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Comprehensive Epilepsy Care Center

The Comprehensive Epilepsy Care Center provides clinical care, education and research in a comprehensive, multidisciplinary manner for patients of all ages with seizure disorders. Our goal is to help individuals with epilepsy control their seizures through personalized, comprehensive medical, psychosocial, electroencephalographic, surgical and nursing care.

Diagnosis

The inpatient Epilepsy Monitoring Unit is designed to diagnose patients experiencing seizures to determine if they have epilepsy or a different neurological condition. The average hospital stay is five to seven days. Those admitted to the EMU have various medical assessments including photic stimulation, sleep deprivation, hyperventilation, and exercise stimulation. Patients are evaluated with state-of-the-art video electroencephalographic (EEG) to determine if the patient is a candidate for surgical intervention or medication intervention.

Therapeutic Phase

After completion of evaluation in the EMU, patients move to a treatment plan based on the their individual seizure type(s).  Many treatment plans consist of receiving antiepileptic drugs. Medications are added in a judicious and safe manner. When needed, patients are taught how to self-administer their antiepileptic drugs. Sometimes patients are candidates for drugs studies/drug protocols.

If nonepileptic episodes are part of the patient's intractable seizure disorder, appropriate counseling and psychological techniques are initiated and followed by ongoing outpatient counseling.

Surgery

If neurosurgical intervention is an option, a conference among the epileptologists, neurosurgeons and the Comprehensive Epilepsy Care Center staff is held to thoroughly review the individual case. The results, as well as the benefits and risks, are discussed with the referring physician, patient and family members. 

Neurosurgical procedures may consist of surgical resections including temporal lobectomies, frontal topectomies, topectomies in other regions, lesionectomies, and implantation of surgical devices including vagal nerve stimulators and cranial stimulators, such as NeuroPace.  Some patients may require subdural grids or strips or subpial transections or corpus callosotomies.

Drugs Studies/Drug Protocols

In addition, numerous drug protocols with the latest antiepileptic drugs are available both on an inpatient and outpatient basis. Both children and adults may be eligible to participate in drugs studies. All studies are thoroughly explained to the patient and include an extensive explanation of the consent and Institutional Review Board (IRB) approval.

About the Center

The Comprehensive Epilepsy Care Center is overseen by Medical Directors and Epileptologists/Neurologists William E. Rosenfeld, MD, and Susan M. Lippmann, MD. Neurosurgical care is provided by Michael Polinsky, MD.

William E. Rosenfeld, MD
Dr. Rosenfeld is a board-certified neurologist on staff at Missouri Baptist Medical Center. He received his medical degree from Texas Tech University School of Medicine. Dr. Rosenfeld completed his residency in neurology and internship in internal medicine at the University of Miami and fellowship in epilepsy at the University of Minnesota.

Susan M. Lippmann, MD
Dr. Lippmann is a board-certified neurologist on staff at Missouri Baptist Medical Center. She received her medical degree from Texas Tech University School of Medicine. She completed her internship and residency in internal medicine at Texas Tech University School of Medicine and also completed a residency in neurology and fellowship in electromyography at the University of Miami School of Medicine Jackson Memorial Hospital in Florida.

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