Question

The patient visited the hospital due to an epilepsy seizure and was diagnosed with cholesteatoma on the right temporal lobe of the brain. The recovery after surgery was good, except for one seizure in September 2017, and no further seizures have occurred since then. The patient asks the doctor, how long should this antiepileptic medication be continued? Additionally, there was no increase in meningeal effusion during the review at the end of last year, and there were no signs of recurrence of the cholesteatoma.

Answer

Based on your current situation, there has been no increase in meningeal effusion and there are no signs of recurrence of the cholesteatoma, with epilepsy remaining seizure-free. It is recommended that you consult with a neurosurgeon about the duration of medication during your next follow-up visit, as they are more professional and can determine whether continued medication is necessary. Additionally, you have not experienced any recurrence for a year now, so it is suggested that you continue to observe and appropriately extend the interval between follow-up visits. Regular follow-ups are still required later on.