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Epilepsy Monitoring Unit (EMU)
The Epilepsy Monitoring Unit (EMU) is a dedicated unit consisting of:

  • Private rooms that are hard wired for recording data and designed with patient safety in mind.
  • Nearby monitoring room with real time monitors and review stations for continuous monitoring and headed by experienced staff.
  • Specially trained nursing and technical staff to respond to seizures, issues and events 24/7
  • EMU admissions typically fall into one of three categories:
  • Diagnostic admissions to assess if patients have seizures (typically a 24 to 48-hour admission).
  • Evaluation of seizure treatment effectiveness (typically a 24-hour admission).
  • Evaluation for surgery in patients whose seizures do not respond to medication (typically a 3-7 day admission).
 

Once enough data has been collected to make an assessment, our epileptologists will create a care plan to control the seizures and will follow the patient's progress as an outpatient until they are stable. Patients with seizures that can be controlled with medication will work with their primary care physicians for ongoing monitoring of their conditions. If the condition changes, the patient will return to the epilepsy clinic for further evaluation. 

Patients with seizures that do not respond to medication will be evaluated for their potential for epilepsy surgery or device implantation and will continue with our Epilepsy Center team through surgery and confirmation that the seizures have ceased.

Epilepsy Treatment Options

  • Diagnostic monitoring to determine the cause of seizures inpatient and outpatient
  • Determination of whether a patient has epilepsy or not
  • Evaluation of treatment effectiveness and optimization of medications
  • Evaluation for epilepsy surgery
  • Specialized neurosurgical epilepsy surgical service
  • Specialized neuroradiological services including epilepsy protocol 3T MRI, fMRI and WADA
  • Neuropsychological services
  • Acute continuous bedside EEG monitoring for patients often in the ICU where seizure is an aspect of their reason for hospital admission to guide treatment

Surgical Treatments for Epilepsy
Surgical options for patients with epilepsy fall into two categories:
 
Resection

  • Lesionectomy – The removal of abnormal lesions on the brain.
  • Lobectomy – The removal of a portion of the temporal lobe or another part of the brain.

 Device implantation

  • Vagus Nerve Stimulators – An implantable pulse generator is placed under the skin with a lead wire running to the vagus nerve in the neck. The device is programmed by the neurologist during subsequent visits to deliver mild pulses of electrical energy to reduce the frequency of seizures.
  • Responsive Neurostimulation (RNS) – A new implanted brain electrode, management, programing and implantation that will be offered in the future.

Treated Conditions

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