Abstract Background: A brain disease defined by any of the following conditions: At least two unprovoked (or reflex) seizures occurring > 24 hours apart; One unprovoked (or reflex) seizure and a probability of further seizures similar to the general recurrence risk (at least 60%) after two unprovoked seizures, occurring over the next 10 years; Diagnosis of an epilepsy syndrome. It is extremely difficult to confirm the exact cause of epilepsy and only in 25 35% of the patients, one can possibly be sure of the exact aetiology. Following are few of the known causes of epilepsy Genetic, Trauma, Tumor, Infection Cerebral degeneration, Cerebrovascular disease, Multiple sclerosis,. Alcohol, Metabolic disorders. Review of Anesthetic management of epileptic patients as well as Anaesthesia for epilepsy surgery