 |
 |
 |
 |
 |
 |
| |
|
|
|
||||||
| |
|
|
|
Yale Neurology Residency
Epilepsy
Monitoring Unit The epilepsy monitoring unit at Yale consists of six adult beds, and two pediatric beds, equipped with state-of-the-art closed-circuit video monitoring with EEG (CCTV-EEG). Patients are referred from throughout the world for intensive monitoring for purposes of 1) diagnosis, to differentiate seizures from non-epileptic events (i.e. psychogenic, cardiogenic, pulmonary, and sleep disorders), 2) medication adjustment, and 3) surgical evaluation for refractory epilepsy. Inpatient monitoring is incorporated into
surgical
evaluation which is done in several phases. Phase
I describes the initial CCTV-EEG monitoring, to both
confirm the
diagnosis of epilepsy and once confirmed, to characterize and localize
typical
seizures electrographically. Attempts
are also made to obtain ictal and interictal SPECT, PET, ESP-MRI,
and
neuropsych testing. Phase II includes
Wada/cerebral angiography to localize language and memory. Phase
III consists of intracranial EEG
recording, with either strip, depth, or grid electrodes. Every
week there is a multi-disciplinary
conference, involving neurology, neurosurgery, neuropsychology, and
radiology,
where individual patients and the results of their evaluations are
reviewed,
and recommendations regarding surgical interventions are made. The residents are an integral part of the
epilepsy team, and participate in all aspects of patient care.
Responsibilities include admission notes and daily progress notes,
analysis of video-EEG, epilepsy clinics, and neurophysiology
conferences.
Last modified: August 2006
|
