Skip to main content
dr. Nyoman Artha Megayasa

Services

Epilepsy

Comprehensive neurophysiological evaluation and neurorestoration programme as an adjuvant approach in epilepsy management.

Neurorestorative Approach

How We Approach This Condition

Epilepsy is a chronic neurological condition characterised by a tendency for recurrent seizures — episodes of uncontrolled electrical activity disruption in the brain. More than 50 million people worldwide live with epilepsy, making it one of the most common neurological conditions globally. Yet epilepsy is not a single disease — it is a spectrum of conditions with highly diverse causes, mechanisms, clinical manifestations, and prognoses.

Modern epilepsy classification differentiates types based on seizure type (focal, generalised, or combined), epileptic syndrome, and underlying aetiology. Accurately understanding a patient’s epilepsy type is critical for optimal therapy selection. Not all anti-epileptic drugs are effective for all epilepsy types — indeed, some can worsen certain seizures if not selected correctly.

Neurorestorative Approach to Epilepsy

QEEG provides neurophysiological information that complements conventional clinical evaluation. In epilepsy patients, QEEG can identify cortical irritability foci, abnormal synchronisation patterns, and activity-delay zones that provide context about brain dynamics between seizure periods. This information helps plan more targeted interventions.

Neurofeedback with protocols specifically designed for epilepsy — particularly those training increased SMR (sensorimotor rhythm, 12–15 Hz) and reduced excessive theta waves — has shown benefit in reducing seizure frequency in a number of studies. These protocols do not stimulate the brain in a way that can trigger seizures; rather, they teach the brain to maintain a more stable activation state.

Beyond seizure control, this programme targets the cognitive and psychological impacts of epilepsy that are often overlooked — including memory and concentration difficulties, seizure-related anxiety, and reduced self-confidence. Comprehensive quality of life, not just seizure frequency, is the measure of treatment success.

Modalities Used

Modality selection is tailored to each patient's individual clinical profile.

Treatment Pathway

Steps in Your Care

  1. Consultation & History

    In-depth clinical interview to understand the patient's history, chief complaint, and recovery goals.

  2. Data-Driven Assessment

    QEEG examination and objective neurological evaluation to map current nerve-function status.

  3. Individual Treatment Plan

    A neurorestoration protocol designed specifically from assessment results and the patient's clinical profile.

  4. Monitoring & Adjustment

    Regular progress evaluation with protocol refinement to achieve optimal recovery outcomes.

Common Questions

Frequently Asked Questions

Does neurorestoration replace anti-epileptic drugs?
No. Anti-epileptic drugs are the primary therapy for epilepsy and must not be stopped without medical supervision. The neurorestoration approach is adjuvant — added to optimise seizure control and quality of life, not to replace pharmacotherapy.
Is neurofeedback safe for epilepsy patients?
Neurofeedback for epilepsy uses specialised protocols designed to train brain-wave patterns associated with stability and reduced hyperexcitability. Protocols are always designed after thorough QEEG evaluation.
What is refractory epilepsy?
Refractory epilepsy is a condition in which seizures are not controlled despite trying two or more appropriately dosed anti-epileptic medications. In this situation, evaluation for additional therapy options including neuromodulation is highly relevant.
Can children with epilepsy participate in this programme?
Yes, with age-appropriate protocol adjustments. Initial evaluation and coordination with the treating paediatrician or paediatric neurologist are required before beginning the programme.

Discuss Your Condition

Contact us to schedule a consultation and initial assessment.