Epilepsy Clinic

 

We provide comprehensive and holistic care for by specialized medical professionals in order to help maintain and help improve the quality of life of patients with epilepsy.  Diagnostic and treatment services by specialized personnel and consultation for cases of epilepsy or symptoms of epilepsy. Relevant advice will be given on best treatment methods and how to reduce risks during an episode. 


Epilepsy diagnosis through detecting the electrical source causing the seizures (Epileptogenic lesion), diagnosis includes several methods such as:

  • EEG:  Electrical wires will be placed on the head at various positions during which time the patient will be closing their eyes. This will last for about 20-30 minutes in order for the machine to record electrical waves and pinpoint the source causing epilepsy.
  • Video EEG Monitoring:  The test will happen at the office under the supervision of medical staff. A video recording of the brain’s electrical waves will be made during a seizure revealing changes in the brain during an attack. This test will be more accurate than the traditional EEG.
  • MRI: An MRI provides the most detailed images of current modern technology and is especially useful in finding the causes of epilepsy even in cases such as wounds, small tumors, and congenital tumors.
  • PET scan: The positron emission tomography (PET) scan creates computerized images of chemical changes, such as sugar metabolism, that take place in tissue. Typically, the patient is given an injection of a substance that consists of a combination of a sugar and a small amount of radioactively labeled sugar. The radioactive sugar can help in locating a tumor, because cancer cells take up or absorb sugar more avidly than other tissues in the body.
    • Ictal Spect : Ictal means seizure, an ictal spect is one obtained once you are having a seizure. 45 seconds or less from the onset of your seizure, the nurse will inject a minute amount of a radioactive tracer (containing a very low dose of radioactivity) into an IV in your arm. The tracer travels to your brain and marks the area where the blood flow was increased during your seizure. 
    • Interictal Spect : It is identical to an ictal SPECT scan, except the injection is performed in between seizures, when your brain is at rest. The radioactive tracer will be injected when no seizure activity has occurred for several hours or more. 
    • Interictal PET : A comparison of the ictal and interictal scans may reveal a focal area of abnormal blood flow indicating the seizure focus. 
  • Functional mapping: This helps to reveal which parts of the brain are involved in controlling the body and which parts are not. If a wound is found in the section not important in controlling the body’s functions then it can be removed through surgery to treat epilepsy. 
  • Neuropsychological and Wada Test: Most epilepsy patients considering surgery undergo the Wada (WAH-dah) test. The "Wada test" is named after the Japanese physician who first performed it, Juan Wada, MD. The Wada test is used to determine which side of the brain controls language function and how important each side of the brain is in regard to memory function.
  • ICU Monitoring: Monitoring of vital parameters can include several of the ones mentioned above, and most commonly include at least blood pressure and heart rate, and preferably also pulse oximetry and respiratory rate.