Carolinas HealthCare System
Neuroscience
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Epilepsy Treatment Options

Treatment Options for Adults:

  • Ictal and interictal SPCET scans
  • Functional MRI and PET
  • WADA testing
  • Sphenoidal electrode recording
  • Interacranial recording with subdural and depth electrodes
  • Brain mapping, including speech and sensorimotor mapping
  • Neuropsychological testing
  • Diagnostic evaluation for refractory epilepsy
  • Vagal Nerve stimulators
  • Ketogenic diet program
  • Remote EEG reading
  • Emergent EEG, consult and EEG interpretations

Surgical Treatment Options:

For over 50% of patients who are not good candidates for resective surgery, implantation of a vagal nerve stimulator may significantly improve seizure control. The neurosurgeons of Carolinas HealthCare System continue to offer advanced surgical options to alleviate epilepsy including temporal lobectomy, extra-temporal resections, corpus callosotomy and hemispherectomy.

A vagal nerve stimulator (VNS) may be the solution for some of these individuals. A VNS serves as a type of programmable pacemaker for the vagus nerve in the neck. Carolinas HealthCare system has implanted these devices in patients ranging in age from six months to 40 years. After surgery, the patient's neurologists follow closely to make the necessary adjustments in stimulation parameters. While practice neurosurgeons feel this is an important part of their armamentarium against epilepsy, VNS results in complete freedom from seizures in only 10% to 15% of patients.

Other Surgical Treatment Available:

  • Focal cortical excision
  • Lobectomy
  • Vagal nerve stimulator implantation
  • Multilobar resection
  • Multiple subpial transection
  • Corpus callostomy
  • Hemispherectomy
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