Seizures & Epilepsy Care — Anoki

Seizures & Epilepsy

Understanding seizures, and living well with epilepsy

Whether this is a first seizure or a long-standing diagnosis, Dr. Rajesh Pathi provides clear evaluation and a treatment plan built around your specific pattern — most often without surgery.

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Doctor consulting with patient, calm and reassuring setting

If you're with someone having a seizure

Most seizures stop on their own within a couple of minutes. Staying calm and keeping the person safe is the most helpful thing you can do.

Do

Ease them to the floor and clear the area of hard or sharp objects
Turn them gently onto their side once movements stop
Place something soft under their head
Time the seizure from start to end
Stay with them until they're fully alert

Don't

Don't hold them down or restrict their movements
Don't put anything in their mouth
Don't try to give water, food or medication during the seizure
Don't leave them alone until they've fully recovered

Call emergency services (108) if: the seizure lasts longer than 5 minutes, a second seizure follows without full recovery, the person is injured, pregnant, or has difficulty breathing afterward, or if this is their first-ever seizure.

MCh

Neurosurgery Super-Specialization

Medication

First, for Most Patients

Surgical

Option for Select Refractory Cases

2nd Opinion

Consultations Welcomed

In plain language

A seizure isn't always epilepsy

These terms are often used interchangeably, but the distinction matters for diagnosis and treatment.

A Single Event

What is a seizure?

A seizure is a sudden burst of unusual electrical activity in the brain, which can cause changes in movement, awareness, sensation or behavior. A single seizure can happen for many reasons — fever, low blood sugar, lack of sleep, or an isolated event with no clear cause — and doesn't automatically mean epilepsy.

A Diagnosis

What is epilepsy?

Epilepsy is diagnosed when someone has had two or more unprovoked seizures, or one seizure with a high likelihood of recurrence based on testing. It's a pattern, not a single event — and a proper evaluation is what distinguishes the two.

How we can help

Consultations & procedures

From a first-time seizure evaluation to specialized care for epilepsy that hasn't responded to medication.

Evaluation & Diagnosis

Start here for a first seizure, a suspected seizure disorder, or an existing epilepsy diagnosis.

Seizure Evaluation Seizure Disorder Consultation Epilepsy Consultation

Epilepsy Surgery Pathway

For epilepsy that hasn't responded well to medication — a specialized, carefully evaluated pathway.

Epilepsy Surgery Consultation Epilepsy Surgery Temporal Lobe Epilepsy Consultation Refractory Epilepsy Consultation

Most people with epilepsy manage well with medication alone

For the majority of patients, the right anti-seizure medication, taken consistently, leads to good seizure control. Surgery is considered only for a smaller group of patients whose seizures continue despite adequate medication trials — known as refractory or drug-resistant epilepsy.

EEG monitoring or doctor reviewing brain activity readout≈ 540 × 400px

The surgical pathway

When epilepsy surgery becomes an option

Epilepsy surgery is considered specifically for refractory epilepsy — seizures that continue despite trying at least two appropriate medications. Temporal lobe epilepsy is one of the more common types evaluated for this approach.

Confirming the epilepsy is genuinely drug-resistant

Detailed testing to locate exactly where seizures originate

Careful discussion of whether surgery is a safe, appropriate option

A decision made together, with full understanding of risks and expected benefit

Dr. Rajesh Pathi portrait≈ 340 × 420px

Your Neurosurgeon

Dr. Rajesh Pathi

MBBS, MS, MCh, FMISS — Senior Consultant Neuro & Spine Surgeon

Dr. Pathi evaluates seizures and epilepsy thoroughly, and involves surgery only where medication genuinely hasn't achieved adequate control — always explaining the reasoning clearly before any procedure is considered.

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Common questions

Questions patients & families often have

I had one seizure — does that mean I have epilepsy?

Not necessarily. A single seizure can have many causes and doesn't automatically mean epilepsy. An evaluation helps determine the cause and the likelihood of it happening again.

Can someone with epilepsy live a normal life?

Yes — with the right treatment, most people with epilepsy achieve good seizure control and lead full, active lives. Treatment is tailored to help you do exactly that.

What tests are needed to diagnose epilepsy?

Typically a detailed history, an EEG (which records brain electrical activity), and often an MRI to check for any underlying structural cause. Not every test is needed for every patient.

Is epilepsy surgery safe?

Like any surgery, it carries risks, which will be explained fully and honestly if you're a candidate. It's considered only after thorough evaluation confirms medication alone isn't achieving adequate control.

Had a seizure, or living with epilepsy? Let's talk it through.

Book a consultation with Dr. Rajesh Pathi at our Pragathi Nagar clinic.

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