Epilepsy poses unique challenges for individuals and their families. It impacts many aspects of daily living, which vary across the different stages of life. That’s why the Comprehensive Epilepsy Center provides personalized care tailored to each person’s unique needs. It starts with your first evaluation, and with each visit, our outstanding multidisciplinary team is here to guide you through all stages of your journey.
Consultation with an epilepsy specialist
Our specialists include neurologists that specialize in epilepsy and epileptologists, who will evaluate your medical history, order or review diagnostic testing and examine you in order to develop a treatment plan that is customized to you.
To make an appointment, choose one of our .
Outpatient EEG testing
testing is an essential diagnostic tool in the evaluation of epilepsy. Our EEG technicians are highly experienced, and all EEGs are interpreted by board-certified epileptologists who specialize in EEG testing. That means you’ll always receive the most accurate results of the highest quality.
We offer routine studies (short outpatient EEGs) as well as ambulatory studies (multi-day EEG tests done at home). Both can be arranged at any of our outpatient offices.
Inpatient video EEG evaluation
For some patients, medication does not fully work in preventing seizures, so your doctor may recommend a video EEG study to help decide which treatment is best for you. A video EEG will help your doctor identify exactly where in the brain your seizures are starting, what kind of seizures you are having and if they are a result of epilepsy or another cause.
Video EEG studies are done in the hospital with specialized equipment and staff to monitor you throughout your stay. Video EEGs use a video camera and recording machine to record and track your brain wave activity during and between seizures, so your doctor can review and analyze what happens. A hospital stay for a video EEG can last from 48 hours to 7 days or longer, depending on your condition. Your doctor will tell you how long you can expect to stay in the hospital.
To arrange an inpatient video EEG evaluation, speak with your neurologist.
Epilepsy monitoring units
North Shore University Hospital, Lenox Hill Hospital, Southside Hospital and Staten Island University Hospital all have state-of-the-art epilepsy monitoring units (EMUs) staffed by a dedicated observation team. They include epilepsy-trained doctors, nurses, neuropsychologists and compassionate certified video EEG technologists. The EMUs allow our epileptologists and neurosurgeons to offer the most advanced and safest treatments for epilepsy, using both medications and minimally invasive approaches to epilepsy surgery.
Your doctor may want you to have a neuropsychological evaluation. These evaluations are useful in understanding how epilepsy affects your mood, stress, anxiety and overall cognitive functions such as memory, language and attention. Neuropsychological testing can also provide targeted recommendations to help you overcome challenges you may face as a result of epilepsy.
For people considering epilepsy surgery, neuropsychological testing can also be helpful in identifying the parts of the brain most affected by seizures and planning your surgery.
Behavioral health assessment
Anxiety and mood disorders are common among people with epilepsy and can have a large impact on quality of life. At the Comprehensive Epilepsy Center, we care for the whole patient—not just their illness. In addition to medical and surgical care, psychological assessment and ongoing support is also available to help our patients live life to the fullest.
Epilepsy surgery evaluation
For some patients, when seizures cannot be fully controlled with medication, epilepsy surgery may be an option. All of our specialists work closely together to develop the best surgical treatment plan for you. The goal of epilepsy surgery is to turn off the parts of the brain that cause seizures without affecting normal function.
An intracarotid sodium amobarbital test, also called a Wada test, may be necessary prior to epilepsy surgery. Wada testing is used to determine the location of language and how well memory is functioning in each half of the brain. It is performed by an epileptologist, interventional neurologist and a neuropsychologist.
We offer the newest minimally invasive diagnostic techniques, such as stereoelectroencephalography (SEEG or stereo-EEG). With SEEG, electrodes are placed using computer guidance through tiny pinholes in the skull. SEEG allows your epileptologist to pinpoint where in the brain seizures start. In some cases, your epileptologist may recommend standard grid or strip electrode implantation, where electrodes are placed on the surface of the brain through a craniotomy. Like SEEG, grid electrodes are also used to identify where seizures start.
Your epileptologist may also recommend a functional brain mapping procedure. In this procedure, electrodes are used to stimulate the brain to identify seizure-producing zones and areas for certain functions, such as sight and hearing.
High-quality neuroimaging is an essential tool in managing seizures. As part of a your evaluation, our imaging experts may use , or imaging to help understand why you are having seizures, what kind of seizures you are having and where in the brain they are starting.