Epilepsy Surgery in Hyderabad
Advanced surgical treatment for drug-resistant epilepsy
Contact:+91-9778280044 •hellodr@drsayuj.info •Appointments
⚠️ When to Seek Immediate Emergency Care (Red Flags)
While epilepsy surgery is typically an elective procedure planned over time, certain seizure activities are medical emergencies that require immediate intervention to prevent brain damage or life-threatening complications.
Status Epilepticus
A seizure lasting more than 5 minutes, or multiple seizures without regaining consciousness in between. This is a life-threatening emergency.
First-Time Seizures
Any new-onset seizure in an adult requires urgent evaluation, especially if accompanied by confusion, fever, or a severe headache.
New Focal Deficits
Prolonged weakness, numbness, or inability to speak after a seizure (Todd's paralysis) that does not quickly resolve.
When is Epilepsy Surgery Considered?
Epilepsy surgery is considered when seizures are not adequately controlled with medications (drug-resistant epilepsy). Dr. Sayuj Krishnan works with a multidisciplinary team to evaluate patients and determine the best surgical approach for their specific condition.
The goal of epilepsy surgery is to reduce seizures, or stop them where possible, while preserving important brain functions.
Surgical Procedures We Offer
Laser Interstitial Thermal Therapy (LITT)
Minimally invasive laser ablation of epileptic focus using MRI-guided thermal therapy.
Benefits:
- • Minimal invasion
- • Precise targeting
- • Small burr-hole access
- • MRI-guided
Best Suited For:
Deep-seated lesions, small epileptic foci
Resection Surgery
Surgical removal of the epileptic focus with advanced mapping and monitoring techniques.
Benefits:
- • Direct removal of the focus
- • Comprehensive evaluation
- • Advanced monitoring
- • Multidisciplinary approach
Best Suited For:
Well-localized epileptic foci, accessible lesions
Vagus Nerve Stimulation (VNS)
Implantable device that stimulates the vagus nerve to reduce seizure frequency.
Benefits:
- • Non-destructive
- • Adjustable therapy
- • Gradual improvement
- • Minimal side effects
Best Suited For:
Multiple seizure types, failed resection
Comprehensive Pre-Surgical Evaluation
Diagnostic Tests
- • Video EEG monitoring
- • High-resolution MRI
- • PET/SPECT scans
- • Neuropsychological testing
- • Functional MRI (fMRI)
Team Evaluation
- • Epileptologist consultation
- • Neurosurgical assessment
- • Neuropsychology evaluation
- • Social work assessment
- • Multidisciplinary conference
Ready to take the next step?
What to discuss before Epilepsy Surgery
Credentials discussed in clinic: MBBS and DNB Neurosurgery. Germany-related training is a German observership in full endoscopic spine surgery (2024).
Clinical assessment
Examination and imaging
Suitability for this procedure is decided after history, neurological examination, and review of your MRI or CT — not from a published percentage.
Counselling
Risks and alternatives
If a procedure is considered, the visit covers expected recovery, alternatives including non-surgical care, and questions to ask before consent.
Next step
Book an OPD visit
Request a consultation to discuss your scans. Discharge timing and recovery are individual and are discussed after examination.
Recovery and Follow-up
Immediate Post-Operative
ICU monitoring, seizure control, neurological assessment, and pain management.
Hospital Stay
Typically 3-7 days depending on the procedure and recovery progress.
Long-term Follow-up
Regular EEG monitoring, medication adjustments, and seizure diary maintenance.
Frequently Asked Questions About Epilepsy Surgery
Frequently Asked Questions
Candidacy
Outcomes
Safety
Recovery
Evaluation
Procedures
Cost
Paediatric
Why Choose Dr. Sayuj Krishnan for Epilepsy Surgery
Consultant neurosurgeon
MBBS and DNB Neurosurgery. German observership in full endoscopic spine surgery (2024). Epilepsy surgery evaluation is planned with imaging and multidisciplinary review at Yashoda Hospital, Malakpet.
Multidisciplinary Approach
Every epilepsy surgery case is reviewed in a multidisciplinary team conference with epileptologists, neuropsychologists, and neuroradiologists before surgical decisions are made.
Advanced Surgical Options
One of the few centres in Hyderabad offering the complete spectrum of epilepsy surgery — LITT (laser interstitial thermal therapy), open temporal and extra-temporal resection, VNS implantation, and ROSA-guided SEEG electrode placement — ensuring each patient receives the most effective, least invasive approach.
Yashoda Hospital Infrastructure
NABH-accredited facility with dedicated video-EEG monitoring units (phase I & phase II), intraoperative 3T MRI, PET-CT scanning, ROSA robotic platform for SEEG, neurosurgical ICU with continuous EEG monitoring, and 24/7 emergency neurosurgery capabilities.
Related Services
Ready to Discuss Epilepsy Surgery Options?
Dr. Sayuj Krishnan provides expert evaluation and personalized treatment plans for drug-resistant epilepsy.
Visit Our Neurosurgery Clinics in Hyderabad
Expert neurosurgical care available at multiple convenient locations across Hyderabad.
Clinical References
- International League Against Epilepsy – Surgical Therapies
- Epilepsy Foundation – Epilepsy Surgery Overview
External links are provided for transparency and do not represent sponsorships. Each source was accessed on 19 Oct 2025.
Medically reviewed by Dr. Sayuj KrishnanConsultant Neurosurgeon, Yashoda Hospital MalakpetLast reviewed 19 October 2025
This information is for educational purposes only and should not replace professional medical advice. Please consult with Dr. Sayuj for personalized medical guidance.