Surgery can cure epilepsy, but it’s rarely used. For example, in the United States, only about 1% of people with epilepsy will ever be evaluated for surgery, and fewer than that undergo it. At the same time, some centers oversell surgery, offering it to patients without explaining the full range of consequences.

What is the future of epilepsy surgery?
 

In India, the Community Interventions For Epilepsy (CIFE) trial has enrolled 255 people with epilepsy in impoverished communities. They are randomized to receive either usual care, or monthly visits in their homes from primary health care personnel, who provide epilepsy medications, education and counseling. The hope is to improve medication adherence, reduce stigma and promote self-management.

Read more about CIFE

Also in the Fall 2018 issue of Epigraph:

Epilepsy in the emergency department: Too much neuroimaging?

Time is Brain: Treating status epilepticus

Closing the knowledge and treatment gaps in neonatal seizures

Considering Confucious: Overcoming the stigma of epilepsy in Asia

Alzheimer’s and epilepsy: Intimate connections

Does caffeine influence seizures? Watch the video

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