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William S. Middleton Memorial Veterans Hospital

 

Epilepsy Service - ECoE

Epilepsy Center of Excellence

The ECoE provides comprehensive diagnostic and pre-surgical evaluations of patients with poorly controlled seizures who may have non-epileptic seizures or be a candidate for surgical therapies. The NW ECoE services extends to veterans in Wisconsin, Michigan, Indiana, Illinois, Minnesota, Iowa, North Dakota, South Dakota, Montana, Wyoming, Idaho, Washington, and Oregon.

Our facility includes a three-bed monitoring unit located on the Inpatient Neurology Service. State of the art long-term video EEG equipment is used for continuous EEG recording.

Our facility services include:

  • Routine, Single-day, and prolonged EEG and Video Monitoring
  • MRI
  • PET scan
  • Neuropsychological Testing
  • Speech and Language Evaluation
  • Neuropharmocologic Assessment
  • Assessment for (re)placement of Vagal Nerve Stimulator
  • Surgical Resection
  • Speech and Motor mapping at Bedside & OR Intra-Operative Corticography
  • Scalp electrode placement
  • Foramen Ovale electrodes placed under fluoroscopy
  • Cortical strips and grids
  • Depth electrodes

For more information about epilepsy and the VA Epilepsy Center of Excellence visit http://epilepsy.va.gov

Facilities and Equipment

EEG and Video Monitoring

The inpatient unit has the capability to monitor three patients with continuous EEG and video recording. Three 64 channel BMS units are available (two 5000 and one 4000 units). The physicians and staff have experience in using extra- and intracranial foramen ovale electrodes, subdural strip electrodes, cortical grid electrodes, and depth electrodes.

Brain Imaging

MRI facilities are available at the VA and the University of Wisconsin Hospital. Echo-planar imaging is available to assess blood flow and functional mapping. An FDG-PET scanner is at the VA and appropriate patients, particularly surgical candidates, are studied. The PET unit is under the direction of Dr. Scott Perlman, M.D.

Neuropsychological Testing

Dr. Austin Woodard, Ph.D. provides neuropsychological evaluation of epilepsy center patients. He also provides psychologic counseling for patients and their families. Dr. Bruce Hermann provides added experience for our patients.

Speech and Language Evaluation

Dr. Denise Cariski, Ph.D. heads a team that evaluates patients and their speech and language skills. Drs. Cariski, Woodard, and Hermann perform the testing used during the sodium amobarbital test.

Neuropharmacologic Assessment

Total and free serum levels as well as metabolites of antiepileptic drugs are used to appropriately change dosage and drug combinations. Serum concentrations of new medications can be determined so that therapeutic concentrations and dose dependent side effects can be identified.

Contact Info

Location

  • Room B6054
    2500 Overlook Terrace
    Madison, WI 53705

Contact Number(s)

  • 608-256-1901 Ext. 17728
  • 888-478-8321 Ext. 17728

Hours of Operation

  • Mon-Fri
    8:00am-4:30pm