Information for new patients
An evaluation begins with a thorough review of past medical records, X-rays, magnetic resonance imaging (MRI) films and electroencephalogram (EEG) results. This is followed by a meeting with the patient and family members to discuss the history of medications, treatments and the degree of seizure control that has been achieved since the first seizure.
The first line of treatment for epilepsy is the use of anti-seizure medication along with close monitoring to assess seizure control and medical side effects. If seizures continue or disabling side effects occur, a second medication is usually tried. More than half of all epilepsy patients are successfully treated with medication.
If the second or third medication fails, subsequent medications stand very little chance of working. Some patients believe that if their seizures have decreased in number, their medication is successful. This is not the case. If any seizures occur while taking medication, other medications or treatment options should be explored.
The Regional Epilepsy Center can enroll its patients in clinical trials of promising medications not yet available to the general public.
How to pick the right medication
When it is determined that medications are not working, Regional Epilepsy Center physicians conduct additional tests before pursuing other treatment options. In-patient testing may be used and includes 24-hour video monitoring and measurement of brain wave activity. While under the close supervision of the center's team, patients' medications are decreased. When seizure activity occurs, an EEG can help determine the point of origin within the brain and the video helps the team better analyze the physical effects of the seizures.
Results of additional testing may recommend that surgery should be performed to remove the portion of the brain responsible for the onset of seizures. This can be a safe, effective option without drug side effects or loss of brain function. Another drug-free option is the
Vagus nerve stimulator, which works like a pacemaker for the brain, sending regular, mild electrical shocks to the brain to prevent seizures. VNS requires only minimally invasive surgery to implant the generator under the skin of the chest and attach the generator's electrode wire to the
Vagus nerve in the neck.
The Regional Epilepsy Center at Aurora St. Luke's Medical Center accepts a wide variety of insurance plans. Because insurance plans change frequently, you
should check with your insurance plan administrator or the Regional Epilepsy Center for information about your insurance coverage. The
Center's phone number is 414-385-8780.
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