EPILEPSY MANAGEMENT SERVICES
At the Orlando Epilepsy Center, we provide comprehensive care for Epilepsy management. We can help in all stages of Epilepsy care: initial diagnosis, work up, treatment and long-term management. Each patient is treated with an individual plan of care in order to find the best available treatment option.
Diagnosis and Treatment of Epilepsy patients
Some people with seizures will respond well to medication and may go on to live seizure-free for years or even a lifetime. However, some people with Epilepsy do not respond to medications and will continue to have uncontrolled seizures.
These patients have what is called Refractory Epilepsy and will require long-term medical supervision. Additional testing needs to be performed in these cases including a long-term video EEG to better understand the types of seizures the refractory patients are having.
Dr. Sadek will find the best method to treat each individual patient after gaining as much information as possible. This could include a multitude of treatment options including medication alterations, VNS programming, and coordinating surgery.
Our team will be there for you every step of the way and will provide continued long-term management. We strive for every patient we encounter to live a healthy, active seizure-free lifestyle.
Routine and prolonged EEG studies
An EEG is an important step in diagnosing and treating people with seizures. A routine EEG is a pain-free test performed in Dr. Sadek's office over a 30 minute period. The EEG technician will apply electrodes onto the patient's scalp in order to record brain activity for the duration of the test. This can help gather important information to diagnose epilepsy.
Regardless of the outcome of the routine EEG, it is often necessary to perform more testing. If the EEG is negative, it is possible that the important brain wave information was not visible during this time and a longer study is needed to capture that information. If the EEG is positive, it is important to do additional testing to understand exactly which type or types of seizures the patient is experiencing. This next step in additional testing is likely to be a long-term video EEG (link to long-term).
Epilepsy monitoring evaluations
After a routine EEG is performed, additional testing may be required. Dr. Sadek will evaluate each patient's specific case to determine if he or she is a candidate for a long-term video EEG. This study is not for everyone, but can provide valuable information to better understand each individual's seizures.
Epilepsy monitoring can be used for a large variety of purposes: diagnosing the type or types of seizures, identifying the underlying cause of seizures, determining alternate treatment methods, or exploring whether a long-term seizure-free patient could be taken off of their current medication.
As part of our comprehensive Epilepsy program, we provide a state-of-the-art Epilepsy Monitoring Unit (link to our unit) for those who may benefit from this type of testing.
Selection and management of VNS patients
After trying multiple medications, some patients will still continue to have uncontrolled seizures. Out of these Refractory Epilepsy patients, Dr. Sadek can determine which of those would benefit from VNS (Vagal Nerve Stimulation) therapy as a treatment option.
VNS is a seizure management tool that involves implanting a pacemaker-like device that generates pulses of electricity to stimulate the vagus nerve. Dr. Sadek will coordinate with a surgeon in order to place the VNS and then he will program the device to cater to the patient's specific needs. This is part of a long-term seizure management plan and can greatly reduce the severity of seizures in some patients.
Patient selection for epilepsy surgery
After trying multiple medications and other seizure management methods, some patients will still have uncontrolled seizures. Often these may be candidates for surgery.
In order to determine if a patient would be suited for epilepsy surgery, a diagnostic test called a long-term video EEG must first be performed.
Long-term monitoring is an essential part of this decision process as a physician can combine both the video and the EEG of the patient during a seizure. This can help Dr. Sadek to understand if the patient is a candidate for surgery and to localize which part of the brain would require operation.
Epilepsy Monitoring Unit
The Orlando Epilepsy Center Monitoring Unit is a one-of-a-kind facility that provides 24-hour Epilepsy monitoring for diagnostic and pre-surgical evaluation in a relaxing, non-hospital setting.
The Continuous Long-Term Video EEG recording happens over a period of three to five days in order to capture the clinical events in question and to localize the underlying seizure activity.