Gurugram doctors perform rare surgery to treat German with PTSD, epilepsy

A 30yearold German man suffering from refractory posttraumatic stress disorder PTSD and dyscognitive epilepsy was successfully treated by the doctors here via a rare keyhole surgeryRefractory PTSD with dyscognitive epilepsy refers to a complex medical condition where an individual experiences both PTSD and epilepsy characterised by memory intrusions inability to focus avoiding situations and contacts that remind of traumatic experiences isolation and difficulty in establishing and maintaining relationsRefractive PTSD is termed when a patient suffering from regular PTSD doesnt respond to any medication This leads to a complex syndrome in which the patient has uncontrollable continuous intrusions in the form of PTSD and develops other associated disorders In this case the patient developed dyscognitive epilepsy as a result of refractory PTSD Dr Himanshu Champaneri Senior Consultant Neurosurgeon at Marengo Asia Hospital Gurugram told IANSThe man endured multiple traumatic experiences from childhood till his teenage due to domestic abuse As a result he started experiencing PTSD symptoms from the age of 17Later he also developed dyscognitive epilepsy due to which he had sudden episodes of blankness when he would lose the ability to respond to his surroundings questions or any dangersSuch episodes would occur anytime when he was travelling standing at the subway station in class or even alone and affected his daily life as he was unable to pursue any growth in his educationprofessionldquoWhen someone has both refractory PTSD and dyscognitive epilepsy it can pose significant challenges in diagnosis and treatment The presence of one condition can exacerbate the symptoms of the other leading to a complex clinical picturerdquo Champaneri told IANSThe patient had sought medical therapies before coming to India which helped him for a certain time but the symptoms recurred He even attempted suicide two timesAt Marengo Asia the doctors asked him to revisit his traumatic memories and his functional MRI showed active signals in the right amygdala which is expected in cases of severe refractory posttraumatic stress disorderThe keyhole surgery was performed using stereotactic radiofrequency ablationManaging this condition typically involves a multidisciplinary approach including mental health professionals neurologists and other specialists to address both the psychiatric and neurological aspects of the disorder The treatment may involve a combination of medication psychotherapy and possibly other interventions such as neuromodulation or lifestyle modificationsrdquo Champaneri saidldquoAfter the surgery the patient remained in a very relaxed and happy state and was able to focus on tasks that had not been possible before He did not have any episodes of dyscognitive seizures after the surgery and had complete relief from the posttraumatic stress disorderrdquo the doctor saidThis story has been sourced from a third party syndicated feed agencies Midday accepts no responsibility or liability for its dependability trustworthiness reliability and data of the text Midday managementmiddaycom reserves the sole right to alter delete or remove without notice the content in its absolute discretion for any reason whatsoever