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Medical Forum / Diseases and Disorders / Epilepsy / April 2005

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post-surgical depression

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turbinado - 06 Apr 2005 00:28 GMT
Hello everyone:
I'm wondering if anyone on the group has any experience with post-surgical
depression.
I had my right temporal lobectomy a month ago, and the depression hit me
after about two week and seems to be getting worse in the last few days. The
neuro wants to put me on antidepressants, but I'd rather wait a couple of
weeks at least and see if it gets better.
I have had several experiences with depression during my life, but this has
been by far the worst.
Does anyone have any thoughts on this?
Chris aka Rewired - 06 Apr 2005 00:53 GMT
I had my right hippocampus removed 6 yrs ago and had a little. i would
wait for atleast 8 weeks to see how it goes. I notice that I get
depressed eaiser now than I did before my surgery.

Chris
G.Ross - 06 Apr 2005 16:40 GMT
> Hello everyone:
> I'm wondering if anyone on the group has any experience with post-surgical
[quoted text clipped - 8 lines]
> been by far the worst.
> Does anyone have any thoughts on this?

So far as I could tell from earlier posts as you were approaching the
surgery date, etc.  this is a Doctor who you trusted?   Since we haven't
heard yet from many others who've had that surgery (I haven't),  I wondered
why not let him put you on an antidepressant on a temporary basis?   You can
ask if it's one that's *not likely to be 'addictive' or hard to phase off
after your body has finished adapting to the surgery,  but why not get some
relief if it might help you sleep better, relax more and thus heal quicker?
It would help your concentration if you're able to sleep through the night,
and might even help the post surgery? period to heal quicker if you're more
relaxed?

  I'm not a 'pill pusher', but use regular Anti Ep Drugs  to control the
type of Complex Partial seizures I have and they enable me to go out and
function without wondering if 'this is the day'  I'll have a seizure, since
they're now essentially non-existent.
  If you knew what the pill was, you could look it up or talk to your
pharmacist about it, as well as the Doctor.   They'd also be better able to
suggest how long you might have to take it, but also whether the feelings
you are having is a normal side effect of the post-surgery period you're in.
G./
Mary Fisher - 06 Apr 2005 20:53 GMT
> Hello everyone:
> I'm wondering if anyone on the group has any experience with post-surgical
[quoted text clipped - 8 lines]
> been by far the worst.
> Does anyone have any thoughts on this?

No, except that I'm so sorry to read this, you were so hopeful - and we all
were for you.

I do hope it will get better. I don't think there's any point in trying to
do anything about it, just wallow until it goes away. But I'm talking from
the base of no experience.

Do keep in touch ...

Hugs,

Mary
CyberCafe - 07 Apr 2005 01:31 GMT
> Hello everyone:
> I'm wondering if anyone on the group has any experience with post-surgical
[quoted text clipped - 6 lines]
> been by far the worst.
> Does anyone have any thoughts on this?

Haven't had that problem following surgery, but that was for gallbladder removal
and not brain surgery.  I take Celexa, a SSRI type of anti-depressant.  Some of
these antidepressants, including Celexa, take a really, really long time to
work.  Sometimes, it is hard going off of them unless it's a carefully managed
method.

Fifteen years ago when they put me on Tegretol, it worked as a mood elevator
and, boy, I was a very happy person.  If there is such a thing as too happy,
that was me on Tegretol.  Celexa is just totally different for me.  It has not
turned me into a happy-go-lucky person but just gotten rid of the misery, the
feeling down, and has really improved my daily living functioning.  That massive
depression after seizures is also unbelievably better.  I'm not endorsing or
suggesting any particular medication to anyone though.

Some of the medical research found on the internet indicates depression
following temporal lobectomy is fairly common, however, it sounds like many of
these patients also had depression at some point prior to the surgery (but a
large percentage of people lost their depression too).  That doesn't mean
depression should be accepted or ignored.  At this point, I have not found a
clear answer why this happens although the location in proximity to the the
parts of the brain related to emotion could be affected or there could be
changes to things like the metabolic function.  .

I just want to assure you that antidepressants don't have to be a bad thing.
Personally, I would prefer not to spend money on them or any medication for that
matter.  The Celexa does greatly improve my ability to function though, and that
includes being much more productive in my work, so I guess the money issue
balances out.

Depression is so darned spooky though that I would be scared to take a chance
trying to go without medication or using unproved methods (like herbals).  I
mean, you can get really, really bad very, very fast.  I think it's also hard to
recognize in yourself when you've reached a danger point.

Boy, I hope you can get some relief, and you did the right thing coming here to
talk about it.

Barb
turbinado - 15 Apr 2005 02:39 GMT
> Hello everyone:
> I'm wondering if anyone on the group has any experience with post-surgical
[quoted text clipped - 6 lines]
> been by far the worst.
> Does anyone have any thoughts on this?

At last the depression is starting to lift, so it looks like I won't need
antidepressants. I go back to work next week. It's been 6 weeks since the
surgery and no seizure so far! :)
Before, I was getting at least one or two per week.
G.Ross - 15 Apr 2005 03:30 GMT
>> Hello everyone:
>> I'm wondering if anyone on the group has any experience with
[quoted text clipped - 14 lines]
> surgery and no seizure so far! :)
> Before, I was getting at least one or two per week.

How's 'everything else' so far as you can tell.  Are all the other symptoms
you might have had before gone too?  (I don't remember if you had auras, or
other symptoms, like we were discussing this week on another message
thread.)
  Did they start reducing any of the pills you were taking? or do you keep
taking those for a while after?    (This surgery stuff is new to me, so I
didn't know what they do when the main operation is done with.  There are
probably others around who wonder how the follow on and recovery goes too.
I also don't remember any pills you were taking to try get control, unless
it was 'my' tegretol.  )
   Now you'll have to stick around, as someone who's had experience with
this type of surgery, so newly diagnosed people who are recommended for
surgery can learn what to expect....    G./
turbinado - 16 Apr 2005 01:22 GMT
> > At last the depression is starting to lift, so it looks like I won't need
> > antidepressants. I go back to work next week. It's been 6 weeks since the
[quoted text clipped - 14 lines]
> this type of surgery, so newly diagnosed people who are recommended for
> surgery can learn what to expect....    G./

I haven't had any auras either - I was getting those both before a seizure
and by themselves once in awhile.
The doctors don't want me to start reducing for at least one year,
preferably two. I was hoping to at least lower the dose a bit (I'm now on
1000 mg Tegretol per day), but the neuro said I shouldn't.
I am healing up quite well and my eye is almost back to normal (the one on
the side of the surgery had been out of sync with the other one for a few
weeks afterward).
I'll stick around and try to be useful!
Liz & Allan MacDonald - 15 Apr 2005 15:52 GMT
> At last the depression is starting to lift, so it looks like I won't need
> antidepressants. I go back to work next week. It's been 6 weeks since the
> surgery and no seizure so far! :)
> Before, I was getting at least one or two per week.

Hilary, that's fantastic news!
Liz
turbinado - 16 Apr 2005 01:23 GMT
Thanks Liz! You've been very supportive.

> > At last the depression is starting to lift, so it looks like I won't need
> > antidepressants. I go back to work next week. It's been 6 weeks since the
[quoted text clipped - 3 lines]
> Hilary, that's fantastic news!
> Liz
Mary Fisher - 15 Apr 2005 15:57 GMT
> At last the depression is starting to lift,

Oh good!

> so it looks like I won't need
> antidepressants. I go back to work next week. It's been 6 weeks since the
> surgery and no seizure so far! :)
> Before, I was getting at least one or two per week.

That sounds great, I hope it continues. You might have setbacks though,
don't be too complacent! Enjoy the freedom while it's there :-) I'm sure we
all hope that it continues. You'r a great example for us.

Mary
turbinado - 16 Apr 2005 01:18 GMT
> > At last the depression is starting to lift,
>
[quoted text clipped - 10 lines]
>
> Mary

Thanks, Mary! :)
 
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