Late relapses of epileptic seizures after surgical treatment of epilepsy: a clinical case

INTRODUCTION . Surgical treatment of drug-resistant epilepsy does not always allow to completely get rid of epileptic seizures. Relapses of seizures can occur both early and late after surgery. AIM . To analyze a clinical case of late relapse of epileptic seizures after surgical treatment of drug-resistant epilepsy. MATERIALS AND METHODS . The results of surgical treatment of a patient with drug-resistant epilepsy, with the development of relapse of epileptic seizures after 2 years and the decision to repeat surgical treatment, thanks to which it was possible to achieve remission of epileptic seizures, were analyzed. RESULTS . The recurrence of seizures may be caused by incomplete removal of the epileptogenic focus or postoperative changes. In any case, a patient with persistent epileptic seizures is shown a preoperative examination and a decision on the need for reoperation. CONCLUSION . Surgical treatment of drug-resistant epilepsy is the most effective method for achieving freedom from seizures or significantly reducing their frequency in the long term. Control over seizures in the postoperative period is usually ensured by taking antiepileptic drugs. The question of antiepileptic drugs withdrawal is still open. A personalized approach is used in each specific case.