First-Line Treatment: Anti-Epileptic Drugs (AEDs)

For nearly 70% of people with epilepsy, seizures can be effectively controlled with medications known as Anti-Epileptic Drugs (AEDs). These medications stabilize brain activity and reduce the frequency and intensity of seizures.

Commonly Used AEDs:

Carbamazepine

Levetiracetam

Valproic acid

Lamotrigine

Topiramate

Personalized treatment is essential, as the choice of medication depends on the type of epilepsy, age, gender, and side effect profile.

When Medication Isn't Enough: Drug-Resistant Epilepsy (DRE)

If a patient continues to have seizures despite trying two or more AEDs, it is termed drug-resistant epilepsy. In such cases, further evaluation and advanced treatment options are considered.

Dr. Vivek Barun specializes in managing such complex cases with a comprehensive epilepsy workup including:

Video EEG Monitoring

MRI Brain with Epilepsy Protocol

PET/SPECT Imaging

Neuropsychological Testing

Advanced Treatment Options Beyond Medication

Surgical intervention can be a life-changing option for people with localized seizure origins (focal epilepsy). Procedures include:

Temporal Lobectomy – For seizures originating in the temporal lobe

Lesionectomy – Removal of structural brain abnormalities

Corpus Callosotomy – For drop attacks

Hemispherectomy – In select pediatric cases

Surgery is considered only after thorough evaluation and mapping of seizure focus.

Vagus Nerve Stimulation (VNS)

VNS involves implanting a device that sends electrical impulses to the vagus nerve, helping reduce seizure frequency and intensity. It is ideal for patients who are not candidates for surgery but need additional seizure control.

Holistic and Lifestyle Approach

Dr. Vivek Barun also emphasizes the importance of:

Trigger avoidance (e.g., sleep deprivation, stress, flashing lights)

Regular follow-up and medication adherence

Counseling & mental health support

Rehabilitation and occupational therapy where needed

Why Choose Dr. Vivek Barun for Epilepsy Care?

Fellowship in Epilepsy from NIMS, Hyderabad

Advanced neurology training at Harvard Medical School

Expertise in Video EEG, presurgical evaluation, and drug-resistant epilepsy

Over a decade of experience treating complex neurological disorders

Conclusion

If you or a loved one is struggling with epilepsy, know that advanced, individualized treatment options are available today. From medications to minimally invasive surgery, epilepsy can be controlled—and in many cases, cured.

Don’t let seizures control your life. Seek expert care.