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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Epilepsy After Brain Surgery. Will It Be Cured By Peeling The Scab Off The Injured Area?

I have epilepsy as a result of brain surgery twenty five years ago. I understand that more, less invasive surgery, could eliminate the problem by peeling the scab off the injured area. I also understand that this surgery is being performed at Montreal Neurological Centre and Toronto s Western hospital. How correct is my understanding? YYYY@YYYY Thanks Peter
Fri, 11 Jan 2013
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Neurologist, Surgical,  's  Response
Hi Peter,

Your understanding is correct. The scar from the previous operation could be the irritative focus that produces the epilepsy. To try and establish this hypothesis, you would undergo various tests that would include MRI scan and other scans, neuropsychological testing, scalp EEG's including possibly telemetry which includes a period of stay in the hospital where you will be hooked up with wires recording the EEG continuously and a camera recording you as well. After all this, the doctors would sit together and decide if you will need a period of intracranial monitoring where the EEG electrodes are placed after opening your skull over the area of scar. With this further testing to check the function of the surrounding areas of the brain will be done. Following this, the surgery to remove the scarred tissue will be performed.
Yes, MNI is one of the worl's most experienced centres doing this type of work. But there are other centres across Canada and the US which do the same type of operation as well.
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Have Epilepsy After Brain Surgery. Will It Be Cured By Peeling The Scab Off The Injured Area?

Hi Peter, Your understanding is correct. The scar from the previous operation could be the irritative focus that produces the epilepsy. To try and establish this hypothesis, you would undergo various tests that would include MRI scan and other scans, neuropsychological testing, scalp EEG s including possibly telemetry which includes a period of stay in the hospital where you will be hooked up with wires recording the EEG continuously and a camera recording you as well. After all this, the doctors would sit together and decide if you will need a period of intracranial monitoring where the EEG electrodes are placed after opening your skull over the area of scar. With this further testing to check the function of the surrounding areas of the brain will be done. Following this, the surgery to remove the scarred tissue will be performed. Yes, MNI is one of the worl s most experienced centres doing this type of work. But there are other centres across Canada and the US which do the same type of operation as well.