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Doctor insights on: Epilepsy Surgery For Cortical Dysplasia

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37 year old has scoliosis, lumbar lordosis and curved spine, and was born with hip dysplasia.Had several surgeries. Now has joint and back pain walkin?

37 year old has scoliosis, lumbar lordosis and curved spine, and was born with hip dysplasia.Had several surgeries. Now has joint and back pain walkin?

Joint/Back pain: You have a difficult problem because of your history. You should seek the advice of a qualified physiatrist who specializes in spine care. Preferentially they should work in the same practice as a spine surgeon so you can get both opinions. ...Read more

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Dr. Andrew Reeves
535 doctors shared insights

Epileptic Seizures (Definition)

Epileptic seizures. Per Mayo Clinic "Epilepsy is a central nervous system disorder (neurological disorder) in which nerve cell activity in the brain becomes disrupted, causing seizures or periods of unusual behavior, sensations and sometimes loss of ...Read more


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Name of top surgeon/facility for frontal cortical dysplasia evaluation, treatment and/or surgery? Thank you e olsen healthy, otherwise normal 16 yr old female, tonic clonic, versive seizures approx 1 x month for 4 years on lamictal. A few 2 and 3 month

Name of top surgeon/facility for frontal cortical dysplasia evaluation, treatment and/or surgery?  Thank you  e olsen healthy, otherwise normal 16 yr old female, tonic clonic, versive seizures approx 1 x month for 4 years on lamictal.  A few 2 and 3 month

Some suggestions: You could start with University Hospital in Aurora, but I think more surgical epilepsy experience is present at UCLA Hospital in California, Mayo Clinic in Rochester, Mn, Cleveland Clinic in Ohio, and of course, Johns Hopkins Hospital in Baltimore. No harm in acquiring several opinions via phone calls, first. This is a highly specialized area, and would take your time to find success. ...Read more

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Can you survive cortical dysplasia?

Can you survive cortical dysplasia?

Yes: Cortical dysplasia refers to a congenital (present at birth) abnormality in the brain’s development. As the brain naturally develops in utero, neurons migrate outward to the cerebral cortex. Should these neurons fail to spread out and position correctly, the signals will misfire – triggering a seizure. Anti-seizure meds can be used to help patients. How this affects a patient is quite variable. ...Read more

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What is the definition or description of: Cortical dysplasia?

What is the definition or description of: Cortical dysplasia?

Poor development: Cortical dysplasia refers to poor development of the tissues of the cerebral cortex. Often seen as underdeveloped and dysorganized tissue on CT or MRI scans. ...Read more

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Does any one know about learning problems caused by cortical dysplasia on the left?

Language : Cortical dysplasia on the left can lead to language problems - receptive, but more likely expressive lr comprehension. These would be of the central language processing type. If the temporal lobe is also affected, then the problem will be more severe. ...Read more

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Can extensive cortical dysplasia cause brain swelling?

Can extensive cortical dysplasia cause brain swelling?

Cortical dysplasia: Cortical dysplasia refers to a malformation of brain, in which the nerve cells have not migrated to their normal location. It does not cause brain swelling unless during fetal life it is caused by infection during the time of neurons migrating to their normal location. ...Read more

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Do all people with cortical dysplasia have seizures and other problems i never had seizures and vision is 20\20 condition found due to 24\7 headaches

Do all people with cortical dysplasia have seizures and other problems  i never had seizures and vision is 20\20 condition found due to 24\7 headaches

No, not all: Not all people with cortical dysplasia have seizures. This finding is typically made when a person has seizures, it does not cause symptoms many other times. Cortical dysplasia tends not to affect vision or be related to headaches, for example. Sometimes cortical dysplasia is found on brain MRI, but it may have no clinical significance. ...Read more

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Doctors thought i had a brain tumor, A.D.E.M., and now cortical dysplasia is there a chance that this could still be a brain tumor?

Doctors thought i had a brain tumor, A.D.E.M., and now cortical dysplasia is there a chance that this could still be a brain tumor?

Hard question!: This question is beyond the scope of what we can answer in this forum. It would require a medical consultation, with detailed history, review of your medical records and your actual MRI images. Public answers on HealthTap are not intended for individual treatment, prescription or diagnosis. A personal consultation can be obtained through HealthTap Concierge with me or another Board-Certified MD ...Read more

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My daughter had her first seizure. the mri showed a minor abnormality. If it is cortical dysplasia what is the likelihood of more seizures?

My daughter had her first seizure. the mri showed a minor abnormality. If it is cortical dysplasia what is the likelihood of more seizures?

Hard to say: One of the problems of all the modern imaging we have available is knowing what to do with the findings. A minor anomaly may be just that. Something unrelated and of no importance.EEG findings sometimes have a better correlation with future seizure activity. This is best explained by the doc who has access to all the data. ...Read more

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Doctors thought it to be a brain tumor, ADEM, and now cortical dysplasia is it still possible for the mass to be a brain tumor? thanks!

Doctors thought it to be a brain tumor, ADEM, and now cortical dysplasia is it still possible for the mass to be a brain tumor? thanks!

Different: It should be obvious which one of these is which based on MRI characteristics. Sometimes a follow up study will help. It sounds like it is not a brain tumor if the other two are possibilities. More information is needed to make a better decision. ...Read more

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What is cortical dysplasia? i was diagnoised with it and it was origionally thought to be a brain tumor after several mri tests they said it was this

What is cortical dysplasia? i was diagnoised with it and it was origionally thought to be a brain tumor after several mri tests they said it was this

Born with it: Cortical dysplasia is when a small island of gray matter is out of place in the white matter layer of the brain, seen on MRI. It can be mistaken for a benign brain tumor. It happens during development of the brain, and usually causes no trouble. Rarely it can cause seizures, which can be treated with medicine. VERY rarely surgery is done to remove it if seizures are hard to control. ...Read more

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Brain lesion. i was told it was a brain tumor, acute disseminated encephalomyelitis, and cortical dysplasia could it still be a brain tumor? thanks!

Brain lesion. i was told it was a brain tumor,  acute disseminated encephalomyelitis, and cortical dysplasia could it still be a brain tumor? thanks!

Huh?: Didn't you just answer your own question? Maybe I'm missing something but if the diagnosis actually IS ADEM (as I believe you are saying above) and if what you have is cortical dysplasia (unrelated to the ADEM) to boot then, neither of those 2 together nor separately are synonyms for brain tumor. Do you have imaging studies? That would solve the mystery? Questions? www.healthtap.com/drsaghafi ...Read more

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Why take medications for epilepsy if I can just have surgery instead?

Why take medications for epilepsy if I can just have surgery instead?

Depends: Epilepsy surgery is an excellent option for those with uncontrolled (two different medication trials) partial epilepsy coming from a single area of the brain, when that area is not involved in important brain function. Easily controlled partial seizures or those with primary generalized epilepsy are usually treated with medication. ...Read more

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What happens during temporal lobectomy epilepsy surgery?

Hope positive result: Fairly high percentage success rate, with at least a 60-75% decrease in seizure frequency, if you possess an appropriate focal lesion in the temporal lobe. You will need to discuss the technical aspects, and risk factors with your surgeons, and hopefully, get all your questions answered. ...Read more

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What can you tell me about temporal lobectomy epilepsy surgery?

What can you tell me about temporal lobectomy epilepsy surgery?

Temporal lobectomy: for intractable seizures improves seizure control in 85% of patients. If resection can avoid memory, emotion & language comprehension sites identified pre-operatively & verbal memory sites identified by intra--operative electrical stimulation, risk of post-op deficits is less. See http://epilepsy.med.nyu.edu/epilepsy-surgery/surgery-treatment-options/temporal-lobe-resections#sthash.FKMzRNaK.dpbs ...Read more

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Can surgery cure learning difficulties in people with epilepsy?

Tricky question: Epilepsy surgery strives as its goal to cure epilepsy. If learning difficulties are clearly a consequence of the epilepsy or medications treating the epilepsy then, one could potentially expect improvements from surgery if the epilepsy itself could be "Cured" or at least dramatically improved. However, surgery can still be considered successful even if learning difficulties are not improved. ...Read more

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I would like to know can temporal resection surgery cure petit mal epilepsy.

I would like to know can temporal resection surgery cure petit mal epilepsy.

No: Petit mal is a generalized epilepsy usually seen in children. It responds to Ethosuccamide or Depakote. It resolves on its own by age 14 in virtually all boys and most girls. Perhaps you are thinking of Complex Partial Epilepsy which sometimes can be treated with anterior temporal surgery (if the seizure focus is in that anterior temporal lobe) ...Read more

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What does it mean for my doctor to tell me that i'm "a perfect candidate for epilepsy surgery"?

What does it mean for my doctor to tell me that i'm "a perfect candidate for epilepsy surgery"?

Potentially curable: It usually means they have located a specific area of the brain that triggers the seizure, and they can remove that area with a low complication rate. As a result, it's possible to be cured. ...Read more

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Can surgery control epilepsy?

Can surgery control epilepsy?

Yes: Surgery is an alternative for some people whose seizures cannot be controlled by medications. ...Read more

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Dr. Andrew Reeves
687 doctors shared insights

Epilepsy (Definition)

A neurological disorder where nerve cells of the brain are injured, epilepsy results in seizures that range from nearly undetectable to extremely vigorous. Causes of epilepsy include genetics, head trauma, prenatal ...Read more


Dr. William Singer
1,048 doctors shared insights

Seizure Disorder (Definition)

Seizure disorder also known as epilepsy, is a neurological condition in which the brain's abnormal electrical activity causes muscular convulsions and altered mental states. Epilepsy is diagnosed when an individual has ...Read more