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Pediatric epileptologists limit their practice to caring for children with epilepsy, particularly patients whose seizures are not well-controlled by standard epilepsy medications. Our program specializes in the comprehensive evaluation of patients who have difficult-to-treat epilepsy. In most children medication can effectively control seizures, but there are some children and teens with epilepsy who have unacceptable side effects from medication or whose seizures are resistant to medication (intractable seizures).
Our Pediatric Epilepsy program services include:
- An inpatient Seizure Monitoring Unit with video EEG
- Evaluation and management of antiepileptic medications
- MRI & functional MRI
- PET & SPECT scans, WADA testing
- Ketogenic diet and nutritional counseling
- Genetic and metabolic testing
- Vagal nerve stimulation
- Epilepsy surgery performed by our experienced pediatric neurosurgeons
- Before we schedule your child's appointment, we will ask you to help us obtain your previous evaluations. We need not only the written records, but the actual MRIs of the brain and the EEG studies (usually on disks).
- Our evaluation includes an initial appointment where Dr. Winesett will examine the child and go over your child's history. He will then personally review the MRI of the brain and EEGs provided and decide if further evaluation is necessary. Further evaluation may include studies such as video EEG monitoring in our neuromonitoring unit, repeating the MRI of the brain utilizing specialized epilepsy protocols, PET or SPECT scans, genetic and metabolic testing.
- Generally, further testing can be performed at Johns Hopkins All Children's Hospital.
- If the evaluation shows that one of these advanced epilepsy therapies would be helpful, these can also be performed at Johns Hopkins All Children's Hospital.