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Affects of surgery on personality, abilities, etc.

Fri, 08/05/2011 - 17:22
My husband has had seizures since he was 18-months-old. He has been told that all his seizures are coming from a scar on his left temporal lobe. He has been on many medications that have not entirely controlled the seizures. He mainly has absence and partial complex seizures with a total of 10 grand mals in his life. The seizures have gotten worse since we have had children. He is now 38. His doctors are suggesting surgery. He is scared. He's afraid of what he will be like after the surgery - personality, memory, ability - in addition to the seizure frequency. Can someone hep direct me to resources to help answer this question? Also have been getting mixed recommendations about where to go. UCLA, UCSF, NYU, Yale, Mayo an Cleveland Clinic have all been suggested. Can someonle share pov about these facilities? Thank you

Comments

Re: Affects of surgery on personality, abilities, etc.

Submitted by RTL on Fri, 2011-08-05 - 19:01

I've had right-side surgery and have recounted my experiences and outcome here:

http://users.eastlink.ca/~kehoe/surgery/

I think you'll be able to see my perspective on some of the things that concern your husband.

I'm not in the U.S. so I can't comment on facilities.

Kevin

 

 

I've had right-side surgery and have recounted my experiences and outcome here:

http://users.eastlink.ca/~kehoe/surgery/

I think you'll be able to see my perspective on some of the things that concern your husband.

I'm not in the U.S. so I can't comment on facilities.

Kevin

 

 

Re: Affects of surgery on personality, abilities, etc.

Submitted by tropicalpenguin18 on Fri, 2012-01-13 - 21:35

Hello,

I had a right anterior temporal lobe resection last May. Although left and right temporal lobe surgeries are different because of the language strip and some other factors, I can offer you my experience. I had a really hard time making a decision. If you and your husband's experiences are similar to mine, know that the decision-making stage is the most painful and stressful part of the process--it gets better. Surgery has had an incredibly positive effect on my life. I feel like my cognition is clearer and my mood feels more focused. It was like going to the eye doctor feeling like you could see fine, but then having the doctor adjust the lens and asking, "is that clearer?" And suddenly everything is brighter and crisper. Like your husband, I was really worried about memory before making a decision. I'm a student (and probably will be for another seven or eight years, as I want to go to med school), so my world really depends on the ability to retain information. Although I was in a good place cognitively before the surgery, my neuropsych evaluation scores actually improved after the surgery. My neuropsychologist thought that it was because my brain was 'freed up' from having to deal with seizures. That was my individual experience, though, which my neuropsychologist predicted before the surgery. Therefore, I think it's really important for you and your husband to talk with his neuropsychologist after his WADA test and neuropsych evaluations and get his or her read on what the memory risks are. As for personality, I feel more myself than I ever have in my life. I feel like I can designate my full energy to the positive aspects of myself that I want to nurture. I also do not lose days to feeling 'seizure-y' or 'not quite myself.' I think the most useful resource that my doctor gave me was someone who had had virtually an identical surgery to my own. He gave me the answers to detailed questions about personality and memory that I couldn't have gotten from anywhere else. I got my surgery done at the Mass General Hospital in Boston. I continue to be absolutely in awe at how incredible all the doctors I worked with were and I would thoroughly recommend it for surgery. I also worked there as an intern, so have seen how cutting-edge all of the research that is happening there is. My doctors are such incredible people and communicators, as well, which I think is equally important. Good luck with your journey with this.

Hello,

I had a right anterior temporal lobe resection last May. Although left and right temporal lobe surgeries are different because of the language strip and some other factors, I can offer you my experience. I had a really hard time making a decision. If you and your husband's experiences are similar to mine, know that the decision-making stage is the most painful and stressful part of the process--it gets better. Surgery has had an incredibly positive effect on my life. I feel like my cognition is clearer and my mood feels more focused. It was like going to the eye doctor feeling like you could see fine, but then having the doctor adjust the lens and asking, "is that clearer?" And suddenly everything is brighter and crisper. Like your husband, I was really worried about memory before making a decision. I'm a student (and probably will be for another seven or eight years, as I want to go to med school), so my world really depends on the ability to retain information. Although I was in a good place cognitively before the surgery, my neuropsych evaluation scores actually improved after the surgery. My neuropsychologist thought that it was because my brain was 'freed up' from having to deal with seizures. That was my individual experience, though, which my neuropsychologist predicted before the surgery. Therefore, I think it's really important for you and your husband to talk with his neuropsychologist after his WADA test and neuropsych evaluations and get his or her read on what the memory risks are. As for personality, I feel more myself than I ever have in my life. I feel like I can designate my full energy to the positive aspects of myself that I want to nurture. I also do not lose days to feeling 'seizure-y' or 'not quite myself.' I think the most useful resource that my doctor gave me was someone who had had virtually an identical surgery to my own. He gave me the answers to detailed questions about personality and memory that I couldn't have gotten from anywhere else. I got my surgery done at the Mass General Hospital in Boston. I continue to be absolutely in awe at how incredible all the doctors I worked with were and I would thoroughly recommend it for surgery. I also worked there as an intern, so have seen how cutting-edge all of the research that is happening there is. My doctors are such incredible people and communicators, as well, which I think is equally important. Good luck with your journey with this.

Re: Affects of surgery on personality, abilities, etc.

Submitted by oinkdoc1 on Sun, 2012-11-04 - 19:20
PiggyDoc Hi, tropic - I just wanted to wish you the best in your med school endeavors. I'm not sure exactly where you are in the process, but I just wanted to encourage you. I have had Complex Partial Seizures since I was 11 y/o, and am currently considering a left temporal lobectomy for mesial temporal sclerosis. I passed the selective WADA test and have a distinct lesion on my MRI that appears resectable. Given that I still have seizures Q 2-3 weeks on 3 meds, I think I'm ready to go down a different road; I meet with the neurosurgeon in 4 days. I'm nervous, because I'm not sure quite what it will do to my memory capacity. I'm sort-of "on the other side of the fence" from yourself, one might say from an educational standpoint. I'm an internist/pediatrician. So yes, you can make it through the hard studies and the grueling hours of school and residency - just be sure that you always eat enough and get the sleep that your body is demanding - your colleagues will thank you for it! ;-) Thanks for being an encouragement to our "fellow epileptic," and to myself in the meantime! If you have any further recommendations, please pass them along! Grace and Peace, Dr. Jill

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