My doctor has given me 4 options for surgery for intractable epilepsy. Additional resection, I had prior partial TL resection & will not have another as 1 foci is near hippocampus.
This leaves 3 options: VNS,RNS, and laser ablation. He believes all have about a 50% chance of reducing my focal impaired/aware seizures. (I am currently on 5 AEDs.)
I would opt for the RNS but I have 4 foci and currently they are only able to treat two with the device, he explained the company plans to release a device which is able to treat 4 areas in the future (seems more sense to wait so I’m not sure why this is being included in the options)-Shelving this option for now.
This leaves me with:
I know nothing about the laser ablation and have seen little on here?
VNS is a possibility but since 90% of my seizures of are focal impaired I’m not sure if this is even feasible?
If anyone can give me their experience with focal seizures and laser ablation or VNS it would be greatly appreciated.