Our approach to the care of adult patients with epilepsy is comprehensive and integrative. We partner with patients and their referring physicians to find the most effective and complete diagnostic and treatment plan that is individualized to each patient’s specific needs and goals.
Diagnostic services available to our patients on site and in collaboration with referring physicians include:
- Complete neurological consultation for epilepsy and related conditions
- Neurophysiological tests. These include routine EEGs and outpatient and inpatient video-EEG monitoring
- Long-term inpatient video-EEG monitoring with scalp or intracranial electrodes for pre-surgical planning in the Epilepsy Monitoring Unit
- Neuroimaging: MRI, PET, fMRI
- Neuropsychological evaluation
- Speech and auditory processing evaluations
- Pharmacological management: In general, medications can control seizures in about 70% of patients. The type of medication prescribed will depend on a variety of factors specific to each patient.
- Surgery: Your doctor may recommend removal of brain tissue that is responsible for seizures, while still protecting functionally important tissue. When medications cannot adequately control seizures, your doctor may consider surgery as an option. Surgery is possible only if your doctors can confidently identify the seizure focus and map the function of brain tissue in and around this focus. As a tertiary treatment center we have a great deal of experience treating the most refractory cases of epilepsy, meaning seizures that have not been controlled with aggressive medication therapy. These may include cases that would not otherwise be considered at other centers.
- Vagus nerve stimulator (VNS): Vagus nerve stimulation (VNS) is designed to stimulate the vagus nerve by using a small pacemaker-like device placed in the chest. VNS has been proven to increase inhibition in the brain’s cortex; therefore, reducing the likelihood of seizures.
- Responsive neurostimulator (RNS)
- Dietary Therapy: As one of the oldest epilepsy diet treatments, the ketogenic diet consists of consuming high-fat foods and very few carbohydrates. This diet should be carefully calculated and monitored by a knowledgeable doctor.
Request an Appointment
For more information about epilepsy care at Johns Hopkins, request an appointment at the Epilepsy Center.