April 27, 2014

Responsive Neuro-Stimulation

(Neuropace, RNS)

Werner Doyle, MDProfessor of

Neurosurgery

Epilepsy / Seizure

desynchronized “chaotic”

hyper-synchrony “rhythmic”

normal

seizure

Seizure is a loss of brain processing complexity

complicated

simple

The brain is a complex dynamic

network

ablative

VNS

RNS

Surgical Removal or Disconnection

VNS - Vagus Nerve Stimulation

RNS - Responsive Neuro-Stimulaiton

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2-Stage

✘1-Stage

Cranial surgery: 1 or 2 operations & hospitalized for 3 to 10 days.

Complete seizure control in 90% of the best surgery candidates & at least 50% of the time for the more difficult patients.

65% of all epilepsy surgery patients at NYU are seizure free

Cranial Epilepsy Surgery

RNS surgery: usually in the hospital for 3 to 4 days

Complete seizure control in 20% & at least 50% control for the most difficult patients

Offered to those that we can not do resection safely

RNS (Responsive Neuro-Stimulation)

MRI abnormalities such as hippocampus scar, low grade tumor, developmental abnormality, and some vascular lesions

Best candidates for epilepsy surgery:

hippocampus scar hippocampus scarvascular lesion

cavernomadevelopmental

cortical dysplasialow grade tumor

The Comprehensive Epilepsy Center at NYU Langone Medical Center is one of the largest of centers devoted to the treatment of epilepsy and related conditions in the United States.

For additional information about epilepsy surgery or for an appointment, or to speak with an epilepsy surgery specialist, call 646 558 0804 or 646 558 0800.

All medical insurance is accepted and if authorization has not been obtained a consultation with Dr. Doyle will be possible without fee.

Arrangements will be made for any patient to be seen for an initial surgical consultation with or without the ability to pay.

Epilepsy Surgery Team

Werner Doyle, MD (Neurosurgeon)Alyson Silverberg, DNP, RN, NP

Mary Miceli, DNP, RN, NP

223 E 34th StreetNew York, NY 10016

646 558 0804