Epilepsy Monitoring Center Recognized for Providing Highest Level of Medical/Surgical Care for Complex Patients

Updated: 4/6/2012

The Epilepsy Monitoring Center at Women & Children’s Hospital of Buffalo has been recognized by the National Association of Epilepsy Centers (NAEC) as a Level 4 epilepsy center for the third year in a row. 

According to the NAEC, Level 4 epilepsy centers have the professional expertise and facilities to provide the highest level of medical and surgical evaluation and treatment for patients with complex epilepsy.

Founded by physician leaders committed to setting a national agenda for quality epilepsy care, the NAEC is a non-profit association with a membership of more than 100 specialized epilepsy centers in the United States. The designation of Level 4 specialized epilepsy centers must reflect the expertise of personnel and comprehensive and multi-disciplinary services described in the NAEC g-guidelines.

Level 4 Centers are submitted by the NAEC to US News & World Report for use in its “Best Hospitals” analysis.  Women & Children's Hospital of Buffalo is ranked by US News & World Report in its special edition of "Best Children's Hospitals".  As two of the specialty areas within children's hospitals ranked nationally in this publication, Women & Children’s Hospital of Buffalo is among the best children's hospitals in Neurology/Neurosurgery and Cancer care.

The Epilepsy Monitoring Unit is a video-EEG monitoring facility specializing in comprehensive, individualized treatment plans for epilepsy patients. Patients are recorded on video while EEG activity is monitored 24 hours a day.

The 8-bed unit serves both adult and pediatric patients and is staffed by epileptologists, EEG technicians, nurses and a nurse practitioner with expertise in epilepsy.

Anti-epileptic drugs are typically discontinued to allow accurate mapping of seizure foci through continuous monitoring. After this comprehensive evaluation, treatment plans are suggested, such as options for anti-epileptic drugs, ketogenic diet, vagal nerve stimulation and epilepsy surgery.

Additional testing is often needed prior to epilepsy surgery, such as high resolution MRI, neuropsychological testing, PET scan, ictal SPECT and referral for MEG (Magneto-encepaholography). The close collaboration between the epileptologists and neurosurgeon allows for the option of epilepsy surgery for refractory epilepsy.

For example, an 18-year old boy with long standing refractory motor seizures recently underwent successful resection of a subtle lesion in the vicinity of the motor strip. After comprehensive evaluation, a 2-stage surgery with subdural grid evaluation, including mapping of the seizure focus and the cortical eloquent motor and sensory areas, was performed.  A tailored resection of a cortical dysplasia resulted in seizure freedom.

For more about to the Epilepsy Monitoring Center, please call (716) 878-7080.