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Epilepsy

Epilepsy is a common seizure disorder affecting up to one in 100 people. The neurology team at Mary Bridge Children’s sees a large number of patients with epilepsy, giving us the experience needed to effectively diagnose and treat this disorder.

We also have a robust research program that aims to improve care and uncover new treatments. Our research efforts span a variety of areas within pediatric neurology, including anti-seizure medications and genetic treatment for refractory epilepsy, among others.

What is epilepsy?

Epilepsy is a family of disorders that cause seizures. A seizure is an abnormal electrical discharge of a group of brain cells. Seizures can produce a variety of symptoms, depending on the location of the seizure focus and the spread of the electrical activity through the brain. It is one of the most common brain disorders, affecting more than five million people across the country.

For many patients, epilepsy has no known cause. For others, a variety of brain conditions can cause epilepsy, including:

  • Genetic disorders
  • Brain developmental irregularities
  • Other developmental disabilities, such as autism
  • Head injury
  • Brain injury as a newborn or before birth
  • Stroke or loss of oxygen to the brain
  • Brain tumors
  • Central nervous system infections

Types of seizures we treat

Our pediatric neurology specialists treat many types of seizures as well as severe epilepsy syndromes that are resistant to medication.

Generalized tonic-clonic seizures

This type of seizure causes a child to lose consciousness before falling to the ground with muscle spasms. Also called a grand mal seizure, generalized tonic-clonic seizures typically make children feel tired afterward.

Generalized absence seizures

This form of seizure causes children to pause and stare off into space. Children may also blink fast or engage in other movements.

Myoclonic seizures

Myoclonic seizures are marked by rapid jerking movements.

Focal seizures (also called simple partial seizures)

Starting in a single area of the brain, this type of focal seizure does not cause loss of consciousness. These seizures can have motor or sensory symptoms depending on where they start.

Focal seizures with impaired awareness (also called complex partial seizures)

Also starting in a single area of the brain but involving a wider area, this type of focal seizure causes loss of consciousness.

Benign rolandic epilepsy

Also known as benign epilepsy with centrotemporal spikes (BECTS), this condition causes seizures that children usually outgrow.

Infantile spasms

A severe form of epilepsy, infantile spasms affect a baby’s development.

Lennox-Gastaut syndrome

This condition causes multiple types of seizures as well as intellectual disability.

Dravet syndrome

Also known as severe myoclonic epilepsy of infancy (SMEI), this syndrome can cause episodes of continuous seizure that require emergency care.

Doose syndrome

Also known as myoclonic astatic epilepsy (MAE), this disorder causes drop seizures and staring seizures.

Diagnosing epilepsy

We use the latest technology to diagnose epilepsy in children, with several convenient testing locations. You can access test results in as little as one week, sometimes even faster if you use the online MyChart system.

Our pediatric neurologists diagnose epilepsy using the following tests.

Electroencephalogram (EEG)

The most common method of diagnosing epilepsy, an EEG measures brain activity using small electrodes (discs) placed on the scalp. We offer both inpatient and outpatient EEG testing, as well as ambulatory or in-home EEG to make extended testing more comfortable for your child. Outpatient EEG takes one to two hours, while inpatient EEG can last 24 to 96 hours. For children needing prolonged outpatient EEG monitoring, we will provide equipment your child can wear at home.

Computerized tomography (CT) scan

This procedure combines X-rays with computer technology to create detailed brain images. During the scan, your child will need to lie on a small table that slides through a large doughnut-shaped machine. A CT scan takes about 30 minutes.

Magnetic resonance imaging (MRI)

This type of scan uses radio waves and powerful magnets to create detailed brain images. For an MRI, your child will lie on a small table that slides into a tunnel-shaped machine. An MRI takes approximately 40 minutes, possibly longer when a child requires sedation. We have technology available so your child can watch a movie during the MRI.

Our Sedation Services team is available to support your child’s comfort during tests. Learn more about diagnosis and testing.

Epilepsy treatment

Treatment can help control and minimize seizures for most people. Some children may even grow out of epilepsy. Depending on the type of epilepsy, treatment options may include:

Medication management

Anti-seizure medication is the most common treatment for epilepsy. Dozens of these medications exist. Our specialists will work with you to find the most effective one for your child. Our online MyChart platform makes it easy to email your child’s doctor 24/7 to request refills, ask questions and perform other tasks.

Surgery

If anti-seizure drugs stop working, surgery may help control seizures. Our pediatric neurosurgeons can implant a vagus nerve stimulator device. This device sends electrical signals to the brain through the vagus nerve in the lower neck, often reducing seizures and lowering the required medication dosages. Learn more about pediatric neurosurgery.

In cases where seizures do not respond to standard treatment, we may consider referrals for other complex epilepsy surgical procedures.

Diet

Some children respond well to specialized diets like the ketogenic or modified Atkins diets, which are high in fat and low in carbohydrates. In these cases, we work with dietitians to create a personalized diet that meets your child’s needs.

Comprehensive epilepsy support

We offer a full range of services to make epilepsy diagnosis and treatment easier on your family, including access to care managers and social workers who can help answer your questions and coordinate care. Our registered nurse care manager provides skilled support to assist in the navigation of complex epilepsy care.

Additionally, Mary Bridge Children’s child life specialists are available to support children during procedures and tests, provide reassurance and explain what is happening in developmentally appropriate language. Learn more about how we support you and your child.

Seizure first aid

If your child is having a seizure, you can take several steps to help them avoid injury:

  • Ease your child to the floor, turning them on one side and clearing the area of hard or sharp objects.
  • Place something soft and flat beneath your child’s head.
  • Remove your child’s glasses and anything that may restrict breathing.
  • Administer any prescribed rescue medicine for seizures such as Versed® (midazolam) nasal spray.

You should call 911 if your child:

  • Has a seizure lasting more than five minutes
  • Experiences more than one seizure in a short span of time
  • Is hurt by the seizure
  • Has a seizure while in the water

Online tools such as seizuretracker.com can help you track your child’s seizure activity, appointments and medication dosages.

Contact us

For more information about neurology care at Mary Bridge Children’s, please call 253-792-6630.