Navigation Links
North Shore-LIJ Epilepsy Center is Among the First in US and the First in New York Metro Area to Offer Combined Minimally-Invasive Surgical Procedures
Date:11/5/2013

Manhasset, NY (PRWEB) November 05, 2013

The Comprehensive Epilepsy Care Center at North Shore-LIJ’s Cushing Neuroscience Institute is one of the first in the United States and the first in the New York metro area to use a new combination of minimally invasive surgical techniques to treat epilepsy.

The procedures, called stereoelectroencephalography (SEEG) and laser ablation with use of a new MRI-guided thermal imaging and laser technology, were performed on 42-year-old Jack Ruiz from Westbury, NY.

“This option fits with our philosophy of curing epilepsy in intractable patients and making the difficult process of localizing and treating the seizure onset zone more accessible and less traumatic to patients,” said Cynthia L. Harden, MD, North Shore-LIJ’s chief, division of epilepsy and electroencephalography.

Brain surgery is increasingly being used to control seizures when they occur repeatedly despite antiepileptic medications. The challenge is often in pinpointing seizure-producing areas of the brain. Since surface electroencephalography (EEG) electrodes can be imprecise in determining the exact location of seizure-producing brain areas, electrodes sometimes must be implanted in the brain. Usually, this entails performing a craniotomy procedure to implant grids of electrodes over the surface of the brain.

“Minimally invasive approaches are the newest trend in epilepsy surgery,” said Ashesh Mehta, MD, PhD, director of epilepsy surgery at North Shore-LIJ’s Comprehensive Epilepsy Care Center, who recently performed the SEEG and laser ablation procedures on Mr. Ruiz. “SEEG, which offers an alternative to craniotomy, is a minimally invasive surgical procedure that involves placing depth electrodes within the brain to precisely identify seizure-producing brain areas with minimal discomfort to the patient.”

During the SEEG procedure, the neurosurgeon places electrodes in targeted brain areas of the anesthetized patient through small, two-millimeter pinholes that allow seizures to be recorded directly from the brain. The patient is then observed in the EEG video monitoring unit for about a week to determine the exact origin of seizures.

“Once we are able to reveal the abnormal brain areas that are causing a patient’s epilepsy, a second surgery can be performed to remove those pathological brain areas and render the patient free of disabling seizures,” said Dr. Mehta. “In Mr. Ruiz’s case, his seizures were located in the mesial temporal lobe and as such, he was an ideal candidate for the laser ablation procedure which is another minimally-invasive laser-based surgery to disable seizure-producing areas of the brain.”

In the laser ablation procedure, a one-quarter-inch incision is made through which the laser probe is placed and it delivers energy to heat the diseased, seizure-producing regions deep within the brain. The treatment is focused and MRI temperature maps provide neurosurgeons with a real-time view of the disease tissue being destroyed, while ensuring that normal, healthy tissue is spared from damage. The laser probe is then removed and the small incision is closed. Patients who undergo traditional open craniotomy typically spend three-to-four days in the hospital with a three-to-six week recovery period. On the other hand, after the minimally invasive laser ablation procedure, patients typically go home the following day and recover much faster.

“By combining SEEG and laser ablation procedures in a patient such as Mr. Ruiz, it is possible to achieve a seizure-free outcome without having to undergo a bigger surgery involving craniotomy,” Dr. Mehta said. “This combined treatment approach is ideal for patients who have seizures arising from deeper areas in the brain and those who are reluctant to proceed with a craniotomy procedure.”

About North Shore-LIJ’s Comprehensive Epilepsy Care Center:

The Comprehensive Epilepsy Care Center is a truly integrated and multidisciplinary endeavor, with epilepsy doctors, nurses, pharmacists, neurosurgeons, neuropsychologists, social workers, technical staff and an administrative team, all working together to provide care and support for patients with epilepsy. It is the largest and most comprehensive program on Long Island for the evaluation and medical and surgical treatment of epilepsy. Patients and families benefit from a unique and multidisciplinary model of care, integrating the expertise of clinical staff and the availability of cutting-edge technology to enable accurate diagnosis, effective treatment and improved quality of life. For more information about the Comprehensive Epilepsy Care Center, go to neurocni.com or call (516) 325-7060.

Read the full story at http://www.prweb.com/releases/2013/11/prweb11305469.htm.


'/>"/>
Source: PRWeb
Copyright©2012 Vocus, Inc.
All rights reserved

Related medicine news :

1. New online portal, app provide information on tsunami zones in the Northwest
2. A North American first at the Montreal Heart Institute
3. Symtrex Inc. Signs Up with ImmuneSecurity to Launch LogInspect to the North American Market
4. Northwestern launches comprehensive program for patients with bicuspid aortic valve disease
5. Northwestern Medicine hosts the National Marfan Foundations Annual Conference
6. Northwestern researchers investigate treatment for tumor cells in spinal fluid
7. North Texas Cities to Start West Nile Spraying Thursday
8. Northeasterns Barnett Institute announces formation of leading analytics company, BioAnalytix, LLC
9. Power Slowly Returns to Much of Northeast After Sandy
10. Kessler awarded $2 million federal grant for Northern NJ Traumatic Brain Injury System
11. Heart Health Worst in the South, Best in Northeast
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... ... 25, 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX users can ... CEO of Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 hand-drawn ... X . Simply select a ProHand generator and drag it above media or text ...
(Date:6/25/2016)... CA (PRWEB) , ... June 25, 2016 , ... As ... with Magna Cum Laude and his M.D from the David Geffen School of Medicine ... and returned to Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... On Friday, ... presented a Bronze Wellness at Work award to iHire in recognition of their exemplary ... part of the 7th annual Maryland Workplace Health & Wellness Symposium at the BWI ...
(Date:6/24/2016)... Angeles, CA (PRWEB) , ... June 24, 2016 , ... ... surgery procedures that most people are unfamiliar with. The article goes on to state ... procedures, but also many of these less common operations such as calf and cheek ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... June 19, ... the dangers associated with chronic pain and the benefits of holistic treatments, Serenity ... who are suffering with Sickle Cell Disease. , Sickle Cell Disease (SCD) is a ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... -- Revolutionary technology includes multi-speaker listening to ... leaders in advanced audiology and hearing aid technology, has ... the world,s first internet connected hearing aid that opens ...      (Photo: http://photos.prnewswire.com/prnh/20160622/382240 ) , ... firsts,: , TwinLink™ - the first dual ...
(Date:6/23/2016)... MEDIA, Pa. , June 23, 2016 ... treatments in an outpatient dialysis facility.  Treatments are usually ... to 6 hours per visit, including travel time, equipment ... on a patient, but especially grueling for patients who ... residents of a skilled nursing and rehabilitation centers for ...
(Date:6/23/2016)... 2016  Experian Health, the healthcare industry ... patient payment and care experience, today announced ... and services that will enhance the breadth ... These award-winning solutions will enable healthcare professionals ... in an ever-changing environment and redefine front-office ...
Breaking Medicine Technology: