April 27, 2014
Responsive Neuro-Stimulation
(Neuropace, RNS)
Werner Doyle, MDProfessor of
Neurosurgery
Epilepsy / Seizure
desynchronized “chaotic”
hyper-synchrony “rhythmic”
normal
seizure
Seizure is a loss of brain processing complexity
complicated
simple
The brain is a complex dynamic
network
ablative
VNS
RNS
Surgical Removal or Disconnection
VNS - Vagus Nerve Stimulation
RNS - Responsive Neuro-Stimulaiton
↯↯
↯
↯↯
↯↯
↯
↯↯
✘
2-Stage
✘1-Stage
Cranial surgery: 1 or 2 operations & hospitalized for 3 to 10 days.
Complete seizure control in 90% of the best surgery candidates & at least 50% of the time for the more difficult patients.
65% of all epilepsy surgery patients at NYU are seizure free
Cranial Epilepsy Surgery
RNS surgery: usually in the hospital for 3 to 4 days
Complete seizure control in 20% & at least 50% control for the most difficult patients
Offered to those that we can not do resection safely
RNS (Responsive Neuro-Stimulation)
MRI abnormalities such as hippocampus scar, low grade tumor, developmental abnormality, and some vascular lesions
Best candidates for epilepsy surgery:
hippocampus scar hippocampus scarvascular lesion
cavernomadevelopmental
cortical dysplasialow grade tumor
The Comprehensive Epilepsy Center at NYU Langone Medical Center is one of the largest of centers devoted to the treatment of epilepsy and related conditions in the United States.
For additional information about epilepsy surgery or for an appointment, or to speak with an epilepsy surgery specialist, call 646 558 0804 or 646 558 0800.
All medical insurance is accepted and if authorization has not been obtained a consultation with Dr. Doyle will be possible without fee.
Arrangements will be made for any patient to be seen for an initial surgical consultation with or without the ability to pay.
Epilepsy Surgery Team
Werner Doyle, MD (Neurosurgeon)Alyson Silverberg, DNP, RN, NP
Mary Miceli, DNP, RN, NP
223 E 34th StreetNew York, NY 10016
646 558 0804