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Epilepsy Surgery in Hospital Universiti Sains Malaysia: Our Experiences since 2004 Ang, Song Yee; Tharakan, John; Zamzuri, Idris; Bhaskar, Shalini; Sanihah, Abdul Halim; Salmi, Abd Razak; Zabidi Azhar, Mohd Hussin; Kandasamy, Regunath; Wan Mohd Nazaruddin, Wan Hassan; Laila, Mukmin; Mohamad Hasyizan, Hassan; Tan, Yew Chin; Badrisyah, Idris; Abdul Rahman Izaini, Ghani; Pal, Hillol Kanti; George, Jain; Sani, Sayuthi; Mohamed Saufi, Awang & Jafri Malin, Abdullah Abstract   Epilepsy surgery has been performed by a few centres in Malaysia, including Hospital Universiti Sains Malaysia (HUSM). To date, a total of 15 patients have undergone epilepsy surgery in HUSM. The epilepsy surgery included anterior temporal lobectomy (ATL) with amygdalohippocampectomy (AH) and Vagal nerve stimulation (VNS). The surgical outcomes of the patients were assessed using the International League Against Epilepsy (ILAE) outcome scale. The ILAE scores for patients who underwent ATL with AH were comparatively better than those who underwent VNS. One of the patient who underwent ATL with AH and frontal lesionectomy was found to have psychosis during follow up. Epilepsy surgery has proven to be an important treatment for medically resistant epilepsy. Thus it is important to raise public awareness regarding epilepsy and its treatment. Keywords epilepsy; surgery; Malaysia; vagus nerve; stimulation

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