The Epilepsy Institute of New Jersey is a team of board-certified neurologists and neurosurgeons who provide expert care for a variety of pediatric neurological conditions, including hemiplegic epilepsy syndrome. Our team uses advanced diagnostic tools and innovative treatment techniques to ensure the best outcomes for your child.
The Physical Impact
Hemiplegic epilepsy syndrome is a rare disorder characterized by recurrent seizures and episodic paralysis or significant weakness (hemiplegia) on one side of the body. These episodes can be brief or prolonged and may affect a child's ability to perform regular daily activities, communicate effectively, and keep up with developmental milestones. Early diagnosis and carefully managed treatments can help reduce the frequency of seizures and hemiplegic episodes, improving the child's overall quality of life.
How Common Is This Condition?
Hemiplegic epilepsy syndrome is considered rare. The severity of seizures, frequency of hemiplegic episodes, and age of onset can vary greatly from one child to another. Genetic factors may play a role, and research is ongoing to better understand the underlying causes.
Risk Factors:
- Genetic predisposition or specific gene mutations
- Family history of hemiplegic migraines or epilepsy
- Co-occurring neurological disorders
Signs and Symptoms
Children with hemiplegic epilepsy syndrome may experience:
- Recurrent Seizures: Varying from focal (localized) to generalized (affecting the entire brain).
- Hemiplegic Episodes: Sudden onset of weakness or paralysis on one side of the body, which can last from minutes to days.
- Developmental Delays: Challenges in motor skills, speech, or cognitive development, often linked to frequent seizure activity.
- Behavioral Changes: Irritability, mood swings, or difficulty with attention and focus.
How We Diagnose
At the Epilepsy Institute of New Jersey, diagnosing hemiplegic epilepsy syndrome requires a careful assessment of each child's medical history, seizure patterns, and episodes of hemiplegia. Our comprehensive diagnostic approach includes:
- EEG (Electroencephalogram): Detects abnormal brain activity related to seizures.
- MRI (Magnetic Resonance Imaging): Provides detailed images of the brain to identify any structural abnormalities.
- Genetic Testing: May uncover genetic mutations associated with hemiplegic disorders.
- Neurological and Developmental Evaluations: Helps determine the impact on cognitive and motor functions.
This in-depth evaluation allows us to create a personalized treatment plan tailored to your child's unique condition.
Treatment Options
Management of hemiplegic epilepsy syndrome focuses on controlling seizures, reducing the frequency and severity of hemiplegic episodes, and supporting developmental progress. Treatment may include:
- Anti-Seizure Medications: Chosen specifically to address the child's seizure type and frequency.
- Physical and Occupational Therapy: Targeted exercises to maintain or improve strength, coordination, and mobility.
- Dietary Therapies: The ketogenic or modified Atkins diet might be considered if seizures prove difficult to control.
- Medical Devices: Vagus nerve stimulation (VNS) or other neuromodulatory approaches may reduce seizure severity.
- Supportive Care: Collaboration with therapists, educators, and support groups to help your child thrive at home and school.
The Epilepsy Institute of New Jersey utilizes a multidisciplinary approach to ensure every aspect of your child's health and development is addressed.
Our Commitment to Your Child's Health
“I am neurosurgeon living in New Jersey, board-certified by both the American Board of Neurosurgery (ABNS) and Pediatric Neurosurgery (ABPNS). I specialize in the surgical treatment of complex epilepsy and serve as the Director of the Epilepsy Institute of New Jersey, Chief of Pediatric Epilepsy Surgery at Sanzari Children's Hospital, and Chief of Pediatric Neurosurgery at Children's Hospital of NJ, where I provide exceptional care for children with complex neurological conditions. Your child's health and well-being are our top priorities.”
