Our Approach

Our multidisciplinary program includes adult and pediatric neurosurgeons, epileptologists, neuropsychologists, neuroradiologists and neuropathologists. We treat patients in outpatient settings, at a six-bed adult epilepsy monitoring unit, a two-bed pediatric epilepsy monitoring unit, and a technologically advanced operating suite.

Our neurologists work in collaboration with neurosurgeons and diagnostic radiologists to deliver therapeutic and diagnostic services to individuals with varying forms and degrees of seizures and epilepsy. Specialists perform intensive audiovisual and EEG monitoring for diagnosis and localization of the affected area.

We evaluate patients in phases to precisely determine concordance of electrophysiology, cognitive testing, history, physical and neurological examination with advanced imaging, using MRI, SPECT and PET techniques. The combination of advanced diagnostic techniques available at Yale is not duplicated by any other center in the United States. Doctors treat each surgical patient as an individual, determining which procedure or combination of procedures—such as the use of multiple kinds of electrodes—is appropriate.

We use a state-of-the-art operating suite with advanced digitized imaging, computerized stereotaxy and sophisticated electrophysiology in order to perform optimal, yet safe, resections and to place intracranial electrodes for those patients who need invasive electrophysiological confirmation of an epileptogenic region.

Special services we offer include the following:

  • Evaluation through use of the ictal SPECT, a special imaging procedure that allows an image of the blood flow in the brain to be captured during a seizure
  • Combined usage of all types of implantable electrodes including depth electrodes, subdural strip electrodes and grid electrodes to localize the seizure-generating region in some patients
  • Surgical procedures for epilepsy, including the anteromedial temporal lobe resection, staged corpus callosotomy and intra- or extra-operative mapping of the primary function
  • Evaluation of epilepsy patients through the use of the most sophisticated MR machines in the world