For a first seizure, repeated seizures, unclear spells, breakthrough seizures or difficult-to-control epilepsy, the first step is a careful diagnosis and a treatment plan that fits the seizure type, safety needs and daily life.
Treatment is led by Dr. Abhishek Gohel and Dr. Rutul Shah, NIMHANS-trained neurologists with focused epilepsy fellowship training.
Families often need both treatment and safety guidance.
Seizures can be frightening for the person experiencing them and for their family. Getting the right diagnosis from a qualified epilepsy specialist is the first step toward a safer and clearer treatment plan.
At Gujarat Epilepsy & Neuro Clinic in Elite Magnum, Ahmedabad, our neurologists evaluate the event history, witness accounts, videos, prior medicines, EEG reports and MRI findings before changing treatment.
If the diagnosis is uncertain, the answer may be better history, EEG review or Video EEG monitoring rather than simply adding another medicine. If seizures continue despite two appropriate anti-seizure medicines, the case should be reviewed for drug-resistant epilepsy.
A seizure-treatment plan should move from diagnosis to medicine choice, monitoring, safety and escalation when needed.
Detailed history, neurological examination, EEG testing, MRI review and clarification of whether episodes are truly epileptic.
Selection of an anti-seizure medicine based on seizure type, age, sex, comorbidities, side effects and daily life.
Follow-up, seizure tracking, dose adjustment, missed-dose review, sleep advice and safety counselling.
For difficult seizures, consider Video EEG, imaging review and epilepsy surgery evaluation when appropriate.
Good seizure treatment is not just “start one medicine and wait.” It usually includes:
If seizures continue after trying two appropriate anti-seizure medicines, that raises concern for drug-resistant epilepsy. The next step is usually not endless trial-and-error.
The case should be reviewed for diagnosis, adherence, seizure type, MRI quality, Video EEG need and possible surgery evaluation in selected patients.
Seizure treatment should include a family safety plan. Emergency red flags should stay simple and visible.
Yes. A first seizure still needs proper medical review because the diagnosis may still be uncertain, recurrence risk can vary, and tests like EEG or imaging may change the treatment plan.
Video EEG is considered when routine EEG is not enough, events are unclear, seizures remain uncontrolled, or a major treatment decision such as surgery evaluation depends on precise classification.
That should trigger structured review for drug-resistant epilepsy, not indefinite trial-and-error. The next step may include medicine review, diagnosis review, Video EEG and epilepsy surgery evaluation.
These pages help families understand tests, safety and next-step decisions.
DM Neurology (NIMHANS)
PDF Epilepsy (Amrita Institute, Kochi)
Focused epilepsy specialist with fellowship training in complex seizure disorders and drug-resistant epilepsy management.
View ProfileDM Neurology (NIMHANS)
PDF Epilepsy (Amrita Kochi)
Focused on drug-resistant epilepsy, long-term Video EEG monitoring, PNES evaluation and presurgical epilepsy review.
View ProfileGujarat Epilepsy & Neuro Clinic
1st Floor, 112-114, Elite Magnum, Near Solaris, Bhuyangdev Cross, Sola Road, Ahmedabad, Gujarat 380061
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Seizure Treatment in Ahmedabad