New therapies to treat epilepsy

Margot Kim Image
Saturday, August 30, 2014
New therapies to treat epilepsy
Epilepsy is a chronic neurological condition that affects more than 2.5 million Americans. Uncontrollable seizures plague these patients' lives.

FRESNO, Calif. (KFSN) -- Epilepsy is a chronic neurological condition that affects more than 2.5 million Americans. Uncontrollable seizures plague these patients' lives. Until now, the only treatments were drugs and major surgery, but new therapies are on the horizon.

Jeff Martig suffered from seizures for 20 years that would strike anytime and anywhere.

"I was having about 30 a day," Martig told ABC30. "I would feel a sensation in my nose and then my left side of my face would twitch, and then I would start gasping for air."

Jeff had surgery to remove part of his brain. Doctors at the Cleveland Clinic are studying less invasive ways to stop seizures. They've used an experimental technology called SEEG on almost 300 patients.

"It's a technology to help us in locating, knowing where, where is the area in the brain, where the seizures may be coming from," Imad Najm, MD, Director of the Epilepsy Center at the Cleveland Clinic told ABC30.

Electrodes in the brain record seizure activity. Once the area is identified, doctors can use lasers to ablate it instead of major surgery to remove it.

"So without making any major changes, we remove the electrode, we put in another probe, we ablate the focus and we put it back," Dr. Najm explained.

Another advance is the recently FDA approved responsive neuro-stimulator. The device is implanted in the skull and records electrical activity in the brain. When it detects a seizure, it delivers electrical pulses to intercede.

"For the first time, we have a device that is smart enough to record, detect and do something about the seizure on the spot," Dr. Najm said.

New ways doctors are helping patients like Martig live seizure-free.

"I'm a brand new person. It's amazing!" Martig said.

Patients with epilepsy should try medication first, but studies show between 40 and 50 percent continue to experience seizures or suffer major side effects. The neuro-stimulator device was approved for seizures last November.

Dr. Najm says patients who aren't typically candidates for surgery may be eligible for this device. He says the laser therapies are still considered experimental.

For more information on this report, please contact:

Andrea Pacetti
Media Relations Manager
Cleveland Clinic
Phone: (216) 316-3040
Phone: (216) 444-8168
pacetta@ccf.org