Murray Calloway County Hospital

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Medical Specialties
West Kentucky Epilepsy Center - Monitoring

In the center, our staff will use both video and EEG (electroencephalography) to monitor brain activity and seizure semiology that helps with much greater understanding of seizures. The monitoring allows us not only to diagnose a seizure problem accurately, but also to design the best possible treatment plan.
The EEG performs electroencephalographic (EEG) recordings on outpatients and inpatients with seizures, spells, as well as a variety of other conditions. The EEG, which records brain electrical activity, can provide evidence for epilepsy by demonstrating signs of electrical irritability.
Epilepsy Monitoring
Epilepsy monitoring allows patients to receive EEG-video monitoring, usually in conjunction with some medication withdrawal. Dr. Couch will record typical attacks to characterize, classify and localize them to determine the best treatment options.
Pre-Surgical Evaluation
Some patients who do not respond to seizure medications may benefit from epilepsy surgery. In some forms of epilepsy, surgical treatment provides seizure freedom to 60-80% of operated patients. Neurologists perform comprehensive pre-surgical evaluations which usually include a detailed history and physical examination, EEG-video monitoring, MRI scan, PET scan, Wada test, and additional testing if necessary.
Vagus Nerve Stimulation
Vagus Nerve Stimulation (VNS) is a treatment device that generates electrical impulses delivered to the vagus nerve in the neck. These impulses then indirectly affect the brain. The generator is a small, flat round battery that is surgically implanted under the skin over the chest or in the armpit. The West Kentucky Epilepsy Center offers this procedure, which is FDA approved for use in adults and children over the age of 12 who have partial seizures that are resistant to medications. Since this procedure rarely stops seizures completely, it is offered mainly when surgery does not seem an option.


Murray-Calloway County Hospital
803 Poplar Street
Murray, KY  42071
(270) 762-1100

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