spreading to the other brain hemisphere once they have begun. This surgery is now rarely performed – when it is, it is usually for patients with a tremendous burden of secondarily generalized tonic-clonic seizures.
  • Multiple subpial transection: This surgery makes a series of small incisions to prevent seizures from spreading across brain hemispheres. Like corpus callosotomy, this procedure does not eliminate the cause of seizures but instead prevents them from becoming worse.

Planning for Surgery

Prior to knowing what to remove in the brain, the epileptology team will need to perform advanced presurgical testing and neuropsychological evaluations. A brain mapping procedure may be necessary prior to any resection in order to ensure that eloquent cortex will not be affected. Using electrodes, the epileptologists, neuropsychologists and/or epilepsy neurosurgeons will test the electrical signals coming from your brain and then make a surgical plan that will target the appropriate area.

Following your surgery, you will need to take it easy. Your brain will be very weak, so avoiding anything that results in fatigue can help you recover more quickly. Avoid lifting anything heavy (more than five pounds), stay away from alcohol, and do not sit for long periods of time.

Speak with the Neurology Center for Epilepsy & Seizures

Dr. Amor Mehta is an experienced epilepsy specialist (neurologist with expertise and board certification in epileptology) dedicated solely to epilepsy and its related conditions. If you are considering surgery for your seizures, contact our Monmouth County epilepsy specialist with any questions.

Contact our office at (732) 800-4587 to schedule an appointment with our neurologist in Monmouth County.

Well Beyond Healthcare

  • Advanced Treatment

    A unique epileptologist that thinks outside of the box & is open to new ideas outside the standard of care

  • Caring & Compassionate

    The art of medicine and the ability to help patients is second to none at NCES.

  • Improved Care

    Enjoy quality of life with treatment options that leave you with minimal side effects

  • Board Certified

    One of few board certified epilepsy specialists in the state of New Jersey who is at the forefront of his field.