Understanding Your Treatment Options for Epilepsy

Did you know that epilepsy is a complex neurological condition that can affect anyone, regardless of age or background? Living with epilepsy can be challenging, but with the right treatment plan, a full, active life is possible. 

If you or a loved one has been diagnosed with epilepsy, it’s important to understand the treatment options available so you can make informed decisions about your care and make sure you’re getting the best possible support.

At Modern Migraine MD in New York, Florida, and New Jersey, and through our HIPPA-certified telehealth services across 13 states, our board-certified neurologist Risa Ravitz, MD, and the team of expert neurological providers specialize in diagnosing and treating epilepsy. 

We offer a comprehensive range of treatments personalized to each patient’s unique needs. Whether you’re newly diagnosed or seeking alternative options, understanding your treatment choices is the first step toward better seizure management.

Managing epilepsy is not a one-size-fits-all approach—your treatment plan should be as unique as you are. Keep reading as we explore your treatment options for epilepsy.

1. Medications

For most people with epilepsy, anticonvulsant medications are the first line of treatment. These medications work by stabilizing the electrical activity in your brain, preventing the chaotic signals that cause seizures. 

There are many different anticonvulsants available, and your Modern Migraine MD provider works with you to find the one that best controls your seizures with the fewest side effects.

It’s important to take your medication exactly as prescribed and not to stop or change your dosage without consulting your provider. 

If you find that your medication isn’t working as well as expected or is causing side effects you can’t tolerate, your Modern Migraine MD provider can adjust your treatment plan.

2. Vagus nerve stimulation (VNS)

When medications alone aren’t enough to control seizures, your Modern Migraine MD provider may recommend vagus nerve stimulation (VNS) as a complementary therapy. 

For some patients, VNS has significantly helped reduce seizure activity and improve quality of life. VNS involves implanting a small device under your skin in the chest, which sends regular electrical pulses to the vagus nerve in your neck. 

These pulses can help to regulate brain activity and reduce the frequency and severity of seizures. VNS is often used in combination with medication, and while it doesn’t eliminate seizures entirely, it can make them more manageable. 

3.  Dietary therapy

The ketogenic diet is a high-fat, low-carbohydrate diet that’s been clinically shown to reduce seizures in some people with epilepsy. 

The diet forces your body to burn fats instead of carbohydrates, which produces ketones—a type of acid that appears to have an anti-seizure effect.

While the ketogenic diet isn’t for everyone, it can be a valuable part of a treatment plan for those who don’t respond well to medication. 

It’s important to follow this diet under the supervision of a healthcare provider, as it requires careful planning and monitoring to make sure it’s done safely.

3. Surgical treatments

For some patients, medication and less invasive treatments aren’t enough to control seizures, and Dr. Ravitz may recommend a surgical option. 

There are different types of epilepsy surgeries, and the goal of each is to remove or alter the area of the brain where seizures originate.

One common surgical procedure is deep brain stimulation (DBS), which involves implanting electrodes in your brain that deliver electrical impulses to help regulate abnormal brain activity. 

Another option might include lobectomy or lesionectomy, where a specific area of the brain is removed.

Surgery is typically considered only after other treatments have failed, and it requires thorough evaluation and testing to determine if you’re a good candidate. 

Your Modern Migraine MD provider discusses the potential risks and benefits with you, making sure you have all the information needed to make an informed decision.

The importance of personalized care

Epilepsy is a highly personal condition, and treatment needs can vary widely from person to person. 

That’s why at Modern Migraine MD, we believe in providing personalized epilepsy care customized to your unique situation. 

Our board-certified neurological providers work closely with you to develop a treatment plan that addresses your specific needs and lifestyle.

We also understand that epilepsy doesn’t just affect your physical health—it can affect your emotional and mental well-being, too. 

We offer comprehensive support services, including counseling and education, to help you and your family navigate the challenges of living with epilepsy.

If you’re ready to explore your treatment options or if you’re looking for a second opinion, we’re here to help. Set up an in-person or telehealth appointment at Modern Migraine MD today to schedule a consultation and take the first step toward better seizure management.