Dr.Sanjay Mongia
has done his Neurosurgical training from National Institute of Mental
Health and Neurosciences (NIMHANS ) Bangalore, India . He currently
operate out of Premier Health Institutes in Mumbai & Delhi. He has
15 yrs of Neurosurgical experience. He is specialized
in Deep Brain Stimulation for Parkinson’s disease, Epilepsy Surgery ,
Vagal nerve Stimulation for Depression , Surgery for Obsessive
Compulsive Disorder ,Gamma Knife Surgery & Spinal Surgery
. He has worked in premier Neuro Surgical Institutes in Canada , USA
& Europe focusing on recent advances in cutting edge Neurological
Sciences . He aslo does Gamma Knife Radiosurgery (Non Invasive Neuro Surgical Technique )
for the management of Brain tumors , Vascular disorders &
Functional disorders . He has designed 2 websites to educate the Public
on Neurological diseases www.neurosurgeon.co.in & www.gammaknife.in . Epilepsy is a common chronic neurological disorder that is characterized by recurrent unprovoked seizures.
These seizures are transient signs and/or symptoms due to abnormal,
excessive or synchronous neuronal activity in the brain. About 50
million people worldwide have epilepsy at any one time. Epilepsy is
usually controlled, but not cured, with medication, although surgery
may be considered in difficult cases. Epilepsy should not be understood
as a single disorder, but rather as a group of syndromes with vastly
divergent symptoms but all involving episodic abnormal electrical
activity in the brain.
In
the majority of patients with epilepsy, seizures can be well controlled
with appropriate medication. However, current estimates indicate that
20 - 30% of patients with epilepsy are refractory to all forms of
medical therapy. These medically intractable patients are candidates
for surgical treatment in an attempt to achieve better seizure control.
Another group of patients who might benefit are those whose seizures
may be relatively well controlled but who have certain characteristic
presentations or lesions that strongly suggest surgical intervention
might be curative. Clinical data suggests that continued medical
therapy after failure to control seizures with aggressive trials of
antiepileptic drugs (AEDs) is not optimal treatment of certain forms of
epilepsy. In addition, surgery yields a better quality of life
and reduced depression and anxiety as soon as 3 months after surgery
compared with continued medical therapy. This improved quality of life is specifically related to the occurrence of complete seizure freedom .