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Dr Sayuj Krishnan - Brain & Spine SurgeonDr Sayuj KrishnanHomepage

Laser Interstitial Thermal Therapy (LITT)

Seizure-Free After Laser Ablation for Temporal Lobe Epilepsy

Treated May 2025Drug-resistant Temporal Lobe Epilepsy

Sameera A. • Age 28-35 • Banjara Hills

At a glance

  • Primary procedure: Laser Interstitial Thermal Therapy (LITT)
  • Condition: Drug-resistant Temporal Lobe Epilepsy
  • Recovery timeline: 7 days
  • Occupation: Graphic Designer
  • Location: Banjara Hills

For the first time in five years, I am seizure-free and confident to be alone with my daughter. The keyhole approach meant I was home in 48 hours.

Sameera A.

Case overview

  • History: Five-year history of drug-resistant temporal lobe epilepsy
  • Investigations: Video EEG, high-resolution MRI, PET scan concordant for left mesial temporal focus
  • Goals: Achieve seizure control with minimal cognitive impact

Procedure highlights

  • Robot-assisted stereotactic placement of laser catheter
  • Thermal ablation under real-time MRI thermometry
  • Hospital stay of 48 hours; minimal post-op discomfort

Outcome & follow-up

  • Engel Class I outcome at 6 months (seizure-free)
  • Gradual tapering of anti-epileptic medication
  • Neuropsychological testing shows stable memory and language function
  • Monthly teleconsultations for seizure diary review

Measured Outcomes

  • Seizure-free at 6 months
  • Anti-epileptic dosage reduced by 50%
  • Resumed work in 3 weeks

Looking for similar outcomes? Schedule a consultation to review your scans and discuss treatment options with Dr. Sayuj Krishnan.