Neurostimulation is now an accepted treatment option for patients with refractory epilepsy. Several stimulation devices are approved for patients with epilepsy: the vagus nerve stimulatior (VNS), the responsive neurostimulator (RNS) and the deep brain stimulator (DBS). This workshop will discuss the trials and post-marketing experience that established the tolerability and efficacy of these devices, and instruct on how to use them effectively. Hand-on experience for interrogating and programming the devices will be arranged. After the workshop, participants should be able to identify appropriate patients, understand how implantation is carried out
Neuroimaging is an essential tool in the diagnosis and treatment of epilepsy. It has opened a window on the pathological substrate underlying epilepsy, ranging from subtle gliotic lesions and cortical malformations to larger, more extensive structural disturbances. This workshop will review the techniques used to diagnose epilepsy, emphasizing both basic MRI customized for epilepsy and advanced neuroimaging techniques. We will review a rational approach to the use of neuroimaging and highlight techniques that enhance diagnostic ability. This workshop will also include a practical, hands-on session with review of pre-surgical cases.
Video EEG monitoring is utilized to establish a diagnosis of epileptic seizures in contrast to other events such as psychogenic nonepileptic seizures. Reading video EEG recordings in contrast to routine EEG is a special skill and requires also interpretation of the video data. Not in all cases of epileptic seizures is the EEG helpful to identify an EEG as epileptic or not. This workshop will educate about identification and classification of events on video EEG monitoring and enhance skills about video EEG interpretation. It will informs about technical and diagnostic
Psychogenic nonepileptic seizures (PNES) are prevalent and disabling and are often identified in seizure monitoring units. Neurologists readily diagnose PNES, but the majority of providers do not feel equipped to treat patients with PNES. Psychogenic NES present in adults and children with neurologic signs, psychological stressors and comorbid psychiatric disorders. For years, neurologists, psychiatrists and psychologists have accumulated data about NES phenomenology, epidemiology, risks, comorbidities, and prognosis. The role of the neurologist and mental health providers in the diagnosis and management of these patients will be discussed, and common obstacles