“Now, just about every patient with medication refractory epilepsy has a treatment option,” says Yale Medicine neurosurgeon Eyiyemisi Damisah, MD in discussing the use of Deep Brain Stimulation for seizure control in patients who are not candidates for
resective surgery. With more than 50 years history leading innovations in epilepsy, backed by intense scientific and clinical research, Yale Medicine’s Epilepsy & Seizures Program, along with our Pediatric Epilepsy Program, offers advanced treatment for the most complex epilepsy cases in children and adults. Learn more about DBS for patients with epilepsy here. Yeah. Thank you. Mm. Epilepsy can range from people who you would never know they had seizures. So people just drop, there are all kinds of seizures. There are partial simple seizures. Partial complex seizures, depends on what parts of the brain decisions are coming from. It could present just in in many different ways, from personal problems with epilepsy to, you know, continuing to take medication, it is quite disruptive to one's life. I will see the patients when you're in the neurosurgical work up. They've tried three or four medicines or even five or six and it still has to stop procedures. So then they'll go to a neurosurgery work up to identify. Can we find out where it's coming from? Can the surgery fix the problem or what else needs to be done Now? Of those patients, only about 20% of those candidates for receptive surgery to remove this area that causes the seizures without causing any damage to the rest of the brain. Sometimes there's seizures that come from locations where you can't take part of the brain out or they're coming from multiple locations and that's where things like DBS are pretty exciting. So for those patients, neuromodulation is critical. Different simulation modulates the secretary that can help control the seizures while sparing the critical areas of the brain. The DBS can quiet down or stop the seizures from happening in many cases. So it allows uncontrollable seizures to be controlled without taking parts of the brain out. The restoration involves placement of electrodes in a central hub of the brain, is called the thalamus in the nucleus and thalamus. And what it does is that it continuously stimulates to modulate the secretary that a lot of decision networks utilized in spread. Mhm. So we continuously take images to make sure that the electrodes are exactly where we want them in the thalamus, the Yale epilepsy program has uh half a century history of a very collaborative program and this is also backed by intense scientific, basic and clinical research, uh, to actually push the field so yell, you know, sits at at a wonderful place. We really see a lot of complicated cases. It's a prime place to go to find out how to stop a person seizures the least invasive matter. But this is an exciting time in epilepsy. Almost everyone who has medication refractory epilepsy has a treatment option. We're learning more and more about seasonal. It works how they occur and developing more targeted therapies to treat epilepsy.