Your trusted center for Neurology & Epilepsy Care. Know what to expect when seeking urgent neurological help..
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Pre-Surgical Evaluation
For patients with drug-resistant epilepsy, surgery may offer the best chance for long-term seizure control. However, before any surgical decision is made, a comprehensive pre-surgical evaluation is essential to precisely identify where seizures originate in the brain and determine whether surgery can be performed safely and effectively.
Dr. Seema Shahi and her team perform a detailed, step-by-step pre-surgical workup to ensure accurate diagnosis and optimal surgical outcomes.
Comprehensive Assessment Process
Our pre-surgical evaluation includes advanced diagnostic testing and multidisciplinary analysis to map seizure activity and brain function. The key components include:
- Video EEG Monitoring: Continuous brain activity recording to capture and analyze seizures in real-time.
- High-Resolution MRI / CT Scan: Identifies structural brain abnormalities that may cause seizures.
- Functional Mapping (fMRI / PET / SPECT): Locates essential brain regions involved in speech, movement, and memory.
- Stereo EEG (SEEG): A minimally invasive procedure to pinpoint deep-seated seizure origins.
- Neuropsychological Testing: Evaluates memory, language, and cognitive functions to predict post-surgical outcomes.
Personalized Surgical Planning
Following the evaluation, our multidisciplinary epilepsy team — including neurologists, neurosurgeons, radiologists, and neuropsychologists — reviews all findings to determine the safest and most effective surgical strategy for each patient.
This individualized approach ensures that only patients who are likely to benefit from surgery are recommended for the procedure, while others receive optimized medical or neurostimulation-based alternatives.
Goal of Pre-Surgical Evaluation
The purpose of pre-surgical evaluation is simple — to identify the exact seizure focus while preserving brain functions such as speech, memory, and movement.
Through precise analysis and teamwork, Dr. Seema Shahi ensures the best possible outcomes and improved quality of life for every patient.
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Dr. Seema Shahi
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