Hey are you looking for neurologist near mylapore? What are the causes of refractory seizures? When the regularity of medicine intake is ensured despite that a patient is getting fits it needs to be investigated further. MRI brain epilepsy study needs to done Common structural causes are shrinkage of a structure called hippocampus it’s a sea horse like structure located in temporal lobe of brain If identified early surgical treatment after optimal medical therapy fails is the treatment of choice