21-year-old from Yemen treated with targeted deep brain stimulation surgery for uncontrolled epileptic seizures

“Upon his arrival at Fortis Hospital, Bannerghatta Road, the doctors meticulously evaluated his condition. While studying the specialised MRI and CT images, the doctors observed abnormal electrical activity in a rather widespread part of the brain and concluded that the patient’s seizures originated from those spots, rather than from a single focal point,” said a press release by the hospital.

Fortis Hospital Bannerghatta Road performed what it called Karnataka’s first targeted Deep Brain Stimulation (DBS) surgery to treat drug-resistant epilepsy. The patient, a 21-year-old male from Yemen, had been battling uncontrollable seizures for over 12 years.

The procedure was led by Dr. Raghuram G., Additional Director of Neurosurgery and Dr. Guruprasad Hosurkar, Additional Director of Neurology.

The patient, Mr. Mohamad (name changed), has been battling epilepsy that disrupted nearly every aspect of his daily routine. Despite being on four strong anti-epileptic medications and visiting multiple hospitals, his condition did not improve, said a release.

“The doctors meticulously evaluated his condition. While studying the specialised MRI and CT images, the doctors observed abnormal electrical activity in a rather widespread part of the brain and concluded that the patient’s seizures originated from those spots, rather than from a single focal point,” said the release by the hospital.

Explaining the procedure, Dr. Raghuram G., additional director, neurosurgery, said, “Deep Brain Stimulation is a precise and delicate procedure. We planned the entire procedure in minute detail using detailed brain scans and computer simulations. During the surgery, we placed thin wires (called electrodes) deep inside the brain with accuracy. These wires were placed in an area called the Centromedian Nucleus, which helps control seizures. A guiding frame was used to make sure the placement was safe and accurate. The wires were then connected to a small battery-powered device, like a pacemaker for the brain, which was placed under the skin in the chest. This device sends gentle electrical signals to help stop the abnormal brain activity that causes seizures. The surgery went very smoothly, and the patient recovered well.”

Dr. Guruprasad Hosurkar, additional director, neurology, said, “We chose Deep Brain Stimulation, targeting a specific area called the centromedian nucleus in the thalamus. This area helps control seizure activity. By sending small electrical signals to this part of the brain, we were able to significantly reduce his seizures and improve his quality of life. “