Epilepsy

Epilepsy Treatment

Treating seizures — and the whole person behind them. Our approach is built on 26 years of clinical
experience, deep attention to mental wellbeing, and a commitment to reducing the social stigma of
epilepsy alongside achieving seizure control.

Care Focus

Our Care Focus

Seizure Control

Optimising anti-seizure medications with the least side effect burden

Mental Wellbeing

Choosing medications that protect — not harm — psychological health

Reducing Stigma

Educating patients and families to dismantle the taboo around epilepsy

Quality of Life

Function, confidence, and social participation — not just seizure counts

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Years of specialist epilepsy practice — our approach is rooted in real-world clinical observation, personalised to each patient’s syndrome, lifestyle, and psychological profile.

DIAGNOSIS

Evaluation Details

History & Seizure Description

Detailed semiology, frequency, precipitants, and witness account.

Family & Personal History

Genetic predisposition, febrile seizures, CNS infections, and head trauma.

EEG

Identifies epileptiform discharges, clarifies syndrome, and guides medication choice.

MRI Brain

Identifies structural lesions — hippocampal sclerosis, dysplasia, tumours, vascular malformations.

Blood Investigations

Metabolic panel, glucose, calcium, thyroid, toxicology — ruling out provoked seizures.

Treatment Approach

Evidence-based, experience-led, and always person-centred

Anti-seizure medication selection is personalised to epilepsy type, syndrome, age, gender, comorbidities, and —
critically — the patient’s psychological state. We actively avoid agents that can cause or worsen anxiety or depression
in susceptible individuals.

Individualised with Mental Wellbeing in Mind

Medication is selected with full consideration of the patient’s psychological profile. Certain anti-seizure medications
can cause or aggravate anxiety, depression, or behavioural changes — we discuss these risks openly and choose the
agent that controls seizures while protecting mental health. Most of our patients are doing well on carefully chosen
medication/s.

Treating the Mind Alongside the Brain

We actively screen for and address anxiety, depression, and cognitive effects throughout treatment.

Treatment Guidelines

Medication Withdrawal Guidelines

5 Years Seizure-Free

Seizure-free period required before withdrawal is considered.

Normal EEG

Required before any tapering is initiated.

Slow Taper

Gradual reduction over weeks to months.

~20% Recurrence Risk

Possibility of seizure recurrence — requires monitoring.

In our experience, approximately 20% of patients with cryptogenic epilepsy experience seizure recurrence after medication withdrawal — even after 5 seizure-free years with a normal EEG. We take this decision with utmost care — counselling every patient on the recurrence risk and its implications for driving, employment, and daily safety.

DO

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Place something soft under the head
Prevents injury during a seizure.
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Turn person gently onto their side
Do this gently once convulsions stop.
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Note seizure start time
Call 108 if it lasts more than 5 minutes.
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Stay calm and reassure
Speak gently as the person recovers.
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Stay until full recovery
Ensure they are fully alert before leaving.

AVOID

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Do not put anything in the mouth
Avoid fingers, spoons, or objects.
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Do not restrain
Holding can cause injury.
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Avoid food or water
Until fully alert.
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Do not leave unattended
Stay until full recovery.
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Call 108 in emergencies
If >5 min, repeated, no recovery, or first seizure.

Most of our patients are doing well — and that is our measure of success

Over 26 years, the majority of our epilepsy patients achieve good seizure control on carefully personalised medications. Our approach — attentive to mental health, committed to reducing stigma, and grounded in decades of clinical wisdom — reflects our belief that a person with epilepsy deserves not just fewer seizures, but a fuller, freer life

Practice Highlights

What Makes Our Practice Different
Personalised Protocols Every plan tailored to the individual	Advanced Technology Cutting-edge non-invasive therapeutic science	Mechanism-Based Care We treat biology, not just symptoms	23+ Years Experience Decades of specialist clinical wisdom	Whole Person Approach Mind, body & lifestyle integrated	Objective Outcomes Measurable results — not just relief

Epilepsy Treatment in Madhapur

Epilepsy is a condition that affects the brain, causing seizures. These seizures can happen suddenly and without warning, and they vary in severity.

Symptoms of Epilepsy:

Sudden jerking movements of the body
Loss of consciousness or awareness
Feeling confused or disoriented
Unusual sensations like déjà vu or dizziness

When to Consult Dr. Sreekanth Vemula:

If you experience repeated seizures or any unusual symptoms related to your brain activity, it’s important to consult with Dr. Sreekanth Vemula in Madhapur. Early diagnosis and treatment can help prevent seizures and improve your quality of life.

Treatment Options:

Medications: It is mostly anti seizure medications and in rare cases surgery if not controlled well with multiple medications.
Surgery: In some cases, surgery might be considered if other treatments don’t work.