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Don't Settle for Seizures
Stanford offers hope to patients with intractable epilepsy
Epilepsy is a common condition, affecting one percent of the world's
population. And while the majority of these patients enjoy seizure
control with antiepileptic medications, there remain about one third
with intractable, or uncontrolled, epilepsy — patients with ongoing
seizures despite taking medications. Many of these patients have
seizures that disrupt their quality of life for years, even though
advanced treatment is available.
"Even one seizure
every few months is an intolerable and potentially dangerous
scenario," says Robert Fisher, MD, PhD, Director of the Stanford
Epilepsy Center. "There is often too much complacency about
allowing seizures to continue. There are a number of treatments
available that can help reduce seizures and in many cases make
patients seizure free." Stanford offers a multidisciplinary
approach to treating patients with uncontrolled seizures, says Josef
Parvizi, MD, PhD, who leads the Stanford Program for Intractable
Epilepsy. "Sometimes we see patients who have been suffering 20
years," he says. "It's heart-breaking because we could have
helped them much sooner. Patients do not have to accept that this is
their life forever. They need to be evaluated for new drugs, devices
or surgical resection."
Advanced technology offers hope
When a patient is referred to Stanford, a multidisciplinary team
specializing in clinical epileptology, epilepsy nursing, neurosurgery,
neuropsychology and neuroradiology conducts a comprehensive evaluation
to determine a patient's suitability for individualized medical or
surgical treatment options. According to Parvizi, the Program strives
to first localize the seizure focus in the brain using comprehensive
video EEG monitoring; high-resolution structural imaging with 3 and
7-Tesla MRI; and functional brain mapping using fMRI,
electrocorticography and electrical brain stimulation. Then, the
Stanford team can revise or stabilize the medication regimen, offer
surgical resection of the source of epileptic seizures where
appropriate, or provide surgical devices to mitigate the
seizures.
Stanford is a Class IV epilepsy surgery center,
the highest designation offered to any center. Parvizi and others have
developed precise methods for localization and successful resection of
seizure focus that allow patients to become seizure free or experience
marked improvement without causing surgery-related cognitive decline
in thinking, memory and perception. "Beside conventional Vagus
Nerve Stimulation (VNS) therapy, we also are testing the next
generation of VNS stimulators, which stimulate with increased heart
rate during a seizure," explains Fisher. In addition, two forms
of brain stimulation awaiting FDA approval were pioneered at Stanford,
he adds. "Stanford is a place with great interest and expertise
in treating patients with seizures that do not easily come under control."
Expedited referral process
Patients with intractable epilepsy will be seen within two weeks of referral. Referring doctors can sometimes arrange a direct admission for video EEG monitoring. To refer a patient call 650-723-6469, or fax a referral to 650-725-0390.
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When to refer for epilepsy
Patients with difficult to treat epilepsy should be referred to a comprehensive epilepsy center for advanced diagnostic and treatment options.
These patients include:
- Patients with intractable epilepsy—patients who continue to suffer from seizures that affect their quality of life despite trying at least two different antiepileptic medications
- Patients who have disabling side effects from their seizure medicines
- Pregnant women with epilepsy, or women with epilepsy who wish to become pregnant
- Patients with severe co-morbidities of epilepsy
- Patients who are difficult to diagnose, or who may have one of the many imitators of epilepsy
- Any patient who might be a candidate for resective surgery or
neuro-implantation to treat their epilepsy