Comprehensive Epilepsy Center
Epilepsy Diagnosis and Treatment
Wake Forest Baptist Health is recognized internationally for the management of epilepsy. We routinely perform advanced diagnostic mapping to identify seizure origination and we recommend treatment based on those findings.
At Wake Forest Baptist we have the most sophisticated brain mapping capabilities in North Carolina. Our brain mapping includes analysis based on a variety of information gathered from the patient including EEG, MEG, PET, SPECT, Source Analysis, and 3D imagery construction.
Magnetoencephalography (MEG) is a unique brain imaging technique used at Wake Forest Baptist. MEG measures the magnetic fields emitted by brain cells (neurons), allowing the mapping of brain activity with great precision in real time. By using this technology, our doctors can pinpoint exactly where seizures originate. We are one of only 29 clinical sites in the country, and the only site in North Carolina and surrounding states, to utilize MEG. Learn more about MEG.
Approximately one-third of patients with epilepsy have seizures that cannot be controlled by medications. These individuals with medically refractory epilepsy may benefit from surgical resection, devices or dietary treatment. The ketogenic diet is a high fat, low carbohydrate diet that induces a state of false starvation and ketosis. This alteration of energy metabolism is an anticonvulsant and about half of patients on the ketogenic diet have a reduction in seizures. This is a highly restrictive diet that is administered by a team that includes a specially trained nutritionist and a pediatric epileptologist. It requires an admission for the initiation and close monitoring. The modified Atkins diet is less restrictive, but requires the guidance of the nutritionist. We are one of several centers in NC that offer the ketogenic diet and the only center offering the modified Atkins diet. We welcome referrals to the Ketogenic Diet clinic. Learn more about the ketogenic diet.
Medication to Manage Epilepsy
Because of our leadership in medication development and treatment, our epilepsy patients have access to the newest medications. Our epileptologists, including specialists in pediatric epilepsy, are experts in selecting the drug combinations most suitable for each patient.
Surgery for Epilepsy at Wake Forest
When medication alone cannot control seizures, we evaluate patients for other treatment options, including surgical removal of the epileptic focus (where the seizures originate in the brain) or implantation of the vagal nerve stimulator. Learn more about epilepsy surgery.