ANS : Advanced Neurology & Epilepsy Solution
I’m Dr. Zubin Shah, a neurologist and epilepsy specialist based in Ahmedabad. Over the years, I’ve had the privilege of helping individuals with conditions like epilepsy, migraines, memory problems, and nerve pain. My mission is simple: to help you make sense of what you’re going through, and to offer the right treatment so you can live a healthier, more confident life.
Dr. Zubin Shah is a highly skilled and compassionate neurologist specializing in epilepsy. His expertise and patient-centered approach make a real difference.
Dr shah is the best epilepsy specialist. The clinic is well maintained and very kind staff. Dr Zubin has very great communication skills. Must visit if you are suffering from any epilepsy problem.
Dr zubin shah is the best neurologist in ahmedabad. He has specialty in epilepsy. I am consulting him since months and now i have recovered.
Dr Zubin is well known for epilepsy and is very good neurologist. I have taken consultations from him and i am seeing better results. Thank you doctor. I totally recommend you to others.
Very goodd doctor if you are looking for epilepsy treatment. Dr zubin is very calm and communicative. He helped me heal very quickly. Thank you doctor.
We are taking treatment from dr Zubin shah for epilepsy and the results are very good. Thank you doctor. He is very good epilepsy specialist and also very good neurologist.
Epilepsy is a condition where a person gets repeated seizures. A seizure happens when the brain’s signals go out of control for a short time. Some people fall and shake, while others may just stare or feel confused. If you’ve had two or more seizures without any clear reason, it may be epilepsy. You should visit a good neurologist in Ahmedabad who can do tests like EEG and MRI to confirm. The earlier you know, the better your treatment can start.
Seizure symptoms vary depending on the type of seizure. Because epilepsy is caused by certain activity in the brain, seizures can affect any brain process. Seizure symptoms may include:
Some people with focal seizures have warning signs in the moments before a seizure begins. These warning signs are known as aura.
These are some warning signs
Seizures are classified as either focal or generalized, based on how and where the brain activity causing the seizure begins. When seizures appear to result from activity in just one area of the brain, they're called focal seizures. Seizures that appear to involve all areas of the brain are called generalized seizures.
Having a single seizure doesn't mean you have epilepsy. Hence most of the times you don’t require any treatment. Anti-seizure medications (ASM) is standard modality of treatment once diagnosis of epilepsy is confirmed by experienced neurologist/physicians. However, if seizures don’t respond to antiepileptic medications they should be evaluated and surgical option is given. If surgery does not appear to be feasible option after evaluation palliative procedures should be considered.
If your seizures are fully under control, you may be allowed to drive again—but only with your doctor’s okay. If you still get seizures, it’s not safe to drive or swim alone. Living alone is possible if you take precautions and keep emergency help nearby. Your doctor will guide you based on your condition. Staying safe is most important, and with care, you can still live a good life.
If you’ve tried two or more medicines and seizures still happen, your doctor may suggest more tests. They might check where the seizures are coming from in your brain. Surgery is one option if the problem is in one part that can be removed safely. There are also other treatments. A good epilepsy doctor will explain all your options and help you choose what’s best for you.
Seizures can be caused by things like not sleeping well, stress, missing medicines, alcohol, or flashing lights. Everyone’s body is different, so triggers can vary. Keeping a diary of what happens before a seizure can help. A neurologist can guide you on what to avoid. Taking medicines on time, eating well, and staying calm also help reduce seizures.
Drug-resistant epilepsy (DRE) is defined as failure to achieve seizure freedom despite adequate trials of two appropriately chosen and well-tolerated antiseizure medications (ASM). Around 30% of people with epilepsy have drug-resistant epilepsy. After the failure of first two antiseizure medications chances of the success rate of medical management is low (12.5 to 22%). Hence surgical option should be considered in patients with drug resistant epilepsy.
If your seizures are controlled by one or two medications, there is no need for surgery. However, if you have to take two or more than two medications and you continue to have seizures, surgery is a rational choice for following reasons.
Epilepsy medications have many side effects which include bone problems, weight gain, hair loss, mood problems, cognitive decline and loss of memory. More medications you take, more chances of cognitive decline over time period
Even financially, if you are on two medications, your monthly maintenance comes to around 6000-7000 per month i.e. 72,000-84000 annually. The cost of epilepsy surgery with all investigations, hospitalization is close to around 3.5 lakhs.
Once you are categorized as drug resistant epilepsy and being considered for epilepsy surgery, you will have to undergo pre-surgical evaluation consist of four main domains: Long term video EEG (48-72 hours), Specialized MRI Brain, PET scan & Neuropsychological evaluation. In pre-surgical evaluation, we decide the exact parts of your brain which is responsible for epilepsy and a team of doctor specialists from various related fields meet together to discuss and reach a consensus about the type of surgery you will need.
Chances of seizure control depend on many variables and it varies between 50-90%. If there is tumor or malformation or localized focal area which could be removed completely, then 90% patient achieves freedom from epilepsy. However, outcome is in the magnitude of 50% with palliative surgeries. Outcome typically depends on the responsible pathology. If MRI Brain shows some localized lesion which could be removed, then 9 out of 10 people can achieve seizure freedom and almost 6 out of 10 patients can be off medicine.
Approximate cost of hospitalization and pre-surgical evaluation is approximately 50,000-60,000. and further cost of surgical treatment is approximately 2.5-3 lac. making total of 3-3.5 lac. However, it varies from case to case basis.
If you have had more than one seizure, blackouts, or episodes where you feel lost or blank, you should see a neuro specialist in Ahmedabad. They will ask questions, check your health, and may suggest tests. Even if you're unsure if it was a seizure, it’s better to get it checked. The sooner you find the problem, the easier it is to treat it and avoid more seizures.
Not always. Some people take medicine for a few years and can stop later if their seizures don’t come back. Others may need medicine for longer. You should never stop medicine on your own. Your doctor will decide based on your condition and test results. Stopping suddenly can bring back seizures. Always follow your neurologist’s advice before making any changes.