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Medical Forum / Diseases and Disorders / Epilepsy / May 2005

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Surgery

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chris - 14 Oct 2003 15:07 GMT
Has anybody had/considered having surgery to stop their epilepsy? My
specialist has suggested it but I'm in two minds whether to have it.

Chris.
Liz & Allan MacDonald - 14 Oct 2003 17:54 GMT
> Has anybody had/considered having surgery to stop their epilepsy? My
> specialist has suggested it but I'm in two minds whether to have it.

Hi Chris,
I had a benign tumor removed from my right temporal lobe in July 1999
and am seizure-free on a low dose of medication.

There's a lot of testing to be done to determine whether you are a good
candidate for surgery, and having the tests does not oblige you to go
through with it.  Surgery may not even be appropriate for you.  If your
specialist has suggested it, find out what the first step is, and
remember that once you have all the information, only then can *you*
make the choice.

Feel free to email me privately.
Liz
Mary Fisher - 14 Oct 2003 18:20 GMT
> > Has anybody had/considered having surgery to stop their epilepsy? My
> > specialist has suggested it but I'm in two minds whether to have it.
>
> Hi Chris,
> I had a benign tumor removed from my right temporal lobe

Me too, in 1993. But it was to remove the tumour, not to stop epilepsy.

Mary
Dave ???? - 14 Oct 2003 19:21 GMT
Howdy Chris!

Go for it.
YOU CAN ALWAYS CHANGE YOUR MIND SOMEWHERE  DOWN THE TRACK AND SAY NO!
But this will at least get you started in the program.

I considered it and I entered the program.

Once you think that it may be a good idea you will go through an awesome
legion of tests.

Everything from psychological testing, to putting half of your brain to
sleep so that it can be determined which functions are performed in each
hemisphere, to long term monitoring, to the Wada test.

They had me doing a long term eeg monitoring test.
===========================
They fix you up same as they do for an eeg (run all of the wires into a box
that you wear around your neck). put a monitor in the room and film you 24
hours a day. (They let me close the door behind me when I went to the
bathroom but that was it.) Sponge baths in the bed.  I was there for 10
days.

Somebody else must always be in the room with you. Some programs provide
this supervision. Other programs make you find your own people to sit with
you (family, friends etc.)

===========================
The test was inconclusive so they decided to do an INVASIVE long term
monitoring.

They drilled 2 holes into my skull (one at each temple) and stuffed some
teflon strips through the holes, resting them flatly on the surface of my
brain. (3 strips through each hole, 4 diodes on each strip)

===========================

My doc told me that for surgery they had to know EXACTLY where the trouble
was. A regular eeg is about the same as sticking your ear against the wall
and trying to figure out, to the inch, exactly where the radio that you can
hear in the next room is located. (Your skull is like the wall.)  Invasive
monitoring is like having 2 people in the same room as the radio (they can
triangulate and get an exact location.)

===========================

It was at this point that I was disqualified as a potential candidate
because they found focii and triggers in both temporal lobes.

===========================
The Wada was to be the next test on my list. (If I've got the wrong neme for
this next test, please correct it.)

In the Wada test they:

1. Take a tube and insert it into the vein on the inside of the thigh.

2. Run it up your main veins to your heart.

3. Run it through your heart.

4. Once it's through your heart, they run it up the arteries, through the
chest, and up the neck into your brain.

===========================

I was quite a way down the path of testing... maybe a year or a year and a
half after I started the testing procedures before I was disqualified.

Signature

Dave ????
"Noli illigitemi carborundum decendus"

http://www.howdydave.com

> > Has anybody had/considered having surgery to stop their epilepsy? My
> > specialist has suggested it but I'm in two minds whether to have it.
[quoted text clipped - 12 lines]
> Feel free to email me privately.
> Liz
Andy - 17 Oct 2003 03:35 GMT
Hi Chris,

I had my right temporal lobe removed in 1993 to try and cure my
epilepsy.  And I can honestly say, hand on heart I do not regret going
down this path.  I take only minimal dosages of Tegretol Retard which
seems to keep everything under control.

The only pitfall (for me, anyway) is bad memory but I think anyone who
has Temporal Lobe epilepsy has that battle to fight anyway.

If you would like more info, mail me direct.

Andy

>> Has anybody had/considered having surgery to stop their epilepsy? My
>> specialist has suggested it but I'm in two minds whether to have it.
[quoted text clipped - 12 lines]
>Feel free to email me privately.
>Liz
Mike - 15 Oct 2003 00:59 GMT
Hi Chris, I had a left temporal lobectomy about 3 years ago.  Before the
surgery I had seizures a couple of times a year, about 6 months after the
surgery I had a couple within three weeks of each other (never had them that
close together) and since then I haven't had any.  There are some side
affects depending on what chunk of your grey matter they are chopping off so
be sure of what they are before proceeding.  If you want my story feel free
to write me.  Good luck.
Mike

> Has anybody had/considered having surgery to stop their epilepsy? My
> specialist has suggested it but I'm in two minds whether to have it.
>
> Chris.
Dave ???? - 17 Oct 2003 23:16 GMT
Howdy AGAIN Chris!

One of the things that worried me was memory loss.

It was pretty much of a crap-shoot. They told me:

"You will definately have some loss but we can't say what it will be. Worst
case scenario: some of your education may go to waste, maybe you won't be
able to recognize people, maybe your cognative thought process will be
effected... We can't say for sure..."

That gave me some tough alternatives to take into consideration. Especially
since they said that there was no absolute garantee that my seizures
wouldn't come back.

After all that, I decided to go for it but was disqualified.

Signature

Dave ????
"Noli illigitemi carborundum decendus"

http://www.howdydave.com

> Has anybody had/considered having surgery to stop their epilepsy? My
> specialist has suggested it but I'm in two minds whether to have it.
>
> Chris.
Jennifer Rudolph - 18 Oct 2003 13:59 GMT
I had surgery in 1993 to remove an AVM.  Like Dave, I also had the WADA
test.  They were going to try and embolize (freeze) the area where the AVM
was, however it was too progressed and ready to hemorage.
   Good luck.

Jennifer
> Has anybody had/considered having surgery to stop their epilepsy? My
> specialist has suggested it but I'm in two minds whether to have it.
>
> Chris.
Monkeyboy - 19 Oct 2003 23:25 GMT
Hi Chris,
I had a left temporal lobectomy in Aug of 2001.  It made my seizures worse
and increased my memory problems.  I now have both complex partial and
generalized tonic-clonic seizures.  I don't regret having the surgery
though, I just had bad luck.

Nick
***risk all, go extreme***

> Has anybody had/considered having surgery to stop their epilepsy? My
> specialist has suggested it but I'm in two minds whether to have it.
>
> Chris.
mick_476@comcast.net - 08 May 2005 23:59 GMT
>Has anybody had/considered having surgery to stop their epilepsy? My
>specialist has suggested it but I'm in two minds whether to have it.
>
>Chris.

Go to my web site. I have all the info on my surgeries. And yes, they
were successful. http://www.highego.com
G.Ross - 09 May 2005 00:07 GMT
Hi.  Unless you clicked on 'reply to sender and group' too, the original
senders may not still be subscribed here.  Their messages (2 different ones)
you replied to were originally posted in 2003 (see below).  They *might
still be reading, as some people stay subscribed even if they aren't still
active on the posting front.  But they might also like to see your site,
even after all this time, as I don't think we had more than 1 or 2 people
who had had surgery back then.   G./

*******************

>>Has anybody had/considered having surgery to stop their epilepsy? My
>>specialist has suggested it but I'm in two minds whether to have it.
[quoted text clipped - 3 lines]
> Go to my web site. I have all the info on my surgeries. And yes, they
> were successful. http://www.highego.com 
turbinado - 10 May 2005 00:08 GMT
> >Has anybody had/considered having surgery to stop their epilepsy? My
> >specialist has suggested it but I'm in two minds whether to have it.
[quoted text clipped - 3 lines]
> Go to my web site. I have all the info on my surgeries. And yes, they
> were successful. http://www.highego.com

I had a right temporal lobectomy 2 months ago and so far, it has been very
successful (no seizures since then - knock wood). I can't wait until my
neuro lets me reduce my meds - but he says I have to be seizure-free for at
least a year first.
beenthere@donethat.com - 10 May 2005 08:38 GMT
> > >Has anybody had/considered having surgery to stop their epilepsy? My
> > >specialist has suggested it but I'm in two minds whether to have it.
[quoted text clipped - 8 lines]
> neuro lets me reduce my meds - but he says I have to be seizure-free for at
> least a year first.

Dude, how's your post-op depression coming? Which meds are you on? I was
started on tri-leptal & dilantin (ugh), but then switched to lamictal.
What a godsend. No more drowsiness or mood swings (almost), plus it's
got cognitive benefits too (How cool is that.) My neuro told me that
anecdotally, people who have right tl surgery have a harder time with
bad memories & depression. I think it has to do with the amygdala. I
"remembered" and couldn't shake, not so much the memories themselves,
but the emotional load that went with them. Amazing how all that crap
came back (with a vengeance) even after 30 years.  I "finally had to
deal with all the anger/rage/betrayal/etc" for what happened when I was
in foster care and of course priests are the greatest guys in the world,
too. AREN"T THEY! Sunday was Mother's Day. I hadn't been to mother's
grave in 10 years and never was at my dad's. I stopped at grandmother's
& foster mom's, and my parents' graves too. I was a mess, but it felt
really good in a way. It was my choice, I didn't want to hold anything
back. I wanted to give what's left of my temporal lobe a real buzz. I
swear it felt like it glowed I overloaded it with so many memories and
emotions. But boy did I sleep peacefully Sunday night.
G.Ross - 10 May 2005 15:49 GMT
Some of what you're describing below *might be related to stuff I'll add
here about Temporal Lobes. Others might not be.
  But if you do searches, something that might help-->  The Temporal Lobes
used to be called 'The Seat of the Soul'  since they're where we store "Who
we Are" in-->  so someone with Severe damage to 1 or both the T.Lobes may
not be aware who they are, or at least during the szrs.

(You might find info. under Temporal Lobe Seizures --older name, or Complex
Partial Seizures -- newer term used at some sites that include T.L. but
other seizure types too within that topic. )

 *Most of us with T.Lobe seizures have varying levels of Memory trouble,
since they're also the short term memory buffers where New Learning or
Reading goes into Storage first,  then it's filed and sorted to other parts
for longer term memory.
  If it were severe enough you might not remember, e.g. how to get home or
where you lived!  'Normal mid range', I think I had, affected my *not being
able to read something short, and tell you *what I had just read --- try
learn how to use a computer with *That !!  :-<   A place where it Really
stands out, is have someone read you e.g. 4 numbers, then You tell them back
to them Backward!! (Like 3, 7, 11, 23 ---  not Long numbers.)  Those ones
Really stood out when I was first diagnosed and **before I had any
seizures -- it was from the Damage in Right Temporal Lobe.
   I don't know how seizures or damage to *left Temporal Lobe might differ
from that. /G.

>> > >Has anybody had/considered having surgery to stop their epilepsy? My
>> > >specialist has suggested it but I'm in two minds whether to have it.
[quoted text clipped - 28 lines]
> swear it felt like it glowed I overloaded it with so many memories and
> emotions. But boy did I sleep peacefully Sunday night.
Cortex - 10 May 2005 19:16 GMT
> Some of what you're describing below *might be related to stuff I'll add
> here about Temporal Lobes. Others might not be.
[quoted text clipped - 35 lines]
> >> at
> >> least a year first.

Go figure. I had _right_ tl surgery (that mesial bs). Pre-op I was left-
dominant/right handed). Post-op I now write, tie my shoes, etc (hmm)
left handed/right dominant. I even learned to juggle. My memory, sense
of balance, and sense of rhythm are all improved. In hindsight, memory
problems pre-op were probably caused by the Topamax <smile>. Not a
joke;I remember the gestalt about people. My interactions with them in
the past (long term mem). How I feel about them; friend/lover/foe;
rather than the predicted post-op "flat affect"/indifference (limbic
system). If I had a memory problem, it was what I call "facial" memory.
Sometimes I wouldn't recognize people; wife, kids, parents, friends,
etc. But I would recognize my wife from the shoulders down; by her
fleece jacket, purse, and shoes. Or friends by what they were doing. The
guy who stopped his bus when he saw me, then started running at me to
give me a hug (cuz he hasn't seen me in a while) has got to be Tom. My
boyhood friend is in a band. The band is named after him. When I saw
them play once I didn't recognize him. (OK, there's two black guys up on
stage. The black guy with the guitar has to be Freddy.) Told the neuro
about it and was told: "That makes perfect sense. That's right where
your scar tissue is." Post-op, I also didn't "lose music" or
"religiousosity(sp)". Religious-osity is a fancy neuro word for belief
in god/gods, reverence, awe, etc. If you want to get your dharma back in
sync/feel like Jesus' son, there are ways, but you have to follow your
own path. I think one of the organelles they pulled has to do with
"substance" inhibition, or lack of it. It's been called, not by me
either (google it) the "addiction hub/controller" of the brain;
somewhere in the TL. Hey, my path leads to the desert. I have religious
experiences all the time. I can become one with the godhead without even
going to temple. I joke with my contemporaries that I have surgery just
for the anesthetics. How special is that? oK.
Mary Fisher - 24 May 2005 11:32 GMT
"Cortex" <BenThere@DoneThat.com> wrote in message
news:MPG.1ceab692f14762fa989687@news->>

> Go figure. I had _right_ tl surgery (that mesial bs). ... Post-op I... I
> even learned to juggle.

I'd love to juggle, have tried for 66 years ... no surgery or any other life
experience or practice has helped :-(

Well done!

Mary
turbinado - 12 May 2005 01:40 GMT
> > I had a right temporal lobectomy 2 months ago and so far, it has been very
> > successful (no seizures since then - knock wood). I can't wait until my
[quoted text clipped - 19 lines]
> swear it felt like it glowed I overloaded it with so many memories and
> emotions. But boy did I sleep peacefully Sunday night.

Glad to hear that you're coping.
I had pretty severe depression for several weeks, but it seems to be getting
better now(with a bit of counselling) so I don't have to resort to
antidepressants. It's much like you describe - old painful memories coming
back and making me feel all the emotions I had back then (20 years ago or
more). I'm also a lot more sensitive to just about everything - even a song
on the radio can make me start crying (my surgeon calls it the "sad movie
syndrome"), and I'm a bit more irritable than usual.
To answer your question, I'm on Tegretol 1000 mg/day.
Chris aka Rewired - 13 May 2005 02:33 GMT
Chris,
I had the VNS implanted in 1990 and the right hippocampus removed in
1999. The VNS is a good device, but my seizures didn't respond all that
great with it. The brain surgery in 1999 has taken my seizures from
over 1000/yr to about 1 maybe 2 a yr.

I'll be glad to talk to you about it if you like.

Chris
 
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