Evaluation and Treatment of Patients With Epilepsy
Evaluation and Treatment of Patients With Epilepsy
This protocol has three purposes: 1) to screen patients with seizures for participation in
 research studies of NINDS s Clinical Epilepsy Section (CES), 2) to follow the natural course
 of seizure disorders, and 3) to train CES fellows in evaluating and treating epilepsy. Only
 standard diagnostic tests and treatments will be used in this study.

 Patients of any age with seizures who are referred to CES may participate in this study. At
 the end of the study, patients may be discharged to the care of their referring physician,
 offered participation in another NINDS research protocol, or followed for teaching purposes.

 Participants will undergo standard diagnostic procedures used to determine the type of their
 seizures, what part of the brain they are coming from, what is causing them, and whether
 standard drug treatments can help them. These may include some or all of the following:

 -  Physical and neurological examination

 -  Neuropsychological tests tests of learning and memory

 -  Electroencephalography (EEG) brain wave recording

 -  Evoked potentials tests of nerve reactions to lights and sounds

 -  Polysomnography simultaneous recordings of brain waves, breathing and eye movements

 -  Video-EEG monitoring simultaneous recording of seizures using a video camera and brain
 waves

 -  Video-EEG monitoring with extra electrodes to record muscle activity, breathing and eye
 movements for analyzing sleep patterns

 -  Imaging studies, such as magnetic resonance imaging (MRI) and positron emission
 tomography (PET) scans to examine the structure and function of the brain

 -  Frequent blood tests to measure blood levels of anti-seizure drugs
Objectives: To evaluate patients with epilepsy

 Study Population: adults and children with epilepsy

 Design: In this protocol we will use standard clinical studies, including neurologic
 examination, antiepileptic drug levels, clinical neurophysiology (EEG, EMG, evoked
 potentials, simultaneous Video-EEG monitoring, polysomnography), computed tomography,
 structural functional, and spectroscopic magnetic resonance imaging, and other studies, such
 as FDG-PET (performed by nuclear medicine as a clinical procedure) and neuropsychological
 testing, to evaluate patients referred for uncontrolled or suspected seizures. Tests will be
 performed in patients when clinically indicated. The protocol will be used to screen patients
 for inclusion in other protocols, follow the natural history of seizure disorders, and train
 fellows in the evaluation and treatment of epilepsy. Both inpatients and outpatients will be
 studied. Standard clinical evaluation and drug treatment of epilepsy is performed under this
 protocol.

 Outcome Measures: clinical characteristics of epilepsy
-  INCLUSION CRITERIA:

 All patients older than 2 years referred to the Clinical Epilepsy Section will be included.
 DPA assignment for adults without consent capacity is required at the time of enrollment.

 EXCLUSION CRITERIA:

 None.