Multiple Subpial Transections MST Cost in India

The cost of multiple subpial transection (MST) in India typically ranges from $500 to $6,000 USD, depending on the hospital, city, and type of procedure.

Multiple subpial transection (MST) is epilepsy surgery that makes shallow cuts in the brain's surface to stop seizures spreading. It is used when the seizure area controls important functions and cannot be removed. The cost depends on:

• Pre-surgical assessment: including invasive EEG if needed.
• Combined resection: MST is often done with removal of nearby tissue.
• Intensive care and stay
• Follow-up

A Cochrane review describes cuts about 5 mm apart that sever the side-to-side connections seizures use to spread. The vertical fibres and blood vessels are preserved. Epilepsy Action says MST is mainly used for certain syndromes.

The Cochrane review found no randomised trials, so it could not judge whether MST is effective or safe. In non-randomised studies, seizure freedom was reported in about 55% when MST was combined with resection, versus about 24% with MST alone. These figures may overstate the benefit.

Cochrane lists possible language problems, limb weakness and infections such as meningitis. A 2010 paper on epilepsy surgery in India describes MST as a palliative procedure aimed at reducing seizures rather than curing them.