Epilepsy Surgery

Epilepsy Surgery

Dr. Ronald Benitez, Chair of Vascular/Endovascular Neurosurgery, Atlantic Health System

Understanding the challenges that come with epilepsy, especially when seizures persist despite medication, is at the core of what we do at Atlantic Brain and Spine. That’s why we offer a comprehensive range of advanced epilepsy surgery treatments aimed at helping you regain control of your life.

Our neurosurgeons collaborate closely with a multidisciplinary team of experts at epilepsy centers located at both Overlook and Morristown medical centers. Recognized by the National Association of Epilepsy Centers (NAEC) as Level IV comprehensive epilepsy centers, these facilities ensure that our patients receive the highest level of epilepsy care available. Patients undergo thorough evaluations for their seizures, with treatment options including epilepsy surgery or implantable device therapies.

Types of Epilepsy Surgery

Epileptic seizures stem from abnormal activity in brain cells known as neurons. The specific type of surgery required is contingent upon where in the brain these neurons initiating the seizures are located and the age of the individual undergoing the procedure. Various surgical approaches include:

  • Vagus Nerve Stimulation (VNS): Vagus Nerve Stimulation (VNS) is a proven therapy for refractory epilepsy. Our expert neurosurgeons implant a small device that delivers electrical impulses to the vagus nerve, reducing the frequency and severity of seizures.
  • Responsive Neurostimulation (RNS): Responsive Neurostimulation (RNS) is a cutting-edge treatment that monitors brain activity and delivers stimulation to interrupt seizures before they occur. Our specialists carefully implant the RNS stimulator to target specific seizure zones, offering personalized seizure control.
  • Laser Interstitial Thermal Therapy (LITT): LITT is a minimally invasive procedure that uses laser energy to precisely destroy seizure-causing tissue. Our experienced team utilizes LITT to target deep-seated or inaccessible seizure foci with minimal risk and faster recovery.
  • Resective Surgery: Resective surgery is a specialized treatment for epilepsy that involves removing or modifying specific areas of the brain responsible for seizures. By targeting the root cause of epileptic activity, this surgical approach offers the potential for significant seizure reduction or elimination. Our skilled neurosurgeons employ precise techniques to navigate the brain’s complexities and safely address epileptic tissue, providing patients with the opportunity to regain control over their seizures and improve their quality of life.

Precision is Key 

Accurate localization of seizure onset zones is crucial for successful epilepsy surgery. We utilize state-of-the-art technology to precisely map epileptic networks in the brain, enabling targeted surgical intervention with minimal impact on healthy tissue.

  • ROSA (Robotic Stereotactic Assistance): ROSA is a cutting-edge robotic system utilized in the placement of epilepsy recording electrodes. This advanced technology combines robotics and stereotactic navigation to precisely position electrodes within the brain for accurate recording of epileptic activity. The ROSA system offers several advantages over traditional manual techniques, including increased precision, enhanced safety, and reduced surgical time. By utilizing robotic assistance, neurosurgeons can navigate to specific targets within the brain with submillimeter accuracy, minimizing the risk of damage to surrounding structures.
  • 3D Stereo-EEG (Electroencephalography): This advanced neuroimaging technique is used to precisely locate epileptic brain activity in individuals with drug-resistant epilepsy. Unlike conventional EEG, which records electrical activity from electrodes placed on the scalp, 3D Stereo-EEG involves the placement of electrodes directly onto the surface of the brain or within brain tissue using stereotactic techniques. This method provides high-resolution, three-dimensional mapping of epileptic networks, allowing neurosurgeons to accurately identify the seizure onset zones and plan surgical interventions with unprecedented precision. By mapping epileptic activity in real-time, 3D Stereo-EEG helps optimize surgical outcomes and minimize the risk of damage to healthy brain tissue, offering new hope for individuals with refractory epilepsy.

Epilepsy Surgery Specialists

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