COVID-19 restrictions to remain in place at The Walton Centre

Restrictions remain in place across the NHS in relation to the COVID-19 pandemic. The safety measures in place over the 18 months therefore remain in place at The Walton Centre - and in our other clinic settings within the community – until further notice.

Due to the increased transmission risk posed by the Omicron variant, visiting has been suspended within The Walton Centre except for exceptional circumstances.

Epilepsy surgery

Service detail

The Walton Centre has one of the oldest and largest epilepsy surgery services in the country.

It undertakes a full range of invasive diagnostic procedures as well as therapeutic procedures.

 

Diagnosis

Surgery for epilepsy can be extremely successful, but can involve a lot of complex tests and evaluations before the neurosurgeon is happy to offer the patient definitive surgery – some of these investigations themselves involve operations.

Tests involved and offered include sophisticated imaging, often with functional MRI imaging; neuropsychological assessments; video surface EEG and on occasion operations to place depth electrodes to specific targets within the brain, and grids of electrodes placed over the brain. These allow the origin of the epilepsy to be located; a subsequent goal is to assess if this area of the brain can be removed without damage brain function.

 

Surgery 

If the source of the seizures can be located and that area of the brain can be removed without injuring function then surgery is possible.

Such procedures include:

  • Temporal lobectomy or selective procedure
  • Extra temporal removal of tissue shown to be epileptogenic
  • Hemispherectomy – in rare cases half the brain will be removed or disconnected
  • Lesional surgery
    • Tumours
    • AVMs
    • Cavernoma
    • Cortical dysplasias

If it is not possible to locate a single source of the seizures or the patient would suffer a neurological deficit as a consequence of removal of the epileptogenic brain then procedures can be carried out to modify the attacks, either their effect or to try to modify the electrical activity of the brain. Such procedures include

Awake craniotomies with neurophysiological monitoring to locate and preserve brain function, usually coupled with pre-operative functional localization by MRI – similar in principle to procedures carried out in oncology.

 

We perform different surgical procedures, including diagnostic testing, imaging, and surgical resections.

Surgical resections:

  • Temporal lobectomy
  • Extratemporal resections (frontal, occipital, parietal)
  • Lesionectomy
  • Resection for epilepsy in eloquent area.


Disconnection procedures:

  • Functional hemispherectomy
  • Corpus callosotomy
  • Multiple subpial transection


Neuromodulation for epilepsy:

  • Vagal nerve stimulation
  • Deep brain stimulation

 

Neurosurgeons:

Prof P Eldridge

Mr J Farah

 

 

Epilepsy surgery Consultants

Mr Jibril Osman Farah

Mr Jibril Osman Farah is a Consultant Neurosurgeon at The Walton Centre.

Page last updated: 05 September 2021