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Neurology and Neuroscience

Diagnosis

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Patients who come to NewYork-Presbyterian Hospital benefit from a team approach that begins during the very first visit, when we begin assembling a plan of care. That care begins with a thorough evaluation using the latest tests to make an accurate diagnosis and to identify the type, number, and location of seizures in the brain. We also use neuropsychological testing to identify patients' areas of strength and weakness in language, memory, concentration, and other cognitive functions.

man with doctor in exam room, man has electrodes on his head
Electroencephalography (EEG) is used to diagnose and monitor epilepsy.

In addition to blood tests and magnetic resonance imaging (MRI) and computed tomography (CT) scanning, we employ the most advanced electrodiagnostic testing to evaluate brain function and pinpoint the location of seizures. These tests, conducted by specially trained physicians and neurophysiology technologists, include:

  • Electroencephalography (EEG or "brain wave test"), an examination of spontaneous brain activity. We also offer ambulatory EEG testing, enabling the patient to be mobile while the testing is being performed over a period of up to 24 hours.
  • Video-EEG monitoring, used to diagnose complex seizure disorders. The procedure requires a stay in the hospital for four to five days. Data generated by this test improve diagnostic certainty and are very helpful in making treatment decisions, including the choice of the most effective antiseizure medication.
  • Intracranial monitoring for patients who may benefit from epilepsy surgery, used to more precisely locate where seizures begin by placing a small monitoring device on or in the brain during a small operation.

Based on the results of these tests and evaluations, our team tailors medical treatment to each patient's needs. We provide continuous care to monitor treatment effectiveness, making changes as needed during the patient's course of care.

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