Hopkins Medicine Home/ Neurology & Neurosurgery/ Epilepsy Center
         

A Better Brain Map on the Way

Surgeons removing tissue that edges "eloquent" areas of the brain-those tied to the basic ability to communicate-are well aware of the risks. The prospect of stopping seizures while making a patient forever mute is the stuff of nightmares.

So when cortical mapping (electrical cortical stimulation or ECS) came to Hopkins more than a decade ago, it mercifully revealed a patient's individual speech, motor and other danger zones before surgery. In place at a handful of medical centers worldwide, ECS has opened the door to previously "un-doable" brain surgery for tumors, vascular flaws or epilepsy.

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A Ketogenic Success

Allie was a 3-year-old girl seen by us for consultation in 2002 regarding her intractable seizures. She was having hundreds of grand mal and head drop seizures daily and had failed five different anticonvulsants, pushed to toxic doses. She was placed on the ketogenic diet and within one week became seizure-free. Medications were quickly weaned and in May 2004, after two years, Allie was taken off the ketogenic diet and remains seizure-free and doing wonderful in school to date.

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