A member asked:

Is there a cure that can help a decrease in the right hippocampal lobe in the brain? if there is a decrease in the right hippocampal lobe in the brain that causes epilepsy, is a cure available other than medicine? medicine hasn't been able to fully contro

A doctor has provided 1 answer
Dr. Marcio De Menezes answered

Specializes in Pediatric Neurology

If : If the proper treatment with medicines cannot stop focal seizures in a person with right hippocampal atrophy (small hippocampus or mesial temporal lobe sclerosis) then one should consider four main alternatives (not necessarily this order): -re-evaluation of the seizures with video eeg and neuropsychological testing and an MRI to see if surgery to remove leftover epileptic tissue in the brain is a possibility. -special diets (modified atkins diet, ketogenic diet). It is not a simple task and the risk of long-term use of ketogenic diets in adults have not been studied and documented. -use of the vagus nerve stimulator -use of an brain (cortical) stimulator (aka rns or similar type) such over the right hippocampus - right now you would have some difficulty finding a center to do that but hopefully trials will restart in the near future.

Answered 10/3/2016

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