Epilepsy

Our Approach to Care

If your child has epilepsy, our team understands how much this condition can affect your child’s development and quality of life.  At NewYork-Presbyterian, we are dedicated to finding the safest, most effective, and innovative approaches to the diagnosis and treatment of epilepsy that addresses your child’s individualized needs.

Holistic and Comprehensive Care  

We recognize that every child diagnosed with epilepsy has a unique set of presentation of seizures , circumstances, triggers and needs.  Underlying cause of the neurological condition and co-existing medical problems may vary among children.  We take a holistic approach to care that considers the entire patient, including his or her physical, emotional and social factors.  We strive to partner with patients and their parents in shared decision-making, empowering them with knowledge, support, and the most effective treatment options to address symptoms and improve quality of life.

Multidisciplinary Team Approach

For children with epilepsy, different types of specialists are required to provide the expert consultation and skillful care that your child will need. The timing of such care is also critical to achieving the best outcome. We put together a personalized, multidisciplinary team of experts with the training and expertise to meet your child's unique needs. Your child has access to a team of pediatric specialists including pediatric epileptologists, pediatric neurologists, pediatric neurosurgeons, neuroradiologists, electroencephalogram (EEG) technologists, epilepsy nurse practitioners, neuropsychologists, and dietitians, including those with expertise in ketogenic diet.

Moreover, if your child needs health care for another medical condition, we have world class medical specialists and subspecialists onsite to meet those needs as well.

Dedicated Pediatric Epilepsy Diagnosis and Monitoring

One of the most important components of your child's epilepsy care is the accuracy in epilepsy diagnosis and making decision in the appropriate treatment . Several diagnostic tests are critical for accuracy in epilepsy diagnosis. EEG-video monitoring is essential to determine the seizure types, and epilepsy diagnosis. We use the most advanced EEG technology to capture and localize the seizure onset.   Brain MRI is another important diagnostic test to identify the underlying cause if related to the developmental (cortical dysplasia) or acquired structural abnormalities affecting brain (such as  tumor, angioma, stroke) leading to epilepsy diagnosis. The other imaging modalities frequently used to detect the underlying cause and seizure focus include brain PET imaging and SPECT imaging. In addition to neurological imaging studies, we use sophisticated tools to assess your child's brain function, such as special electrophysiologic mapping techniques.

Specialized Care for Children with Other Disorders

Some disorders may predispose children to seizures, such as tuberous sclerosis complex, neurofibromatosis, cerebral palsy, clinical genetic syndromes and autism spectrum disorders. If your child has one of these disorders or a genetic disorder that can cause seizures, our dedicated specialists with expertise in these areas are available to provide care.

Seamless, Coordinated Care

We understand it can be challenging to juggle appointments and manage all the different aspects of your child's care. To provide seamless, efficient care, our patient care coordinators manage all the specialty consultations and steps required to care for your child. Our coordinators help arrange any necessary appointments, explain treatments, and review the timeframe for your child's care. We also help coordinate the care provided by our team with your child's pediatrician.

Transitional Care to Adulthood

Your child probably doesn’t dream of managing their medical care like they do one day driving a car or going to college. But as children with epilepsy get older, taking ownership of their condition when the time comes is an essential part of becoming independent.

At NewYork-Presbyterian, we help teens and young adults with epilepsy prepare to move from pediatric care to adult services. The decision at what age to transition varies from family to family but the process begins during early adolescence. Typically pediatric patients have fully transitioned to adult care by age 22. This transition is important because policies and procedures vary from our pediatric and adult services. You should speak with your child’s neurologist about making the transition from pediatric to adult care. Your doctor can make recommendations based on your child’s maturity level and readiness to take on the responsibilities of care and ensure a smooth transition.