Pediatric Epilepsy Care in Milwaukee
|
|
- Janel Robertson
- 6 years ago
- Views:
Transcription
1 Pediatric Epilepsy Care in Milwaukee Priya Monrad, MD Assistant Professor, Pediatric Neurology and Epilepsy Children s Hospital of Wisconsin
2 Disclosures I have no relevant financial relationships to disclose.
3 Objectives Definitions and concepts in epilepsy Workup for first and recurrent seizures Medical and surgical management of epilepsy The concept of refractory epilepsy. What is the benefit of treating pediatric epilepsy? Epilepsy services available at the Children s Hospital of Wisconsin
4 Definitions and Concepts
5 What is Epilepsy? One isolated seizure is not epilepsy. Provoked seizures are not epilepsy (fever, hypoglycemia, stroke etc.) However, a provoked seizure can lead to the development of epilepsy.
6 What is Epilepsy (seizure disorder)? Two or more unprovoked seizures. One seizure could mean epilepsy in the right setting: abnormal EEG epileptogenic structural lesion family history of seizures/epilepsy
7 Types of epilepsy Focal Generalized
8 What is the risk of seizure recurrence after presenting with seizures? (Lizana 2000) Recurrence rate after: After first seizure After >1 seizure 6 months 37% 58% 1 year 45% 65% 2 years 57% 74% 3 years 57% 74% 4 years 61% 78% 5 years 65% 79%
9 What is the risk of seizure recurrence after presenting with seizures? Risk factors for recurrence include: (Lizana, 2000) Age <3 or >10 years Symptomatic cause (97% recurrence at 2 yrs) Idiopathic/cryptogenic with: Abnormal EEG Seizures during sleep
10 Workup
11 Some historical details suspicious for seizure Aura: a warning (visual, auditory, auditory, psychic etc.), which is actually part of the seizure. Asymmetric shaking Not every motor seizure is a GTCS! Not every staring seizure is an absence seizure (generalized epilepsy)
12 Workup of a first seizure History taking, patient first if possible, then witness Cell phone videos can be helpful! Birth history and development matter Physical exam Routine EEG with sleep recording (sleep deprivation) MRI brain (3T epilepsy protocol if possible)
13 Workup of a first seizure Referral to neurology, especially with: Focal features Family history Status epilepticus (seizure over 10 minutes) Abnormal exam Associated developmental delay or dysmorphism Abnormal EEG or MRI
14 When to consider genetic testing? Refractory epilepsy of unclear origin Developmental delay Dysmorphic features Associated movement disorders. Suspicion of a neuro-cutaneous disorder Metabolic abnormalities Strong family history of epilepsy
15 Genetic Testing Several panels exist and constantly change with new discoveries Infantile epilepsy Childhood epilepsy Progressive myoclonic epilepsy Rett/Angelman Syndrome Brain malformation panel Whole Exome/Genome
16 Medical Management
17
18 What is refractory epilepsy? Epilepsy not controlled by 2 or more AEDs Appropriate for the epilepsy (focal, generalized) Maximal dose vs emergence of side effects 70% responders vs 30% non-responders
19 What is refractory epilepsy?
20 Non Medical Management
21 Ketogenic Diet High fat intake, low carb and protein Administered by ketogenic dietician Fats as the main source of energy, leading to ketosis ~ 50% seizure freedom in ~ 50% of patients.
22 Ketogenic Diet Has Specific Uses Glucose transporter type 1 (GLUT1) deficiency Pyruvate dehydrogenase deficiency Refractory idiopathic generalized epilepsy Progressive myoclonic epilepsy Lennox Gastaut syndrome, other epileptic encephalopathies
23 Surgical treatment of Epilepsy Refractory focal epilepsy Resection/disconnection of the epileptogenic zone, the pacemaker of seizures
24
25
26
27
28
29
30
31 Why Bother To Detect and Treat Seizures? 1 in 26 people will develop epilepsy at some time in their life 10% of all seizures occur in children under the age of 3 Common comorbidities include cognitive impairment, depression, anxiety, attention deficits, and migraine Delay in diagnosis of seizures is associated with point drop in IQ at 8-year followup (Berg, 2014) Seizures interfere with school attendance and social relationships
32 Seizures are associated with altered brain development Prospective study of 38 children (8-18y) with no predisposing factors and normal MRIs with recent diagnosis of epilepsy compared with healthy firstcousin controls (Herman 2010) Decrease in total white matter volume growth in children with epilepsy, especially in frontal lobes
33 Detection of Seizures Affects ICU Treatment and Prognostication In a retrospective review of 550 PICU patients receiving continuous EEG during their ICU stay (Abend, 2013) 165 (30%) had recorded electrographic seizures without any clinical symptoms Of these, 61 (30%) were in electrographic status epilepticus, associated with higher mortality EEG monitoring led to treatment changes in 59% of monitored PICU patients (Abend, 2011)
34 Detection and Treatment of Seizures May Improve ICU Outcomes Seizure duration over 12 minutes per hour in monitored PICU/CICU is associated with significant increases in morbidity/mortality (Payne, 2014) Poor outcomes were associated with average seizure burden of 10 min/hr; good outcomes with average of 1 min/hr Similar observations in NICU babies Potential for neurodevelopmental outcome-altering interventions
35 Our new inpatient and rehabilitation unit
36 3D Image of Neuroscience Center
37 What Services We Offer Inpatient video EEG monitoring Ambulatory (at-home) EEGs Routine (30-60 minute) outpatient EEGs 3T MRI, fmri, MEG, PET, Wada testing Pediatric Neuropsychology Surgical pre-evaluation and invasive monitoring (grids, stereo EEG, cortical mapping) Ketogenic Diet (with dieticians)
38 Contact Information Pediatric Neurology Outpatient Clinics (414) Physician Referral and Consultation: (800)
39 Thank You!
Child-Youth Epilepsy Overview, epidemiology, terminology. Glen Fenton, MD Professor, Child Neurology and Epilepsy University of New Mexico
Child-Youth Epilepsy Overview, epidemiology, terminology Glen Fenton, MD Professor, Child Neurology and Epilepsy University of New Mexico New onset seizure case An 8-year-old girl has a witnessed seizure
More informationJanuary 26, Montgomery County Regional Outpatient Center Dietary Therapies Program (Main Hospital) Comprehensive Pediatric Epilepsy Program
First time Seizure and New onset Epilepsy Stirred not shaken January 26, 2017 First time Seizure and New onset Epilepsy Amy Kao, MD Children s National Health System Center for Neuroscience and Behavioral
More informationEvaluation and management of drug-resistant epilepsy
Evaluation and management of drug-resistant epilepsy Fateme Jahanshahifar Supervised by: Professor Najafi INTRODUCTION 20 to 40 % of patients with epilepsy are likely to have refractory epilepsy. a substantive
More informationDiagnosing Epilepsy in Children and Adolescents
2019 Annual Epilepsy Pediatric Patient Care Conference Diagnosing Epilepsy in Children and Adolescents Korwyn Williams, MD, PhD Staff Epileptologist, BNI at PCH Clinical Assistant Professor, Department
More informationMeasures have been taken, by the Utah Department of Health, Bureau of Health Promotions, to ensure no conflict of interest in this activity
Measures have been taken, by the Utah Department of Health, Bureau of Health Promotions, to ensure no conflict of interest in this activity Seizures in the School Setting Meghan Candee, MD MS Assistant
More informationClassification of Epilepsy: What s new? A/Professor Annie Bye
Classification of Epilepsy: What s new? A/Professor Annie Bye The following material on the new epilepsy classification is based on the following 3 papers: Scheffer et al. ILAE classification of the epilepsies:
More informationEpilepsy Surgery, Imaging, and Intraoperative Neuromonitoring: Surgical Perspective
Epilepsy Surgery, Imaging, and Intraoperative Neuromonitoring: Surgical Perspective AC Duhaime, M.D. Director, Pediatric Neurosurgery, Massachusetts General Hospital Professor, Neurosurgery, Harvard Medical
More informationPRESURGICAL EVALUATION. ISLAND OF COS Hippocrates: On the Sacred Disease. Disclosure Research-Educational Grants. Patients with seizure disorders
PRESURGICAL EVALUATION Patients with seizure disorders Gregory D. Cascino, MD Mayo Clinic Disclosure Research-Educational Grants Mayo Foundation Neuro Pace, Inc. American Epilepsy Society American Academy
More informationICD-9 to ICD-10 Conversion of Epilepsy
ICD-9-CM 345.00 Generalized nonconvulsive epilepsy, without mention of ICD-10-CM G40.A01 Absence epileptic syndrome, not intractable, with status G40.A09 Absence epileptic syndrome, not intractable, without
More informationDavid Dredge, MD MGH Child Neurology CME Course September 9, 2017
David Dredge, MD MGH Child Neurology CME Course September 9, 2017 } 25-40,000 children experience their first nonfebrile seizure each year } AAN/CNS guidelines developed in early 2000s and subsequently
More informationAMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY, INC. SUBSPECIALTY CERTIFICATION EXAMINATION IN EPILEPSY MEDICINE
SUBSPECIALTY CERTIFICATION EXAMINATION IN EPILEPSY MEDICINE 2014 Content Blueprint (November 26, 2012) Number of questions: 200 I. Classification 7 9% II. Routine EEG 16 20% III. Evaluation 22 26% IV.
More informationEpilepsy: diagnosis and treatment. Sergiusz Jóźwiak Klinika Neurologii Dziecięcej WUM
Epilepsy: diagnosis and treatment Sergiusz Jóźwiak Klinika Neurologii Dziecięcej WUM Definition: the clinical manifestation of an excessive excitation of a population of cortical neurons Neurotransmitters:
More informationObjectives. Amanda Diamond, MD
Amanda Diamond, MD Objectives Recognize symptoms suggestive of seizure and what those clinical symptoms represent Understand classification of epilepsy and why this is important Identify the appropriate
More informationPaediatric Epilepsy Update N o r e e n Te a h a n canp C o l e t t e H u r l e y C N S E p i l e p s y
Paediatric Epilepsy Update 2018 N o r e e n Te a h a n canp C o l e t t e H u r l e y C N S E p i l e p s y Epilepsy Service CUH ~550 children New diagnosis-education, support, clinic follow up Epilepsy
More informationEpilepsy DOJ Lecture Masud Seyal, M.D., Ph.D. Department of Neurology University of California, Davis
Epilepsy DOJ Lecture - 2005 Masud Seyal, M.D., Ph.D. Department of Neurology University of California, Davis Epilepsy SEIZURE: A temporary dysfunction of the brain resulting from a self-limited abnormal
More informationIntroduction to seizures and epilepsy
Introduction to seizures and epilepsy Selim R. Benbadis, M.D. Professor Departments of Neurology & Neurosurgery Director, Comprehensive Epilepsy Program Symptomatic seizures Head injury (trauma) Stroke
More informationThe Changing Surgical Landscape in Kids
The Changing Surgical Landscape in Kids December 7, 2013 Howard L. Weiner, MD NYU Langone Medical Center American Epilepsy Society Annual Meeting Disclosure none American Epilepsy Society 2013 Annual Meeting
More informationThere are several types of epilepsy. Each of them have different causes, symptoms and treatment.
1 EPILEPSY Epilepsy is a group of neurological diseases where the nerve cell activity in the brain is disrupted, causing seizures of unusual sensations, behavior and sometimes loss of consciousness. Epileptic
More informationImaging for Epilepsy Diagnosis December 2, 2011
Imaging for Epilepsy Diagnosis December 2, 2011 Samuel Wiebe, MD University of Calgary Canada American Epilepsy Society Annual Meeting Disclosure University of Calgary Hopewell Professorship of Clinical
More informationEpilepsy and EEG in Clinical Practice
Mayo School of Professional Development Epilepsy and EEG in Clinical Practice November 10-12, 2016 Hard Rock Hotel at Universal Orlando Orlando, FL Course Directors Jeffrey Britton, MD and William Tatum,
More informationEpilepsy 101. Russell P. Saneto, DO, PhD. Seattle Children s Hospital/University of Washington November 2011
Epilepsy 101 Russell P. Saneto, DO, PhD Seattle Children s Hospital/University of Washington November 2011 Specific Aims How do we define epilepsy? Do seizures equal epilepsy? What are seizures? Seizure
More informationEEG in the Evaluation of Epilepsy. Douglas R. Nordli, Jr., MD
EEG in the Evaluation of Epilepsy Douglas R. Nordli, Jr., MD Contents Epidemiology First seizure Positive predictive value Risk of recurrence Identifying epilepsy Type of epilepsy (background and IEDs)
More informationEpilepsy Syndromes: Where does Dravet Syndrome fit in?
Epilepsy Syndromes: Where does Dravet Syndrome fit in? Scott Demarest MD Assistant Professor, Departments of Pediatrics and Neurology University of Colorado School of Medicine Children's Hospital Colorado
More informationPediatrics. Convulsive Disorders in Childhood
Pediatrics Convulsive Disorders in Childhood Definition Convulsion o A sudden, violent, irregular movement of a limb or of the body o Caused by involuntary contraction of muscles and associated especially
More informationPresurgical Evaluation before Epilepsy Surgery
Presurgical Evaluation before Epilepsy Surgery Epilepsy Course for Neurology Resident 2015 Kanjana Unnwongse- Wehner, MD Prasat Neurological Epilepsy Center Facts About Epilepsy & Surgery Localization-related
More informationUpdate in Pediatric Epilepsy
Update in Pediatric Epilepsy Cherie Herren, MD Assistant Professor OUHSC, Department of Neurology September 20, 2018 Disclosures None Objectives 1. Identify common pediatric epilepsy syndromes 2. Describe
More informationContemporary Developments in Childhood Epilepsy Management. Olivia O Mahony, Cork University Hospital, Cork, and Mercy University Hospital
Contemporary Developments in Childhood Epilepsy Management Olivia O Mahony, Cork University Hospital, Cork, and Mercy University Hospital Developments in Epilepsy Care Standardised epilepsy care using
More informationEpilepsy Surgery: A Pediatric Neurologist s Perspective
Epilepsy Surgery: A Pediatric Neurologist s Perspective Juliann M. Paolicchi, MD, MA Associate Professor of Neurology and Pediatrics Director, Pediatric Neurology Director, Pediatric Epilepsy and EEG Vanderbilt
More informationTreatment Following a First Seizure
Treatment Following a First Seizure 6 year old developmentally normal child brought to the ED with a history of a 5 minute generalized tonic seizure in sleep. Seizure occurred about 60 minutes after falling
More informationSUBSPECIALTY CERTIFICATION EXAMINATION IN EPILEPSY MEDICINE Content Blueprint (December 21, 2015)
SUBSPECIALTY CERTIFICATION EXAMINATION IN EPILEPSY MEDICINE 2016 Content Blueprint (December 21, 2015) Number of questions: 200 1. Classification 8-12% 2. Routine EEG 16-20% 3. Evaluation 23-27% 4. Management
More informationEpilepsy. Hyunmi Choi, M.D., M.S. Columbia Comprehensive Epilepsy Center The Neurological Institute. Seizure
Epilepsy Hyunmi Choi, M.D., M.S. Columbia Comprehensive Epilepsy Center The Neurological Institute Seizure Symptom Transient event Paroxysmal Temporary physiologic dysfunction Caused by self-limited, abnormal,
More informationProvide specific counseling to parents and patients with neurological disorders, addressing:
Neurology Description: The Pediatric Neurology elective will give the resident the opportunity to learn how to obtain an appropriate history and perform a complete neurologic exam. Four to five half days
More information4/12/2016. Seizure description Basic EEG ICU monitoring Inpatient Monitoring Elective admission for continuous EEG monitoring Nursing s Role
Kathleen Rieke, MD Chari Ahrenholz Curt Devos Understand why continuous EEG is being requested in certain patient populations Understand what the EEG can tell us about our patient. Understand nursing role
More informationEpilepsy in the Primary School Aged Child
Epilepsy in Primary School Aged Child Deepak Gill Department of Neurology and Neurosurgery The Children s Hospital at Westmead CHERI Research Forum 15 July 2005 Overview The School Age Child and Epilepsy
More informationEpilepsies of Childhood: An Over-view of Treatment 2 nd October 2018
Epilepsies of Childhood: An Over-view of Treatment 2 nd October 2018 Dr Sophia Varadkar MRCPI, PhD Consultant Paediatric Neurologist and Honorary Senior Lecturer Great Ormond Street Hospital for Children
More informationEEG in Epileptic Syndrome
EEG in Epileptic Syndrome Surachai Likasitwattanakul, M.D. Division of Neurology, Department of Pediatrics Faculty of Medicine, Siriraj Hospital Mahidol University Epileptic syndrome Electroclinical syndrome
More informationNeurology. Access Center 24/7 access for referring physicians (866) 353-KIDS (5437)
Neurology The Neurology practice at Valley Children s provides diagnostic services, medical treatment, and followup care to infants, children, and adolescents who have suspected or confirmed neurological
More informationHow do we evaluate patients before epilepsy surgery?
How do we evaluate patients before epilepsy surgery? Yotin Chinvarun, MD Chaiyos Khongkhatithum, MD How do we evaluate patients before epilepsy surgery? Chaiyos Khongkhatithum, MD Division of Neurology
More informationStatus Epilepticus in Children
PedsCases Podcast Scripts This is a text version of a podcast from Pedscases.com on Status Epilepticus in Children. These podcasts are designed to give medical students an overview of key topics in pediatrics.
More informationEpilepsy. Presented By: Stan Andrisse
Epilepsy Presented By: Stan Andrisse What Is Epilepsy Chronic Neurological Disorder Characterized by seizures Young children or elderly Developing countries Famous Cases Socrates Muhammad Aristotle Joan
More informationThe Fitting Child. A/Prof Alex Tang
The Fitting Child A/Prof Alex Tang Objective Define relevant history taking and physical examination Classify the types of epilepsy in children Demonstrate the usefulness of investigations Define treatment
More informationChild Neurology. The Plural. of anecdote. is not evidence. University of Texas Health Science Center at San Antonio
Child Neurology Management of Seizure Disorders The stated goal of advocacy groups for patients with seizures, is to have the patient seizure free. S W Atkinson, MD Management of When to pharmacologically
More informationCHAIR SUMMIT 7TH ANNUAL #CHAIR2014. Master Class for Neuroscience Professional Development. September 11 13, Westin Tampa Harbour Island
#CHAIR2014 7TH ANNUAL CHAIR SUMMIT Master Class for Neuroscience Professional Development September 11 13, 2014 Westin Tampa Harbour Island Sponsored by #CHAIR2014 Name That Spell: A Film Festival Joseph
More informationEffects of Sleep and Circadian Rhythms on Epilepsy
Effects of Sleep and Circadian Rhythms on Epilepsy Milena Pavlova, M.D. Medical Director, Faulkner Neurophysiology Laboratory Department of Neurology, Brigham and Women s Hospital Harvard Medical School
More informationSEIZURES AND EPILEPSY. David Spencer MD. School of Pharmacy 2008
SEIZURES AND EPILEPSY David Spencer MD School of Pharmacy 2008 Outline Definitions and epidemiology Etiology/pathology Pathophysiology: o ogy: Brief overview of molecular and cellular basis of epileptogenesis
More informationJeffrey W Boyle, MD, PhD Avera Medical Group Neurology Sioux Falls, SD
Jeffrey W Boyle, MD, PhD Avera Medical Group Neurology Sioux Falls, SD Disclosures: None Objectives Recognize the incidence of seizure and epilepsy in the US population Appreciate the differences in seizure
More informationKetogenic Diet therapy in Myoclonic-Atonic Epilepsy (MAE)
KD therapy in epilepsy syndromes Ketogenic Diet therapy in Myoclonic-Atonic Epilepsy (MAE) Hirokazu Oguni, MD Department of Pediatrics, Tokyo Women's Medical University, Tokyo, Japan Epilepsy Center, TMG
More informationSurgery for Medically Refractory Focal Epilepsy
Surgery for Medically Refractory Focal Epilepsy Seth F Oliveria, MD PhD The Oregon Clinic Neurosurgery Director of Functional Neurosurgery: Providence Brain and Spine Institute Portland, OR Providence
More informationEMG, EEG, and Neurophysiology in Clinical Practice
Mayo School of Continuous Professional Development EMG, EEG, and Neurophysiology in Clinical Practice Matthew T. Hoerth, M.D. Ritz-Carlton, Amelia Island, Florida January 29-February 4, 2017 2016 MFMER
More informationPediatic Neurology Consult and Referral Guidelines
Pediatic Neurology Consult and Referral Guidelines Introduction We see children and teens from birth to 18 years. The most common reasons patients are referred to pediatric neurology services include:
More informationSeizure Management Quality Care for Our Patients
Seizure Management Quality Care for Our Patients Case 6 Jack Pellock, MD 8 year old female with refractory epilepsy Multiple handicaps, developmental delay Cerebral palsy spastic diplegia but ambulatory
More informationEGI Clinical Data Collection Form Cover Page
EGI Clinical Data Collection Form Cover Page Please find enclosed the EGI Clinical Data Form for my patient. This form was completed by: On (date): _ Page 1 of 14 EGI Clinical Data Form Patient Name: Date
More informationEpilepsy. Seizures and Epilepsy. Buccal Midazolam vs. Rectal Diazepam for Serial Seizures. Epilepsy and Seizures 6/18/2008
Seizures and Epilepsy Paul Garcia, M.D. UCSF Epilepsy Epileptic seizure: the physical manifestation of aberrant firing of brain cells Epilepsy: the tendency to recurrent, unprovoked epileptic seizures
More information#CHAIR2016. September 15 17, 2016 The Biltmore Hotel Miami, FL. Sponsored by
#CHAIR2016 September 15 17, 2016 The Biltmore Hotel Miami, FL Sponsored by #CHAIR2016 Seizures and Epilepsies Enrique Serrano, MD University of Miami Miller School of Medicine Miami, FL #CHAIR2016 Learning
More informationSeizure Disorders. Guidelines for assessment of fitness to work as Cabin Crew
Seizure Disorders Guidelines for assessment of fitness to work as Cabin Crew General Considerations As with all medical guidelines, it is important that each individual case is assessed on its own merits.
More informationThe child with hemiplegic cerebral palsy thinking beyond the motor impairment. Dr Paul Eunson Edinburgh
The child with hemiplegic cerebral palsy thinking beyond the motor impairment Dr Paul Eunson Edinburgh Content Coming to a diagnosis The importance of understanding the injury MRI scans Role of epilepsy
More informationNeuropsychological Outcomes of Pediatric Epilepsy. John B. Fulton, Ph.D. Barrow Neurological Institute at Phoenix Children s Hospital
Neuropsychological Outcomes of Pediatric Epilepsy John B. Fulton, Ph.D. Barrow Neurological Institute at Phoenix Children s Hospital Objectives Cognitive Behavioral Risk factors Outline 1. Definitions,
More informationPrescribing and Monitoring Anti-Epileptic Drugs
Prescribing and Monitoring Anti-Epileptic Drugs Mark Granner, MD Clinical Professor and Vice Chair for Clinical Programs Director, Iowa Comprehensive Epilepsy Program Department of Neurology University
More informationEpilepsy. Annual Incidence. Adult Epilepsy Update
Adult Epilepsy Update Annual Incidence J. Layne Moore, MD, MPH Associate Professor Department of Neurology and Pharmacy Director, Division of Epilepsy The Ohio State University Used by permission Health
More informationEpilepsy Surgery: Who should be considered? How will patients do? Bassel Abou-Khalil, M.D.
Epilepsy Surgery: Who should be considered? How will patients do? Bassel Abou-Khalil, M.D. Disclosures none Self-assessment questions Q1- Which qualify for drug resistance in focal epilepsy? A. Failure
More informationAMERICAN BOARD OF CLINICAL NEUROPHYSIOLOGY
AMERICAN BOARD OF CLINICAL NEUROPHYSIOLOGY Part I Content Outline I. Physiology and Instrumentation 30% A. Physiology 1. Anatomy of neural generation 2. Mechanisms of EEG and evoked potential generation
More informationMedical Policy Original Effective Date: Revised Date: Page 1 of 5
Disclaimer Description Coverage Determination Refer to the member s specific benefit plan and Schedule of Benefits to determine coverage. This may not be a benefit on all plans or the plan may have broader
More informationBehavioral, psychiatric, and cognitive co-morbidities in epilepsy and their consequences
Relative Frequency Epilepsy vs. Population Behavioral, psychiatric, and cognitive co-morbidities in epilepsy and their consequences Compared to others in the population, people with epilepsy have higher
More informationDiagnosis, Assessment and Evaluation for Seizures
Lehigh Valley Health Network LVHN Scholarly Works Neurology Update for the Non-Neurologist 2013 Neurology Update for the Non-Neurologist Feb 20th, 7:40 PM - 8:10 PM Diagnosis, Assessment and Evaluation
More information9/30/2016. Advances in Epilepsy Surgery. Epidemiology. Epidemiology
Advances in Epilepsy Surgery George Jallo, M.D. Director, Institute for Brain Protection Sciences Johns Hopkins All Children s Hospital St Petersburg, Florida Epidemiology WHO lists it as the second most
More informationManagement of epilepsy Nicky Barnes Nurse Practitioner for epilepsy surgery
Management of epilepsy Nicky Barnes Nurse Practitioner for epilepsy surgery objectives Demonstrate a basic understanding of the Epilepsies, associated co-morbidities and the impact this may present within
More informationThe ketogenic diet; clinical update
The ketogenic diet; clinical update J Helen Cross UCL-Institute of Child Health, Great Ormond Street Hospital for Children NHS Trust, London, & NCYPE, Lingfield, UK The ketogenic diet what is it? A high
More informationEpilepsy Specialist Symposium Treatment Algorithms in the Diagnosis and Treatment of Epilepsy
Epilepsy Specialist Symposium Treatment Algorithms in the Diagnosis and Treatment of Epilepsy November 30, 2012 Fred Lado, MD, Chair Montefiore Medical Center Albert Einstein College of Medicine Bronx,
More informationChallenges for multivariate and multimodality analyses in "real life" projects: Epilepsy
Challenges for multivariate and multimodality analyses in "real life" projects: Epilepsy Susanne Mueller M.D. Center for Imaging of Neurodegenerative Diseases Background: Epilepsy What is epilepsy? Recurrent
More informationHofstra Northwell School of Medicine Department of Neurology Epilepsy Fellowship Program. Skills and Competencies Rotation Goals and Objectives
Hofstra Northwell School of Medicine Department of Neurology Epilepsy Fellowship Program Skills and Competencies Rotation Goals and Objectives The purpose of the Epilepsy fellowship program is to provide
More informationThe relevance of somatosensory auras in refractory temporal lobe epilepsies
BRIEF COMMUNICATION The relevance of somatosensory auras in refractory temporal lobe epilepsies Ghazala Perven, Ruta Yardi, Juan Bulacio, Imad Najm, William Bingaman, Jorge Gonzalez-Martinez, and Lara
More informationEpilepsy: 10 Things Patients & Family Members Should Know
Epilepsy: 10 Things Patients & Family Members Should Know 1. Seizure Disorder = Epilepsy (but not all seizures are epilepsy) Epilepsy is a brain condition that causes seizures. Some doctors might use the
More informationPurple Day, Saskatchewan Celebration March 24, 2016
Saskatchewan Comprehensive Epilepsy Program Newsletter Spring 2016, Issue 4 Approximately 50 million people worldwide have epilepsy (300,000 people in Canada), making it one of the most common neurological
More information13th ECE - Programme at a Glance
Neurobiology 14.30-16.00 Sunday 26th August Neonatal Session (5) seizure 14.30-16.00 guidelines 14.00-16.30 Set Up ~ Posters on Display all day ~ Authors present (14.00-14.40) Take Dow Monday 27th August
More informationStaging of Seizures According to Current Classification Systems December 10, 2013
Staging of Seizures According to Current Classification Systems December 10, 2013 Elinor Ben-Menachem, M.D.,Ph.D, Instituet of Clinical Neuroscience and Physiology, Sahlgren Academy, Goteborg University,
More informationThe University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Neurology
The University of Arizona Pediatric Residency Program Primary Goals for Rotation Neurology 1. GOAL: Understand the role of the pediatrician in preventing neurological diseases, and in counseling and screening
More informationJennifer A. Vickers MD Associate Professor of Neurology
Jennifer A. Vickers MD Associate Professor of Neurology Conflict of Interest Disclosure Speaker: _Jennifer A. Vickers, MD X 1. I do not have any potential conflicts of interest to disclose, OR 2. I wish
More information13th ECE Vienna - PROGRAMME AT A GLANCE
Neurobiology 14.30-16.00 Sunday 26th August Neonatal Session (5) seizure 14.30-16.00 guidelines 14.00-16.30 Set Up ~ Posters on Display all day ~ Authors present (14.00-14.40) Take Dow Monday 27th August
More informationRisk Factors of Poorly Controlled Childhood Epilepsy - A Study in A Tertiary Care Hospital
44 BANGLADESH J CHILD HEALTH 2010; VOL 34 (2): 44-50 Risk Factors of Poorly Controlled Childhood Epilepsy - A Study in A Tertiary Care Hospital AKM MOINUDDIN 1, MD. MIZANUR RAHMAN 2, SHAHEEN AKHTER 3,
More informationEPILEPSY. Elaine Wirrell
EPILEPSY Elaine Wirrell Seizures are amongst the most common of neurological disorders in the pediatric age range. The incidence of new-onset epilepsy in children is approximately 40 per 100,000 per year
More informationEpilepsy and EEG in Clinical Practice
Mayo School of Professional Development Epilepsy and EEG in Clinical Practice November 10-12, 2016 Hard Rock Hotel at Universal Orlando Orlando, FL Course Directors Jeffrey Britton, MD and William Tatum,
More informationCase #1. Inter-ictal EEG. Difficult Diagnosis Pediatrics. 15 mos girl with medically refractory infantile spasms 2/13/2010
Difficult Diagnosis Pediatrics Joseph E. Sullivan M.D. Assistant Professor of Clinical Neurology & Pediatrics Director, UCSF Pediatric Epilepsy Center University of California San Francisco Case #1 15
More informationManagement of Neonatal Seizures
Management of Neonatal Seizures Manal E. Moustafa Assistant Professor of Pediatric Neurology and Epilepsy Children s Healthcare of Atlanta/Emory University Disclosures I have none! 1 Objectives Recognition
More informationInvasive Evaluation for Epilepsy Surgery Lesional Cases NO DISCLOSURES. Mr. Johnson. Seizures at 29 Years of Age. Dileep Nair, MD Juan Bulacio, MD
Invasive Evaluation for Epilepsy Surgery Lesional Cases NO DISCLOSURES Dileep Nair, MD Juan Bulacio, MD Mr. Johnson Seizures at 29 Years of Age Onset of seizures at 16 years of age bed wetting episodes
More informationBackground. Correlation between epilepsy and attention deficit hyperactivity disorder. Background. Epidemiology of ADHD among children with epilepsy
Correlation between epilepsy and attention deficit hyperactivity disorder I-Ching Chou M.D. Director, Department of Pediatric Neurology China Medical University Hospital Taiwan Background Attention deficit/hyperactivity
More informationDEFINITION AND CLASSIFICATION OF EPILEPSY
DEFINITION AND CLASSIFICATION OF EPILEPSY KAMORNWAN KATANYUWONG MD. 7 th epilepsy camp : Bang Saen, Thailand OUTLINE Definition of epilepsy Definition of seizure Definition of epilepsy Epilepsy classification
More informationNon-lesional Medically-intractable Localization-related Epilepsy Case Presentation December 8, 2013
Non-lesional Medically-intractable Localization-related Epilepsy Case Presentation December 8, 2013 Jennifer L. DeWolfe, DO Associate Professor of Neurology University of Alabama at Birmingham American
More informationIs it epilepsy? Does the patient need long-term therapy?
Is it a seizure? Definition Transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain Is it provoked or unprovoked? Is it epilepsy? Does the
More informationEpilepsy in children with cerebral palsy
Seizure 2003; 12: 110 114 doi:10.1016/s1059 1311(02)00255-8 Epilepsy in children with cerebral palsy A.K. GURURAJ, L. SZTRIHA, A. BENER,A.DAWODU & V. EAPEN Departments of Paediatrics, Community Medicine
More informationDr. Dafalla Ahmed Babiker Jazan University
Dr. Dafalla Ahmed Babiker Jazan University change in motor activity and/or behaviour due to abnormal electrical activity in the brain. seizures in children either - provoked by somatic disorders originating
More informationOccurrence and Risk Factors for Post-traumatic Epilepsy in Civilian Poulations December 2, 2012
Occurrence and Risk Factors for Post-traumatic Epilepsy in Civilian Poulations December 2, 2012 Dale C Hesdorffer, PhD GH Sergievsky Center Columbia University American Epilepsy Society Annual Meeting
More informationDisclosure. Outline. Pediatric Epilepsy And Conditions That Mimic Seizures 9/20/2016. Bassem El-Nabbout, MD
Pediatric Epilepsy And Conditions That Mimic Seizures Bassem El-Nabbout, MD Assistant Professor, Pediatric Neurology Board Certified in Neurology, and Headache Medicine. Disclosure I have no actual or
More informationNeonatal Seizure Cases. Courtney Wusthoff, MD MS Assistant Professor, Neurology Neurology Director, LPCH Neuro NICU
Neonatal Seizure Cases Courtney Wusthoff, MD MS Assistant Professor, Neurology Neurology Director, LPCH Neuro NICU Disclosures I have no conflicts of interest I will discuss off-label use of anti-epileptic
More informationSubspecialty Rotation: Child Neurology at SUNY (KCHC and UHB) Residents: Pediatric residents at the PL1, PL2, PL3 level
Subspecialty Rotation: Child Neurology at SUNY (KCHC and UHB) Residents: Pediatric residents at the PL1, PL2, PL3 level Prerequisites: Any prior pediatric rotations and experience Primary Goals for this
More informationDisclosure Age Hauser, Epilepsia 33:1992
Pediatric Epilepsy Syndromes Gregory Neal Barnes MD/PhD Assistant Professor of Neurology and Pediatrics Director, Pediatric Epilepsy Monitoring Unit Vanderbilt University Medical Center Disclosure Investigator:
More informationROLE OF EEG IN EPILEPTIC SYNDROMES ASSOCIATED WITH MYOCLONUS
Version 18 A Monthly Publication presented by Professor Yasser Metwally February 2010 ROLE OF EEG IN EPILEPTIC SYNDROMES ASSOCIATED WITH MYOCLONUS EEG is an essential component in the evaluation of epilepsy.
More information13th ECE Vienna - PROGRAMME AT A GLANCE
Neurobiology Symposium 14.30-16.00 Sunday 26th August Neonatal Session (5) seizure 14.30-16.00 guidelines 14.00-16.30 Set Up ~ Posters on Display all day ~ Authors present (14.00-14.40) Take Dow Monday
More informationMultimodal Imaging in Extratemporal Epilepsy Surgery
Open Access Case Report DOI: 10.7759/cureus.2338 Multimodal Imaging in Extratemporal Epilepsy Surgery Christian Vollmar 1, Aurelia Peraud 2, Soheyl Noachtar 1 1. Epilepsy Center, Dept. of Neurology, University
More informationOutline. What is a seizure? What is epilepsy? Updates in Seizure Management Terminology, Triage & Treatment
Outline Updates in Seizure Management Terminology, Triage & Treatment Joseph Sullivan, MD! Terminology! Videos of different types of seizures! Diagnostic evaluation! Treatment options! Acute! Maintenance
More informationNeurological Comorbidity
Neurological Comorbidity Ann M Neumeyer, MD Child Neurology Medical Director, Lurie Center for Autism Disclosures Neither I nor my spouse/partner has a relevant financial relationship with a commercial
More information