Types of Surgery for Epilepsy


Epilepsy pic
Image: Epilepsy.org

Dr. Ilyas Munshi serves as a privately practicing neurosurgeon in Lafayette, Louisiana. Experienced in treating a comprehensive range of conditions of the brain and spinal cord, Dr. Ilyas Munshi maintains a particular focus on surgical treatment of epilepsy.

When a patient’s epilepsy indicates that surgery might be the most appropriate option, the surgeon takes into consideration the type of epilepsy when determining the procedure type. The majority of patients who undergo epilepsy surgery receive what surgeons call a resection, in which the surgeon removes the area of the brain responsible for the patient’s seizures. This is the form of epilepsy surgery with the highest success rate for reducing or stopping seizure activity.

Patients who do not undergo a resective surgery may instead be candidates for a disconnective procedure. Unlike a resection, which is potentially curative, these surgeries primarily aim to stop the spread of seizures and thus limit their severity.

The disconnective surgery may be helpful if a patient’s seizure activity takes place in multiple parts of the brain or in a part of the brain on which surgery is too risky. A corpus callosotomy, for example, enables the surgeon to cut off the nerve connections between the two halves of the brain, thus preventing inter-hemispheric seizure spread. Rarely, a surgeon will instead choose to perform a multiple subpial transection, which can provide some relief for frequent and severe seizures by making incisions into multiple relevant parts of the brain.


Surgery and Brain Tumors

Brain Tumors pic
Brain Tumors
Image: abta.org

Dr. Ilyas Munshi, an experienced neurosurgeon practicing in Lafayette, Louisiana, performs surgical procedures on patients with illnesses impacting the brain and spine. In preparation for his medical career, Dr. Ilyas Munshi studied at Rush Medical College, from which he earned his MD.

When patients develop cancer in the brain, it means cells in or the near the brain have started to multiply unchecked, causing them to grow into tumors that can put pressure on and destroy vital nervous tissue. However, up to 50 percent of brain growths are non-cancerous, or benign, tumors.

Doctors rely primarily on surgical care to address brain tumors positioned such that surgeons can extract them without causing extensive neurological harm. In conjunction with surgery, doctors may prescribe radiation and chemotherapy.

Brain cancer surgeries come in a variety of forms. For instance, some surgeries are diagnostic in character, meaning that doctors extract a tiny piece of the tumor to discover its type and nature. Some procedures aim to remove the tumor entirely, while others seek only to remove a large portion of it. The goals of these procedures depend largely on individual patients, the extent of disease, and the position of the tumors.

Anterior vs. Posterior Surgery for Scoliosis

Scoliosis pic
Image: WebMD.com

As a board-certified neurosurgeon, Dr. Ilyas Munshi offers treatment for scoliosis and other disorders of the spine. Dr. Ilyas Munshi maintains an in-depth knowledge of both anterior and posterior approaches to scoliosis surgery.

The term “scoliosis” refers to an abnormal lateral curvature of the spine. It can cause visible deformities, an imbalanced stance, and back pain, as well as a variety of secondary conditions. Mild cases may be treated by wearing a brace, although curvatures of more than 45 degrees may require surgery. The most common such surgery, particularly in children and adolescents, is posterior spinal fusion.

In posterior spinal fusion surgery, a small incision in the patient’s back provides access to those vertebrae that cause the problematic curvature. After retracting the muscles that attach to the spine, the surgeon attaches a rod or set of rods that act on the spine to correct the curve. The surgeon also introduces a bone graft, which encourages the bones to better connect and support stabilization.

Like the posterior approach, anterior fusion employs stabilizing rods and bone grafts to correct the curvature and stabilize the spinal column. However, this particular approach is more commonly used in the treatment of lumbar or thoracic curvatures. Another difference is that stabilizers get attached to the side of the vertebrae. A surgeon performing this procedure must enter the body either through the side, chest, or abdomen, which may require the removal of a rib or the temporary deflation of a lung to support access.