Epilepsy

    Overview

    Epilepsy is a disorder of the brain that causes repeated, unpredictable seizures, generally beginning in childhood or early adulthood. Epilepsy can lead to serious complications, including injury to the brain.  Epilepsy means the brain has formed abnormal electrical connections that disrupt normal brain function and cause seizures. It can be caused by an injury or illness that affects the brain, such as a stroke or brain tumor, or its cause can be unknown. In adults, medication can frequently control epilepsy. However, if seizures persist after trying two drugs, our expert neurosurgeons may offer epilepsy surgery

    Treatment

    Surgical treatment may be considered if your seizures continue after trying two different medications.  Your neurosurgeon offers a diagnostic surgery for detection of difficult to localize seizures, also called intracranial EEG monitoring – this is to localize the seizure area and to map brain function. 

    Procedures

    A craniotomy is performed and sterile EEG leads are placed directly on the brain.  The bone flap is placed back on the patient and secured.  The wound is then closed with the tails of the EEG leads coming out through the wound.  These leads are connected to EEG monitors that are available in special rooms in the hospital.  The patient is then monitored continuously for several days for seizure activity.  

    There are several types of treatment surgery for adults:

    • Craniotomy, resection of seizure focus (removing abnormal brain areas) is considered if:
      • Your seizures are continuing after trying two different medications.
      • Your seizures arise from one site in the brain.
      • The site of the seizures has been pinpointed.
      • The removal of the portion of the brain causing the seizures will not impair your ability to function.
    • Vagus nerve stimulation (placing an implant in the neck to help prevent seizures)
    • Corpus callostomy (disrupting connections between the two sides of the brain)

    Our doctors

    Provider

    Abdullah AlSawaf, MD

    Neurologist Neurology
    751 N. Rutledge St. Suite 3100 Springfield, IL 62702
    Provider

    Jeffrey Cozzens, MD

    Chair, Division of Neurosurgery Neurosurgery, Cancer Care
    751 N. Rutledge St. Suite 3100 Springfield, IL 62702
    Provider

    Jose Espinosa, MD

    Neurosurgery
    751 N. Rutledge St. Suite 3100 Springfield, IL 62702
    Provider

    Katie Hartman, FNP-C

    Neurosurgery
    751 N. Rutledge St. Suite 3100 Springfield, IL 62702
    Provider

    Jacob Monsivais, PA-C

    Neurology
    751 N. Rutledge St. Suite 3100 Springfield, IL 62702
    Provider

    Sajjad Mueed, MD

    Director, Memorial Medical Center Stroke Center Neurology
    751 N. Rutledge St. Suite 3100 Springfield, IL 62702
    Provider

    Nitin Patel, MD

    301 N. 8th St. Suite 4A Springfield, IL 62701
    Provider

    Ankit Sharma, MD

    Family Medicine
    520 N. 4th St. Springfield, IL 62702
    Provider

    Alphonso Smith, PhD

    Clinical Neuropsychologist Neurology
    319 E Madison St 3rd Floor Springfield, IL 62702
    Provider

    Mehul Trivedi, PhD

    Psychiatry
    319 E Madison St 3rd Floor Springfield, IL 62702
    Provider

    Sonam Verma, MD

    301 N. 8th St. Suite 4A Springfield, IL 62701
    Provider

    Carrie West, FNP-C

    400 N. 9th St. Floor 2 Springfield, IL 62702

    Why SIU

    Continually learning

    With a focus on continual improvement, our doctors take the time to research, study and innovate to provide the latest treatments for our patients.

    Patient-first experience

    Our care ranges from primary care physicians to specialists and sub-specialists who have advanced training. We're here for you when you need us.

    Breakthrough technology

    Continually teaching the next generation of doctors, our physicians use the latest developments in procedures and technologies for our patients.