Epilepsy Surgery: A Pediatric Neurologist s Perspective
|
|
- Gabriella Randall
- 6 years ago
- Views:
Transcription
1 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 University
2 Where does it all start?
3 Where does it all start?
4 Where does it all start?
5
6 Why do we ask SO MANY questions?
7 Why do we ask SO MANY questions? The answers to the questions inform us: How did the epilepsy start? Is it genetic or related to a lesion? Is the epilepsy medically intractable? Is there a medical or dietary option that would be more effective? Where in the brain do the seizures come from? How do the seizures impact this person s lifestyle: their talents and goals?
8 How did the epilepsy start? Trauma Injury Infection A prolonged epilepsy Difficulties at birth No clear reason idiopathic
9 Is it genetic or related to a lesion? Childhood absence epilepsy Juvenile Absence epilepsy Benign Rolandic Epilepsy Juvenile Myoclonic Epilepsy Doose syndrome Dravet Syndrome Otahara Syndrome Angelman s syndrome Cornelia De Lange syndrome Aicardi s syndrome
10 Is the epilepsy medically intractable? Failure of 3 appropriate anti-epileptic medications Failure Three medications Appropriate
11 Where in the brain do the seizures come from? Frontal Parietal Temporal Occipital
12
13 The Presurgical Evaluation Detailed history and physical by a pediatric epileptologist Routine EEG
14
15 Routine EEG
16 The Presurgical Evaluation Detailed history and physical by a pediatric epileptologist Routine EEG MRI
17
18 The Presurgical Evaluation Detailed history and physical by a pediatric epileptologist Routine EEG Head MRI Admission to the Pediatric EMU PEMU for identification of the seizure focus
19
20
21
22
23
24
25
26
27 The Presurgical Evaluation Detailed history and physical by a pediatric epileptologist Routine EEG Head MRI Admission to the Pediatric EMU PEMU for identification of the seizure focus PET: neuroanatomic localization of seizure focus
28
29
30 The Presurgical Evaluation Detailed history and physical by a pediatric epileptologist Routine EEG Head MRI Admission to the Pediatric EMU PEMU for identification of the seizure focus PET: neuroanatomic localization of seizure focus Neuropsychological/developmental evaluation
31 The Presurgical Evaluation
32 The Presurgical Evaluation Detailed history and physical by a pediatric epileptologist Routine EEG Head MRI Admission to the Pediatric EMU PEMU for identification of the seizure focus PET: neuroanatomic localization of seizure focus Neuropsychological/developmental evaluation Language localization
33
34
35
36
37 The Presurgical Evalutation The most important aspect, and the most unique to Vanderbilt The Epilepsy Surgery Case Conference
38 The Presurgical Evalutation Additional testing may be recommended: Additional EMU monitoring Interictal and ictal SPECT test
39
40
41 The Surgical Evaluation History and physical by a trained, pediatric neurosurgeon, specializing in epilepsy surgery Decision by conference: 1 stage vs. 2 stage surgery
42 The Surgical Evaluation
43 The Surgical Evaluation Special circumstances: Infantile spasms Hemimegalencephaly Rasmussen s encephalopathy
44 Outcome: Epilepsy In a large study of children undergoing surgery over a 10 year period: Overall: 78% good outcome (SF or >90% reduction), 60% SF (seizure-free) Lesional cases vs Non-lesional cases : 80% good outcome, 65% SF 74% good outcome, 51% SF (no statistical difference) Site of seizures: Temporal 80% good, 70% SF, Non-temporal 78% good outcome, 61% SF (no statistical difference) Most significant feature: Completeness of the resection: 92% good outcome, 76% SF (p<0.0001) Paolicchi et al, Neurology 2000; 54 (3):
45 Outcome: Development Factors that improve developmental outcome: Younger age at the time of surgery Short duration of epilepsy Seizure freedom/outcome Improved developmental, dependent on the study is estimated at 59-70%» Paolicchi, Nature Clinical Practice Neurology, 2007; 3,
46 What if my child doesn t qualify? New medications Dietary therapy Vagus Nerve Stimulator Implantation
47 Epilepsy Surgery: A Pediatric Neurologist s Perspective
48
Disclosure 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 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 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 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 informationEpilepsy 101. Overview of Treatment Georgette Smith, PhD, APRN, CPNP. American Epilepsy Society
Epilepsy 101 Overview of Treatment Georgette Smith, PhD, APRN, CPNP American Epilepsy Society Overview of Treatment Rescue Therapies Non-Medication Therapies Epilepsy surgery Vagus nerve stimulation Dietary
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 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 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 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 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 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 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 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 informationPediatric Epilepsy Surgery. W. Donald Shields, MD Emeritus Professor of Neurology and Pediatrics David Geffen School of Medicine at UCLA
Pediatric Epilepsy Surgery W. Donald Shields, MD Emeritus Professor of Neurology and Pediatrics David Geffen School of Medicine at UCLA PEDIATRIC EPILEPSY SURGERY A THING OF BEAUTY IF DONE RIGHT PEDIATRIC
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 informationClassification of Seizures. Generalized Epilepsies. Classification of Seizures. Classification of Seizures. Bassel F. Shneker
Classification of Seizures Generalized Epilepsies Bassel F. Shneker Traditionally divided into grand mal and petit mal seizures ILAE classification of epileptic seizures in 1981 based on clinical observation
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 informationThe epilepsies: pharmacological treatment by epilepsy syndrome
The epilepsies: pharmacological treatment by epilepsy syndrome This table provides a summary reference guide to pharmacological treatment. Anti-epileptic drug (AED) options by epilepsy syndrome Childhood
More informationAttending: a medical doctor (MD or OD) who has completed medical school, residency, and often a specialized fellowship
Descriptions for members of the Epilepsy Team Attending: a medical doctor (MD or OD) who has completed medical school, residency, and often a specialized fellowship Fellow: a medical doctor (MD or OD)
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 informationRecommendations. for Care of Adults with Epilepsy. Seeking the best treatment from the right doctor at the right time!
Recommendations for Care of Adults with Epilepsy Seeking the best treatment from the right doctor at the right time! Contents This booklet is to help adults and their caregivers know when it is appropriate
More informationACTH therapy for generalized seizures other than spasms
Seizure (2006) 15, 469 475 www.elsevier.com/locate/yseiz ACTH therapy for generalized seizures other than spasms Akihisa Okumura a,b, *, Takeshi Tsuji b, Toru Kato b, Jun Natsume b, Tamiko Negoro b, Kazuyoshi
More informationepilepsy center About Epilepsy Surgery
epilepsy center About Epilepsy Surgery Epilepsy Surgery Advances in Epilepsy Surgery Are You a Candidate for Surgery? If anticonvulsant medications have failed to control your epilepsy, or you are experiencing
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 information2007 UCB Pharma SA. All rights reserved. GLOSSARY OF TERMS
2007 UCB Pharma SA. All rights reserved. GLOSSARY OF TERMS Absence Seizure A type of generalised seizure usually seen in children, characterised by transient impairment or loss of consciousness usually
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 informationEpilepsy. Treatment Guide
Treatment Guide Epilepsy Epilepsy is one of the most common neurological disorders, affecting nearly 3 million Americans of all ages. If you or someone you love has this chronic condition marked by recurrent
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 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 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 informationSeizures in Children: Laboratory
Article neurology Seizures in Children: Laboratory Diagnosis and Management Philippe Major, MD,* Elizabeth A. Thiele, MD, PhD* Objectives After completing this article, readers should be able to: 1. Formulate
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 informationPediatric Epilepsy Care in Milwaukee
Pediatric Epilepsy Care in Milwaukee Priya Monrad, MD Assistant Professor, Pediatric Neurology and Epilepsy Children s Hospital of Wisconsin Disclosures I have no relevant financial relationships to disclose.
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 informationSleep in Epilepsy. Kurupath Radhakrishnan,
Sleep in Epilepsy Kurupath Radhakrishnan, Retired Senior Professor (Emeritus), R. Madavan Nayar Center for Comprehensive Epilepsy Care, Retired Director, Sree Chitra Tirunal Institute for Medical Sciences
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 information18/07/2013. Transition services the care pathway June 2013 Childhood Epilepsy Masterclass Transition from paediatric to adult services Young Epilepsy
Introduction (1) Transition services the care pathway June 2013 Childhood Epilepsy Masterclass Transition from paediatric to adult services Young Epilepsy Sophia Varadkar MRCPI, PhD Consultant Paediatric
More information5/22/2009. Pediatric Neurosurgery Pediatric Neurology Neuroradiology Neurophysiology Neuropathology Neuropsychology
Current Surgical Treatment Strategies for the Management of Pediatric Epilepsy University of California, San Francisco Department of Neurological Surgery San Francisco, California Kurtis Ian Auguste, M.D.
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 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 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 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 informationCorporate Medical Policy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: genetic_testing_for_epilepsy 1/28/14 10/2017 10/2018 10/2017 Description of Procedure or Service Description
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 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 informationPondering Epilepsy Classification (actually a few thoughts on the impact of genetic analyses of the epilepsies) Genetics of Epilepsies
Pondering Epilepsy Classification (actually a few thoughts on the impact of genetic analyses of the epilepsies) Dan Lowenstein UCSF Department of Neurology and the UCSF Epilepsy Center To Cover: 1. Update
More informationEPILEPSY: What is Epilepsy? Is there any treatment? What is the prognosis? What research is being done?
EPILEPSY: What is Epilepsy? The epilepsies are a spectrum of brain disorders ranging from severe, life-threatening and disabling, to ones that are much more benign. In epilepsy, the normal pattern of neuronal
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 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 informationEpilepsy and Epileptic Syndromes Cases Presented at Neuropediatricclinic of Mother Theresa University Hospital Center, Tirana,
Epilepsy and Epileptic Syndromes Cases Presented at Neuropediatricclinic of Mother Theresa University Hospital Center, Tirana, 2012-2014 Afërdita Tako Kumaraku, Aida Bushati, Agim Gjikopulli, Renald Mecani,
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 15 Patient Name: Date of Birth: MM/DD/YYYY
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 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 informationEst-ce que l'eeg a toujours sa place en 2019?
Est-ce que l'eeg a toujours sa place en 2019? Thomas Bast Epilepsy Center Kork, Germany Does EEG still play a role in 2019? What a question 7T-MRI, fmri, DTI, MEG, SISCOM, Of ieeg course! /HFO, Genetics
More informationLevel 4 comprehensive epilepsy program in Malaysia, a resource-limited country
Neurology Asia 2017; 22(4) : 299 305 Level 4 comprehensive epilepsy program in Malaysia, a resource-limited country 1 Kheng-Seang Lim, 1 Sherrini Ahmad Bazir Ahmad, 2 Vairavan Narayanan, 3 Kartini Rahmat,
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 informationKHATAM EPILEPSY CENTER Khatam Epilepsy center, established in 2005, is a national pacesetter in the evaluation and treatment of epilepsy in both
KHATAM EPILEPSY CENTER Khatam Epilepsy center, established in 2005, is a national pacesetter in the evaluation and treatment of epilepsy in both children and adults. A team of dedicated physicians, healthcare
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 informationInterictal High Frequency Oscillations as Neurophysiologic Biomarkers of Epileptogenicity
Interictal High Frequency Oscillations as Neurophysiologic Biomarkers of Epileptogenicity December 10, 2013 Joyce Y. Wu, MD Associate Professor Division of Pediatric Neurology David Geffen School of Medicine
More informationChild-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 informationIntroduction to Neurosurgical Subspecialties:
Introduction to Neurosurgical Subspecialties: Functional Neurosurgery Brian L. Hoh, MD 1 and Gregory J. Zipfel, MD 2 1 University of Florida, 2 Washington University Functional Neurosurgery Functional
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 informationEpilepsy surgery. Loránd Eross. National Institute of Clinical Neurosciences. Semmelweis University, 2018.
Epilepsy surgery Loránd Eross National Institute of Clinical Neurosciences Semmelweis University, 2018. Epilepsy surgery Medicaltreatment Seizure free:70% Surgical treatment Seizure fee:15% Neuromodulation
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 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 informationIctal pain: occurrence, clinical features, and underlying etiologies.
Thomas Jefferson University Jefferson Digital Commons Department of Neurology Faculty Papers Department of Neurology 8-1-2016 Ictal pain: occurrence, clinical features, and underlying etiologies. Ali Akbar
More informationSEIZURE OUTCOME AFTER EPILEPSY SURGERY
SEIZURE OUTCOME AFTER EPILEPSY SURGERY Prakash Kotagal, M.D. Head, Pediatric Epilepsy Cleveland Clinic Epilepsy Center LEFT TEMPORAL LOBE ASTROCYTOMA SEIZURE OUTCOME 1 YEAR AFTER EPILEPSY SURGERY IN ADULTS
More informationElectroclinical Syndromes Epilepsy Syndromes. Angel W. Hernandez, MD Division Chief, Neurosciences Helen DeVos Children s Hospital Grand Rapids, MI
Electroclinical Syndromes Epilepsy Syndromes Angel W. Hernandez, MD Division Chief, Neurosciences Helen DeVos Children s Hospital Grand Rapids, MI Disclosures Research Grants: NIH (NINDS) Lundbeck GW Pharma
More informationIdiopathic epilepsy syndromes
1 Idiopathic epilepsy syndromes PANISRA SUDACHAN, M.D. Pe diatric Neuro lo gis t Pediatric Neurology Department Pras at Neuro lo gic al Institute Epilepsy course 20 August 2016 Classification 2 1964 1970
More informationApproximately 70% of childhood SURGICAL TREATMENTS FOR PEDIATRIC EPILEPSY PROCEEDINGS. Ronald P. Lesser, MD KEY POINTS
ASIM May p153-158 5/14/01 9:19 AM Page 153 SURGICAL TREATMENTS FOR PEDIATRIC EPILEPSY Ronald P. Lesser, MD KEY POINTS Most children with epilepsy refractory to drugs can improve with surgery Temporal lobe
More informationIdiopathic epilepsy syndromes
Idiopathic epilepsy syndromes PANISRA SUDACHAN, M.D. Pediatric Neurologist Pediatric Neurology Department Prasat Neurological Institue Epilepsy course 26 August 2017 Classification 1964 1970 1981 1989
More informationControversies Genetic: How do I tell the patient? 4/12/12
Controversies Genetic: How do I tell the patient? 4/12/12 1 Sameer M Zuberi MD, FRCP Paediatric Neurologist Honorary Clinical Associate Professor Royal Hospital for Sick Children Glasgow, UK American Epilepsy
More informationSemiological seizure classification of epileptic seizures in children admitted to video-eeg monitoring unit
The Turkish Journal of Pediatrics 2015; 57: 317-323 Original Semiological seizure classification of epileptic seizures in children admitted to video-eeg monitoring unit Serdar Alan 1*, Dilek Yalnızoğlu
More informationIdiopathic epilepsy syndromes
Idiopathic epilepsy syndromes Kamornwan Katanyuwong MD. Chiangmai University Hospital EST, July 2009 Diagram Sylvie Nyugen The Tich, Yann Pereon Childhood absence epilepsy (CAE) Age : onset between 4-10
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 informationThe American Approach to Depth Electrode Insertion December 4, 2012
The American Approach to Depth Electrode Insertion December 4, 2012 Jonathan Miller, MD Director, Epilepsy Surgery University Hospitals Case Medical Center/Case Western Reserve University Cleveland, Ohio
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 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 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 informationCoexistence of focal and idiopathic generalized epilepsy in the same patient population
Seizure (2006) 15, 28 34 www.elsevier.com/locate/yseiz Coexistence of focal and idiopathic generalized epilepsy in the same patient population Lara E. Jeha a, *, Harold H. Morris b, Richard C. Burgess
More informationCandidates for Epilepsy Surgery. Presurgical Evaluation. Presurgical Evaluation. Presurgical Evaluation. Presurgical Evaluation 8/27/2017
PresurgicalEpilepsy Eval: A multidisciplinary approach to intractable epilepsy Tayard Desudchit MD Faculty Of Medicine Chulalongkorn U. Candidates for Epilepsy Surgery Persistent seizures despite appropriate
More informationAsian Epilepsy Academy (ASEPA) & ASEAN Neurological Association (ASNA) EEG Certification Examination
Asian Epilepsy Academy (ASEPA) & ASEAN Neurological Association (ASNA) EEG Certification Examination EEG Certification Examination Aims To set and improve the standard of practice of Electroencephalography
More informationWhat is the Relationship Between Arachnoid Cysts and Seizure Foci?
Epilepsin, 38( 10):1098-1102, 1997 Lippincott-Raven Publishers, Philadelphia 0 International League Against Epilepsy What is the Relationship Between Arachnoid Cysts and Seizure Foci? Santiago Arroyo and
More informationClinical Commissioning Policy: Deep Brain Stimulation for Refractory Epilepsy
Clinical Commissioning Policy: Deep Brain Stimulation for Refractory Epilepsy Reference: NHS England xxx/x/x 1 Clinical Commissioning Policy: Deep Brain Stimulation for Refractory Epilepsy First published:
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 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 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 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 informationCLINICAL GUIDELINES FOR THE MANAGEMENT OF EPILEPSY
CLINICAL GUIDELINES FOR THE MANAGEMENT OF EPILEPSY Information for People with Seizures THE EPILEPSY RESEARCH PROGRAM OF THE ONTARIO BRAIN INSTITUTE TABLE OF CONTENTS About This Booklet... 1 What is Epilepsy?...
More informationThe Neuropsychological Efficacy of Vagus Nerve Stimulation in 56 Children with Catastrophic Epilepsy
Research The Neuropsychological Efficacy of Vagus Nerve Stimulation in 56 Children with Catastrophic Epilepsy Xiongfei Wang 1,2, Qing Gao 2, Jian Zhou 1, Yuguang Guan 1, Changqing Liu 1, Weiwei Pan 2,
More informationEpilepsy management What, when and how?
Epilepsy management What, when and how? J Helen Cross UCL-Institute of Child Health, Great Ormond Street Hospital for Children, London, & National Centre for Young People with Epilepsy, Lingfield, UK What
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 informationClinical Policy: Digital EEG Spike Analysis
Clinical Policy: Reference Number: CP.MP.105 Last Review Date: 01/18 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory and legal information. Description
More informationEpilepsy. Definitions
Epilepsy Definitions An epileptic disorder is a chronic neurological disorder characterized by recurrent epileptic seizures An epileptic syndrome consists of a complex of signs and symptoms that occur
More informationLow Carbohydrate Diets and The Brain
Low Carbohydrate Diets and The Brain Eric H. Kossoff, MD Medical Director, Ketogenic Diet Center Associate Professor, Neurology and Pediatrics Johns Hopkins Hospital Baltimore, Maryland July 9, 2010 Topics
More informationEpileptic syndrome in Neonates and Infants. Piradee Suwanpakdee, MD. Division of Neurology Department of Pediatrics Phramongkutklao Hospital
Epileptic syndrome in Neonates and Infants Piradee Suwanpakdee, MD. Division of Neurology Department of Pediatrics Phramongkutklao Hospital AGE SPECIFIC INCIDENCE OF EPILEPSY Hauser WA, et al. Epilepsia.
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 informationNew Discoveries in Epilepsy through Related Disorders. Professor Mark Rees. Director of the Wales Epilepsy Research Network (WERN)
WALES EPILEPSY RESEARCH NETWORK WERN New Discoveries in Epilepsy through Related Disorders Professor Mark Rees Director of the Wales Epilepsy Research Network (WERN) Chair of the Scientific Advisory Committee
More informationNeuroscience. Journal. New telemedicine platform improves stroke care. P A L M E T T O H E A L T H Vol. 3 Issue 1 Winter 2017
Neuroscience P A L M E T T O H E A L T H Vol. 3 Issue 1 Winter 2017 Journal New telemedicine platform improves stroke care pg. 5 Evaluating and treating epilepsy pg. 8 As physician co-leaders of Palmetto
More information