You need to tell me WHAT THE ORIGIN of that granuloma
might be...have they biopsied the lesion? Is it DEFINITELY and beyond a shadow of a doubt the GENERATOR of your seizures?
There are ways to determine this with virtual precision and accuracy. Are there ANY OTHER focal generators for your seizures (perhaps not even able to be SEEN by MRI
or CT scan?)?
If in fact, there is a single solitary focus or generator to your seizures THEN, yes the focus can theoretically be removed surgically. However, that depends on a number of factors. Typically EPILEPSY
SURGEONS will not agree to operate on someone UNLESS their seizures cannot be controlled using medication.
If you are under very good or near-perfect control. Then, surgery probably represents more RISK than benefit in terms of excising the lesion and if I were your neurologist
I would NOT recommend surgery at this point.
If, however, your seizures are uncontrolled and there has been a success at using multiple and varied medications and/or other approaches to bring them under control then, YES surgery is indicated and should be reasonably considered.
Hope I have answered your query. Let me know if I can assist you further.
Dr Dariush Saghafi, Neurologist