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Epilepsy cases at Armani are managed by Dr. Sandip Patel, a Neurosurgeon whose clinical practice includes the evaluation of seizures linked to structural brain abnormalities, alongside the medical and surgical management of epilepsy in both adults and children.
Dr. Sandip Patel's approach to epilepsy begins with identifying whether a seizure has a structural cause, a brain lesion, old injury, developmental abnormality, or scar tissue, that imaging and clinical history can reveal. This distinction shapes everything that follows: a seizure with no structural cause is managed very differently from one with a lesion that may itself need treatment. Patients from Mehsana and across North Gujarat are seen at Armani for first-time seizures, established epilepsy not responding to medication, and seizures suspected to be linked to a tumor, scar or old head injury.
Epilepsy is not a single condition. It covers a range of seizure types and underlying causes, and the right treatment depends entirely on identifying which one is present.
Seizures that begin in one specific area of the brain, sometimes with the person remaining aware throughout, and sometimes with impaired awareness. Symptoms can range from a strange sensation or brief confusion to jerking movements confined to one part of the body.
Seizures that involve both sides of the brain from the onset, including the convulsive, full-body episodes most people associate with epilepsy, as well as brief lapses in awareness that can be mistaken for daydreaming, particularly in children.
Some seizures arise from a specific structural cause, a prior stroke, a brain tumor, scar tissue from an old head injury, or a developmental abnormality present since birth. Identifying a lesion changes the treatment conversation, since treating the lesion itself may be part of controlling the seizures.
Epilepsy that continues despite adequate trials of two or more appropriately chosen medications. This is the point at which further evaluation for a surgical option becomes relevant, rather than continuing to adjust medication indefinitely.
A seizure occurring for the first time in adulthood is evaluated differently from epilepsy that began in childhood, since it is more often linked to a new structural cause that needs to be identified before treatment begins.
Seizures do not always look like a dramatic, full-body convulsion. Recognising the less obvious presentations is often what delays a diagnosis.
A short pause, blank stare or moment of unresponsiveness, sometimes dismissed as distraction or daydreaming, particularly in children, can be a seizure in its own right.
A strange rising feeling in the stomach, an unfamiliar smell or taste, or jerking confined to one hand or side of the face can be the only sign of a focal seizure.
Full-body stiffening followed by rhythmic jerking, often with loss of consciousness, is the presentation most people recognise, but it is only one of several seizure types.
An accurate diagnosis rests on identifying both the seizure type and whether a structural cause is present.
Treatment is staged according to how the seizures respond, not assumed from the outset to require surgery.
Most patients achieve good seizure control with an appropriately chosen anti-seizure medication. Finding the right medication and dose is itself a process, since response varies between patients and seizure types.
Delaying evaluation is common with epilepsy, often because a first seizure is dismissed as a one-off. The following signs indicate that an assessment should not wait:
Patients from Visnagar, Unjha, Patan, Kheralu, Siddhpur and across North Gujarat are seen at Armani for epilepsy evaluation and treatment.
Advanced Neurosurgical Care
Not necessarily. A single seizure can result from fever, low blood sugar, alcohol withdrawal or a one-time trigger. Epilepsy is diagnosed when seizures are recurrent and linked to an underlying pattern of abnormal brain activity, confirmed through EEG and clinical evaluation.
Many patients achieve complete seizure freedom with medication and are considered well-controlled, though this is different from being cured in every case. In patients with a clearly identified lesion causing the seizures, surgical removal can sometimes result in long-term seizure freedom.
No. Epilepsy surgery is evaluated for both adults and children whose seizures do not respond to medication, based on whether a clear, safely operable seizure focus can be identified.
This varies by patient. Some are able to taper off medication after a sustained seizure-free period, under medical supervision, while others require long-term treatment. This decision is individualised and never made abruptly.
Keep the person safe from injury, turn them onto their side if possible, do not put anything in their mouth, and time the seizure. Seek emergency care if it lasts more than five minutes or repeats without the person regaining awareness in between.
Yes. Patients from Visnagar, Unjha, Patan, Kheralu, Siddhpur and across North Gujarat are regularly seen at Armani for epilepsy evaluation and treatment.
The goal of epilepsy treatment is not just a quieter EEG. It is the patient who can drive again, sleep without fear of a nighttime seizure, and return to a life that isn't shaped around the next possible episode.
"I had been experiencing seizures for some time, and it was becoming difficult to manage my daily routine with confidence. After a detailed evaluation, my treatment plan was reviewed and my medication was adjusted under medical supervision. Regular follow-ups helped us monitor my progress and understand how to manage my condition more effectively."
"We initially struggled to understand why the episodes were happening and what treatment would be appropriate. The further evaluation helped us understand the nature of the seizures and discuss the available treatment options with the doctor. Having a clearer explanation and a structured follow-up plan made it easier for our family to move forward."
"Even after trying prescribed medicines, my seizures continued to affect my everyday life. The specialist explained why additional evaluation was important and discussed whether epilepsy surgery could be suitable for my condition. Understanding the possible benefits, risks and recovery process helped me and my family make a more informed decision about the next steps."
Whether this is a first seizure or epilepsy that hasn't responded to treatment elsewhere, an accurate evaluation of the seizure type and its cause is the starting point for real control. At Armani, every patient's history and imaging are reviewed personally by Dr. Sandip Patel before a treatment plan is discussed.
Armani Brain and Spine Hospital in Mehsana provides epilepsy diagnosis and treatment for patients across North Gujarat, from a first seizure through to long-term management or surgical evaluation.
Lead Neurosurgeon
