About Lesionectomy
Key Highlights
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Targeted removal of a specific brain abnormality causing seizures or symptoms.Can be curative for drug-resistant focal epilepsy when the lesion is the sole source.Preserves surrounding healthy brain tissue to minimize functional deficits.Utilizes advanced imaging (MRI, fMRI) and neuro-navigation for precision.May reduce or eliminate the need for long-term anti-seizure medications.Offers a potential for significant improvement in quality of life and neurological function./ul
Who is this surgery for?
- Drug-resistant focal epilepsy (epilepsy not controlled by medication) with a well-defined structural lesion.
- Brain tumors (e.g., low-grade gliomas, gangliogliomas) that are causing seizures.
- Vascular malformations like cavernomas or arteriovenous malformations (AVMs).
- Focal cortical dysplasia or other malformations of cortical development.
- Scar tissue (gliosis) from a prior injury or infection that is epileptogenic.
- Lesions causing progressive neurological deficits or mass effect.
How to prepare
- Comprehensive pre-operative evaluation including high-resolution MRI and often video-EEG monitoring to pinpoint the seizure focus.
- Functional MRI (fMRI) or Wada test may be used to map critical brain functions like speech and movement.
- Review and possible adjustment of anti-seizure medications under neurologist guidance.
- Complete medical check-up, blood tests, and cardiac evaluation to ensure fitness for surgery.
- Discussion with the neurosurgical team about the procedure's goals, risks, and expected outcomes.
- Fasting as instructed prior to the surgery, typically from midnight.
Risks & possible complications
- General risks of brain surgery: infection, bleeding (hematoma), and reactions to anesthesia.
- New or worsened neurological deficits, such as weakness, numbness, speech difficulties (aphasia), or vision problems.
- Risk of stroke or damage to critical blood vessels.
- Persistent or new-onset seizures post-surgery.
- Cerebrospinal fluid (CSF) leak.
- Swelling of the brain (edema).
- Risks associated with the specific location of the lesion (e.g., memory issues if near the temporal lobe).
Recovery & hospital stay
- Initial recovery in an intensive care or high-dependency unit for close neurological monitoring.
- Hospital stay for pain management, monitoring for complications, and gradual mobilization.
- Medications to prevent seizures, swelling, and infection will be administered.
- Gradual resumption of activities; strenuous activity and heavy lifting are restricted for several weeks.
- Follow-up appointments with the neurosurgeon and neurologist to assess recovery and manage medications.
- Possible referral to physical, occupational, or speech therapy for rehabilitation if needed.
- Seizure diary maintenance is important to track post-operative outcomes.
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Typical hospital stay: 5-10 days
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Expected recovery time: 4-8 weeks for initial recovery; 3-6 months for full assessment of outcomes
Frequently Asked Questions
If you are considering lesionectomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for lesionectomy in India include Miot Hospital Chennai, Cytecare Hospital, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform lesionectomy. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for lesionectomy compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 250 Thousand – 800 Thousand | 5-10 days | ~ 4-8 weeks for initial recovery; 3-6 months for full assessment of outcomes | Know More |
| Turkey | TRY 875 Thousand – 2.8 Million | 5-10 days | ~ 4-8 weeks for initial recovery; 3-6 months for full assessment of outcomes | Know More |
Top hospitals for Lesionectomy in India
These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing lesionectomy.
Rahul Verma, a 42-year-old software engineer...
Rahul Verma, a 42-year-old software engineer and father of two, had his life upended by focal aware seizures. For three years, he would experience sudden, intense episodes of déjà vu and a rising epigastric sensation, followed by unresponsiveness for 30 seconds. These 'absences' happened multiple times a week, causing him to lose his driver's license and live in constant anxiety of having a seizure during a client meeting. Extensive testing, including a prolonged video-EEG monitoring, pinpointed a small, benign-looking lesion in his right temporal lobe as the source. His neurologist and neurosurgeon recommended a lesionectomy, explaining it offered the best chance to become seizure-free without impacting his speech or memory. The surgery itself, under general anesthesia, lasted four hours. The immediate post-op period in the ICU was daunting, with headache and nausea, but he was alert and speaking. Within days, he was walking the ward. The pathology confirmed a benign ganglioglioma. Six months later, Rahul is seizure-free and off all medication. The emotional shift has been profound, from the shame and fear of his unpredictable condition to a regained sense of control and safety. He is back at work full-time and cherishes the simple joy of driving his kids to school, a freedom he thought he'd lost forever.
Neurosurgeons for Lesionectomy
Explore experienced neurosurgeons who regularly perform lesionectomy and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurosurgeon
Miot Hospital Chennai, Chennai
- 22 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Whitefield, Bangalore
- 29 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Mysore, Mysore
- 15 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada