Finding minimally invasive treatment procedures for significant illnesses have been the preoccupation of some of today’s medical breakthroughs, as exemplified by the research and development of light-activated methods in cancer treatment using nanomachines.
In Sourasky, minimally invasive procedures using advance laser and MRI technologies have been conducted in the treatment of epilepsy patients who are not responsive to medication. Offered in the neurosurgery department by Prof. Yitzhak Fried, Dr. Ido Strauss, and director of epilepsy service Dr. Firas Fahoum, it is the first time the procedure is being performed outside the US.
“If in the past we had to consider surgery in cases where the patient did not respond to medication, we can now make do with a minimally invasive procedure that is almost as successful as open surgery,” explained Strauss.
What made this possible is Laser Interstitial Thermal Therapy (LITT) technology. A small optic fiber is inserted into a small hole in the skull, and is then connected to a device called the Visualase system. While this is happening, an MRI scanner monitors brain temperatures and the size of the ablated tissue. Compared with open surgery, this procedure is more keen on preserving the areas of the brain proximate to the ablated issue and responsible for other bodily functions.
“Today, we know that the source of the disorder that causes epileptic seizures is found in neural networks in the brain and that the attacks can be prevented by proper medical treatment,” explained Fahoum. “In most cases, patients are given medication to try to control the seizures. But if this doesn’t help, it is necessary to consider neurosurgical intervention, in cases where the area where the seizures begin is located and surgically removed. But seizures come as a surprise and may cause cumulative damage to the cognitive and mental functioning of the patients along with physical injuries when they fall to the ground.”
The use of LITT, Visualase, and MRI technologies provides a less invasive procedure to the other surgical options such as nerve pacemakers and neuromodulation, as well as the removal of the seizure’s focal point. Moreover, the therapeutic option also provides easier recovery and may even be offered to children with epilepsy.
Hopefully, it is time we have more and more medical breakthroughs of less and less invasive treatment procedures.