Epilepsy surgery saves lives

Epilepsy surgery is not a last resort and can be life-saving for children with drug-resistant epilepsy. Recent studies show that surgery can not only control or reduce seizures better than medication alone, but also reduces the risk of death, improves quality of life, and can help children thrive.

Talking about surgery can feel scary. But you’re not alone.

We know it’s frightening to think that epilepsy can be fatal. And we know that the idea of surgery can feel scary, too. But it’s important for parents to get the facts.

It’s time to talk about how epilepsy surgery can save lives.

83%

83%

Cranial epilepsy surgery lowers the risk of death

For children with drug-resistant epilepsy, a large study found that having cranial epilepsy surgery (when appropriate) plus medication is linked to an 83% lower chance of dying over the next 10 years compared with medication alone.

That’s a major drop in risk that can change a child’s future.

Vagus nerve stimulation also lowers the risk of death

If a child isn’t a candidate for cranial surgery, there is still meaningful help: vagus nerve stimulator implantation (VNS) plus medication was linked to a 35% lower chance of dying over 10 years compared with medication alone.

Bottom line: once two anti-seizure medicines have failed, ask about a prompt evaluation at a comprehensive epilepsy center. The team can determine which surgical therapy is the safest, most effective next step for your child.

35%

When seizures don’t respond to medication, the risk of sudden unexpected death in epilepsy (SUDEP) is higher. Epilepsy surgery can reduce that risk by about two-thirds — making it three times smaller.

THREE

TIMES

SMALLER

 

What long-term survival looks like at ten years after treatment

89%

Medication only

89 out of 100 children are alive.

93%

VNS + medication

93 out of 100 are alive.

98%

Cranial epilepsy surgery + medication

98 out of 100 are alive.

Most kids try medicine first. If two medicines don’t stop the seizures, doctors call it drug-resistant epilepsy. And medical guidelines say that’s the moment to ask for a surgical evaluation.
Not months or years later.

Stop.

If your child’s seizures aren’t controlled after trying two medications, stop and take notice.

This is called drug-resistant epilepsy and it means it’s time to look at other options.

Think.

Typography

Think about what a lifetime of uncontrolled seizures mean for your child’s safety, learning, and future.

Epilepsy surgery isn’t a last resort. It’s a powerful treatment that can save lives.

Ask.

Ask your child’s neurologist for a referral for surgical evaluation at an experienced comprehensive epilepsy center.

It doesn’t mean you’ve decided your child will have surgery. It means experts will take a closer look to see if it could help.

Surgery can be life-saving

Many families are told there’s “nothing more to do.” Learn how epilepsy surgery can offer real hope, even for kids with complex, drug-resistant epilepsies. Watch this video to learn about all the research that shows the life-saving nature of epilepsy surgery. Experts and parents share what signs to look for, how evaluations work, and why it’s never too early to ask about surgery.

A smiling mother holding her child

Long-Term Seizure Control Means A Better Quality of Life

Research also shows that better seizure control after epilepsy surgery means less risk of injury, fewer emergency hospital visits, and a lower chance of early death.

Get Referred Early

If your child’s seizures continue after trying two medications, it’s time to ask for a surgical evaluation. Early evaluation can be life-changing and improve your child’s quality of life.

consider surgery

Children with uncontrolled seizures face a higher risk of death. Epilepsy surgery dramatically reduces this risk and can helps kids live longer, healthier lives.

Get Connected

Talk to a parent or caregiver who’s been there. We’re here to help you navigate the journey and connect you with important resources. Get help today.

Casadei CH, Carson KW, Mendiratta A, Bazil CW, Pack AM, Choi H, Srinivasan S, McKhann GM 2nd, Schevon CA, Bateman LM. All-cause mortality and SUDEP in a surgical epilepsy population. Epilepsy Behav. 2020 Jul;108:107093. doi: 10.1016/j.yebeh.2020.107093. Epub 2020 May 11. PMID: 32402704; PMCID: PMC8114948

Dwivedi R, Ramanujam B, Chandra PS, Sapra S, Gulati S, Kalaivani M, Garg A, Bal CS, Tripathi M, Dwivedi SN, Sagar R, Sarkar C, Tripathi M. Surgery for Drug-Resistant Epilepsy in Children. N Engl J Med. 2017 Oct 26;377(17):1639-1647. doi: 10.1056/NEJMoa1615335. PMID: 29069568.

Jehi L, Jette N, Kwon CS, Josephson CB, Burneo JG, Cendes F, Sperling MR, Baxendale S, Busch RM, Triki CC, Cross JH, Ekstein D, Englot DJ, Luan G, Palmini A, Rios L, Wang X, Roessler K, Rydenhag B, Ramantani G, Schuele S, Wilmshurst JM, Wilson S, Wiebe S. Timing of referral to evaluate for epilepsy surgery: Expert Consensus Recommendations from the Surgical Therapies Commission of the International League Against Epilepsy. Epilepsia. 2022 Oct;63(10):2491-2506. doi: 10.1111/epi.17350. Epub 2022 Jul 17. PMID: 35842919; PMCID: PMC9562030.

Kwan P, Arzimanoglou A, Berg AT, Brodie MJ, Allen Hauser W, Mathern G, Moshé SL, Perucca E, Wiebe S, French J. Definition of drug resistant epilepsy: consensus proposal by the ad hoc Task Force of the ILAE Commission on Therapeutic Strategies. Epilepsia. 2010 Jun;51(6):1069-77. doi: 10.1111/j.1528-1167.2009.02397.x. Epub 2009 Nov 3. Erratum in: Epilepsia. 2010 Sep;51(9):1922. PMID: 19889013.

Rheims S, Sperling MR, Ryvlin P. Drug-resistant epilepsy and mortality—Why and when do neuromodulation and epilepsy surgery reduce overall mortality. Epilepsia. 2022; 63: 30203036.

Ryvlin P, So EL, Gordon CM, et al. Long-term surveillance of SUDEP in drug-resistant epilepsy patients treated with VNS therapy. Epilepsia. 2018; 59: 562572. https://doi.org/10.1111/epi.14002

Zhang, Lu et al. Hall M, Lam, S Comparison of long-term survival with continued medical therapy, vagus nerve stimulation, and cranial epilepsy surgery in paediatric patients with drug-resistant epilepsy in the USA: an observational cohort study. The Lancet Child & Adolescent Health, Volume 7, Issue 7, 455 – 462.

Suresh H, Ibrahim GM. Medicate or operate: epilepsy surgery could save lives. Lancet Child Adolesc Health. 2023 Jul;7(7):442-443. doi: 10.1016/S2352-4642(23)00129-3. Epub 2023 Jun 2. PMID: 37276876.

Casadei CH, Carson KW, Mendiratta A, Bazil CW, Pack AM, Choi H, Srinivasan S, McKhann GM 2nd, Schevon CA, Bateman LM. All-cause mortality and SUDEP in a surgical epilepsy population. Epilepsy Behav. 2020 Jul;108:107093. doi: 10.1016/j.yebeh.2020.107093. Epub 2020 May 11. PMID: 32402704; PMCID: PMC8114948

Dwivedi R, Ramanujam B, Chandra PS, Sapra S, Gulati S, Kalaivani M, Garg A, Bal CS, Tripathi M, Dwivedi SN, Sagar R, Sarkar C, Tripathi M. Surgery for Drug-Resistant Epilepsy in Children. N Engl J Med. 2017 Oct 26;377(17):1639-1647. doi: 10.1056/NEJMoa1615335. PMID: 29069568.

Jehi L, Jette N, Kwon CS, Josephson CB, Burneo JG, Cendes F, Sperling MR, Baxendale S, Busch RM, Triki CC, Cross JH, Ekstein D, Englot DJ, Luan G, Palmini A, Rios L, Wang X, Roessler K, Rydenhag B, Ramantani G, Schuele S, Wilmshurst JM, Wilson S, Wiebe S. Timing of referral to evaluate for epilepsy surgery: Expert Consensus Recommendations from the Surgical Therapies Commission of the International League Against Epilepsy. Epilepsia. 2022 Oct;63(10):2491-2506. doi: 10.1111/epi.17350. Epub 2022 Jul 17. PMID: 35842919; PMCID: PMC9562030.

Kwan P, Arzimanoglou A, Berg AT, Brodie MJ, Allen Hauser W, Mathern G, Moshé SL, Perucca E, Wiebe S, French J. Definition of drug resistant epilepsy: consensus proposal by the ad hoc Task Force of the ILAE Commission on Therapeutic Strategies. Epilepsia. 2010 Jun;51(6):1069-77. doi: 10.1111/j.1528-1167.2009.02397.x. Epub 2009 Nov 3. Erratum in: Epilepsia. 2010 Sep;51(9):1922. PMID: 19889013.

Rheims S, Sperling MR, Ryvlin P. Drug-resistant epilepsy and mortality—Why and when do neuromodulation and epilepsy surgery reduce overall mortality. Epilepsia. 2022; 63: 30203036.

Ryvlin P, So EL, Gordon CM, et al. Long-term surveillance of SUDEP in drug-resistant epilepsy patients treated with VNS therapy. Epilepsia. 2018; 59: 562572. https://doi.org/10.1111/epi.14002

Zhang, Lu et al. Hall M, Lam, S Comparison of long-term survival with continued medical therapy, vagus nerve stimulation, and cranial epilepsy surgery in paediatric patients with drug-resistant epilepsy in the USA: an observational cohort study. The Lancet Child & Adolescent Health, Volume 7, Issue 7, 455 – 462.

Suresh H, Ibrahim GM. Medicate or operate: epilepsy surgery could save lives. Lancet Child Adolesc Health. 2023 Jul;7(7):442-443. doi: 10.1016/S2352-4642(23)00129-3. Epub 2023 Jun 2. PMID: 37276876.

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