UK has provided specialized care for epilepsy for more than two decades. Our Level 4 Comprehensive Epilepsy Center provides both outpatient services through the Kentucky Clinic and inpatient care at UK Albert B. Chandler Hospital. Our services include epilepsy clinics, an active epilepsy surgery program and clinical trials in epilepsy. Patients have access to a broad range of advanced forms of seizure therapy unavailable elsewhere in the region.
The Comprehensive Epilepsy Program consists of a multispecialty team of dedicated professionals focused on improving the lives of patients and families who are living with epilepsy. It is designed to address the needs of children, adolescents, adults, women of childbearing age and elderly with epilepsy requiring specialized care. Our program also takes into account the needs of their caregivers.
The Comprehensive Epilepsy Clinic is a component of the Comprehensive Epilepsy Center and is designed to address the needs of children, adolescents and adults with epilepsy requiring specialized care. Patients evaluated in the clinic have previously been evaluated by a neurologist and continue to have problems with ongoing seizures, medication side effects or questions about the specific diagnosis.
Selected patients may require other studies outside the epilepsy clinic including EEG-video monitoring, MRI and other specialized procedures. Additional consultations such as neuropsychology and neurosurgical evaluations may be necessary.
Kentucky Neuroscience Institute is accredited by the NAEC as a level 4 epilepsy center. Level 4 epilepsy centers have the professional expertise and facilities to provide the highest level medical and surgical evaluation and treatment for patients with complex epilepsy.
The adult epilepsy monitoring unit (EMU) offers six private rooms in Pavilion H (7th floor West wing). The pediatric EMU offers three private pediatric rooms in pavilion H (3rd floor North wing). The EMU offers prolonged combined data from the EEG and concomitant video. This data helps the neurologist determine what type of seizures the patient is experiencing, which helps tailor treatment. This data also provides information about where seizures originate in the brain. This is a key step to evaluate if patients are candidates for epilepsy surgery.
Potential therapeutic options such as new anti-epileptic drugs and epilepsy surgery are determined for each patient. Some patients are followed long-term in the Epilepsy Clinic, while most are returned to their primary neurologist for ongoing care.
Our services include diagnostic testing and the latest treatments for the management of all forms of epilepsy. We provide outpatient services as well as inpatient care with the latest diagnostic monitoring equipment, including:
- Specialized MRI procedures
- Intra carotid sodium amytal procedures (WADA tests)
- Ictal and inter-ictal SPECT studies
- Intra-operative mapping with awake craniotomy
Consultative services such as neuropsychology evaluations and neurosurgical evaluations are available. Potential therapeutic options such as new anti-epileptic drugs, innovative treatments, VNS therapy, ketogenic diet and epilepsy surgery are determined for each patient.
New referrals, established patients and individuals enrolled in clinical trials are all seen in the epilepsy clinic.
Adult patients undergoing phase I monitoring (noninvasive video-EEG monitoring) and phase II (invasive) monitoring are hospitalized in the EMU. Outpatient ambulatory EEG studies are offered through the UK EEG laboratory.
If you or someone you care about is living with epilepsy and continuing to experience seizures, even with treatment, you may want to consider participating in a clinical research trial. Without these research studies, we would be unable to provide new drugs and medical devices to benefit others living with epilepsy.
We have ongoing clinical trials involving epilepsy and anti-epileptic medications for infants, children and adults. We are extensively involved in research, both at UK and in collaboration with other prominent epilepsy centers regionally and nationally.
- Does your child have Lennox-Gastaut syndrome? He or she may be eligible to participate in a clinical trial.
- Do you have uncontrolled complex partial seizures? You may be eligible to participate in a clinical trial.
Rachel Ward-Mitchell, RN, epilepsy nurse coordinator
Rachel Ward-Mitchell has been a nurse at UK since 2004 and spent seven years working in the Epilepsy Monitoring Unit. In 2011 she shifted her role to act as the nursing resource coordinator for the UK Comprehensive Epilepsy Program.
She assists patients through first diagnosis, ongoing treatment, clinic visits, hospital stays, diagnostic testing, surgery, medication side effects and psychosocial aspects associated with epilepsy. She works closely with the local Epilepsy Foundation affiliate to advocate, educate and find community resources for patients.
Micah Philpot, Comprehensive Epilepsy Program patient services coordinator
Micah Philpot is patient services coordinator for the comprehensive epilepsy program at UK. He has been with UK for 10 years in a variety if administrative roles for the UK Neurology and the Kentucky Neuroscience Institute.
He is responsible for the epilepsy clinic schedule, EMU hospital admissions and coordinating special procedures and diagnostic testing.
Kentucky Neuroscience Institute
Kentucky Clinic740 S. Limestone
First Floor, Wing C
Lexington, KY 40536Fax 859-323-1127Monday - Friday: 8:00 am-5:00 pm
(across from Starbucks)
Morehead Medical Specialists234 Medical Circle
Morehead, KY 40351
This clinic will take place the second Tuesday of each month.