Epilepsy - Department of Neurology (2024)

Welcome to the Division of Epilepsy...

About the Epilepsy Center

Designated a Level 4 center by the National Association of Epilepsy Centers, the VCU Epilepsy Center provides a complex, extensive approach to neurodiagnostic monitoring and medical treatment of neuropsychological and psychosocial disorders. Fourth-level centers offer the most comprehensive care available for patients with epilepsy, including evaluations for surgery and other procedures.

The mission of the VCU Epilepsy Center is to:

1. Provide exceptional education to our students, residents and fellows and the wider community of medical professionals.
2. Improve the lives of children and adults with epilepsy through compassionate, high-quality medical care and patient education.
3. Advance the knowledge for the management, treatment and research of epilepsy.

Epilepsy is a neurological disorder that causes abnormal electrical activity in the brain resulting in recurrent seizures. About 40 million men, women and children worldwide suffer from epilepsy. However, in many cases, the cause is unknown. We find that fact challenging. In the search of greater knowledge, our fellowship trained neurologists are unsurpassed in the region for the groundbreaking strides we are making in epilepsy diagnosis and innovative treatments.

Our team of physicians provides a comprehensive evaluation for adults and children with epilepsy in both the ambulatory and inpatient setting.

The adultEpilepsy Monitoring Unit (EMU) here at VCU is a specialized five-bed inpatient unit designed to evaluate, diagnose and treat seizures in adult patients.

The VCU Epilepsy Center uses dense array electroencephalography (EEG) to obtain images of source localization to assist in pre-surgical planning for patients. The dense array method gathers brain activity data from up to 256 electrodes – more than conventional EEG products – and creates computer-generated three-dimensional models of the patient's head.

In conjunction with the Department of Radiology’s neuroradiology and nuclear medicine divisions, the VCU Epilepsy Center offers functional magnetic resonance imaging (fMRI). This form of imaging assesses changes in metabolism, blood flow, regional chemical composition and absorption to assist in management and pre-surgical planning.

Our center’s experienced neuropsychologists perform comprehensive neuropsychological assessments, which play a major role in determining cognitive risks in patients being considered for surgery to treat epilepsy.

Our team collaborates closely with our neurosurgical colleagues to provide Surgery is an option access to surgical approaches to epilepsy including resection, laser ablation and other functional procedures.

Vagusnerve stimulation (VNS) is a medical treatment designed to prevent hard-to-treat seizures by sending regular, mild pulses of electrical energy to the brain via thevagusnerve, which connects the brain to the body. A VNS Therapy® device similar to a pacemaker, implanted during a short outpatient procedure, delivers regular pulses throughout the day and can detect the start of a seizure and deliver an extra dose of therapy. It’s an option for seizure patients who don’t respond to medications and may not be candidates for surgery.

Response nerve stimulation (RNS®) is a system that continuously monitors electrical activity in the brain, detects patient-specific patterns and delivers brief pulses of stimulation when it detects activity that could lead to a seizure. The system targets the area of the brain where seizures originate, similar to traditional epilepsy surgery. The neurostimulator is implanted below the scalp, but unlike traditional epilepsy surgery, RNS® doesn’t involve the removal of brain tissue. Learn more about RNShere.

In 2023, The Children's Hospital of Richmond opened the 100% kid-focused CHoR Epilepsy Monitoring Unit (EMU) designed for kids who need to be in the hospital for intense seizure monitoring. The CHoR EMU includes a dedicated playroom with complete monitoring capabilities so kids can safely enjoy time outside their hospital rooms. Before the opening of the Children’s Tower, children shared an epilepsy monitoring unit with adult patients at VCU Medical Center. It is only one of two centers in the state of Virginia with NAEC certification as a Level 4 Epilepsy Center, offering the most sophisticated monitoring, treatment and surgical options for children with epilepsy.

At the VCU Epilepsy Center, we are actively involved in performing translational, basic science as well as clinical research to help advance the understanding and care of patients with epilepsy.

Epilepsy Fellowship

The Division of Epilepsy offers a one-year epilepsy fellowship program. led by Christine M. Baca, MD, MSHS, FAAN, and accredited by the  Accreditation Council for Graduate Medical Education. Those who successfully complete the program are eligible to take the Added Qualification in Epilepsy Exam offered by the  American Board of Psychiatry and Neurology.

Faculty and Staff within the Division of Epilepsy...