Pediatric Neuroscience Services

Treatment for Children with Epilepsy

Each child comes to the South Texas Comprehensive Epilepsy Center (STCEC) with a unique set of medical conditions. [link to conditions page] We conduct numerous neurological assessments to determine the type, intensity, frequency and origin of seizures. This information allows us to create individual treatment strategies for epileptic children of all ages.

Getting an accurate diagnosis is key. Many of our patients undergo three-to-five days of observation in our high-tech, pediatric epilepsy monitoring unit at University Hospital, where brain wave data is recorded during controlled seizures and during non-seizure periods for comparison and analysis.

Electrical brain activity is carefully reviewed along with the results of numerous other diagnostic tests [link to testing & diagnostics page] to help our neurologists determine the best course of treatment. Multiple, pediatric epilepsy experts collaborate to reach a consensus on the least invasive treatment that will lead to a positive, long-term outcome for your child.

Individual Treatment Plans to Improve Outcomes

At University Health System, our number one goal is to improve the quality of life for our patients. Treatments are aimed at controlling seizures – by stopping them completely or in complex cases minimizing the number and severity of the seizures.

Surgical procedures range from removal of a specific targeted portion of the temporal lobe where unwanted brain cell impulses are found to a hemispherectomy, in which half of the brain is taken out. Surgery can be a good treatment option for children who have seizures that originating in a certain area of the brain as opposed to seizure activity found in multiple areas. Our epileptoplogists help families with children who have ongoing, uncontrollable seizures.

After comprehensive analysis, a detailed care plan is developed for each patient to address their medical needs. Our surgeons, stereotactic neurosurgeons, neuropsychologists, psychiatrists and other members of the epilepsy care team discuss options with the patient and their family members. Potential outcomes, of each treatment therapy, are carefully weighed and reviewed.

New Epilepsy Medication, Surgery or Both May Be Needed

While medication is a successful treatment option for many children, approximately 30% can’t be helped with anti-convulsant drugs. Additional treatment may include implantation of neurostimulation devices; resective surgery - removal of brain tissue at the site of a tumor, injury or abnormality or invasive surgeries that involve opening the skull. All treatment options are considered, including the benefits of a ketogenic diet – which can be helpful in preventing certain types of seizures.

We provide some of the most innovative and effective epilepsy surgical treatments for children [link to the landing page] in the nation. From diagnostics to surgery, we deliver patient-centered care and promote a process of shared decision-making.

Our epilepsy center, a partnership program between our Health System and UT Health San Antonio, provides a number of traditional and innovative treatment options for children with epilepsy. Some of our treatment options include:

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