The Culture of Different MKTG_150064494_2018 Service Line Big Book Full_FIN | Page 16

NEUROSCIENCE INSTITUTE NEUROLOGY AND NEUROSURGERY EPILEPSY PROGRAM 12 Pediatric epileptologists LEADERSHIP: Amy Brooks-Kayal, MD, Chief, Pediatric Neurology The Ponzio Family Chair, Pediatric Neurology Michael Handler, MD, Chief, Pediatric Neurosurgery The McMurry Seebaum Chair, Pediatric Neurosurgery READ MORE ABOUT NEUROLOGY AND NEUROSURGERY: Neurosurgeon operates in kyphoscoliosis repair, p. 10 “A Step Ahead of Papi’s Cancer,” p. 18 8 Epilepsy monitoring unit beds 11 Active epilepsy clinical trials 10 Current epilepsy research grants 91 SEEG, Two Years Later Madeleine Ames’s epilepsy was so severe she couldn’t walk to school alone, although she was 15 years old and school was just blocks away. In 2015, she became Children’s Hospital Colorado’s first patient to undergo robot-assisted stereotactic EEG placement, or SEEG. With it, her care team isolated her seizures’ precise point of origination, and took it out. “We’ve seen a number of patients who probably would not have been candidates for resection without this technology,” says Brent O’Neill, MD, Madeleine’s neurosurgeon. “It’s very effective.” Since Madeleine’s case, Dr. O’Neill and his team have performed SEEG on 25 patients, 75 percent of whom have gone on to resection. Madeleine has been seizure-free for more than two years. In fact, she’s now driving. “It’s almost like I wasn’t even born,” she says. “I first opened my eyes and I felt more free.” Perinatal and Hemorrhagic Stroke Programs The greatest risk of stroke is at birth. Sometimes parents and physicians aren’t even aware that a baby had a stroke until later, when symptoms appear. By the time children do show symptoms — such as only using the left hand or always walking on the tiptoes — it might be too late to overcome the damage. Early intervention is paramount, especially because the plasticity of younger brains helps them heal. “In my experience, babies diagnosed at birth tend to do better, regardless of their stroke size, compared to kids who grew into stroke,” says Jennifer Armstrong, MD, MPH, FAHA, pediatric neurologist and Director of the Perinatal and Hemorrhagic Stroke Program at Children’s Hospital Colorado. “We’re trying to get the word out there for warning signs so we can get therapy started early.” At the Hemophilia and Thrombosis Center, one of only a few of its kind, Dr. Armstrong directs three clinics where she sees about 400 children: the Perinatal Stroke Clinic, the Hemorrhagic Stroke Clinic and the Newborn Brain Injury Clinic. “It’s my job to make sure they’re getting everything they need, from testing to surgery to support,” says Jennifer Armstrong, MD, is one of the only pediatric specialists in the world with expertise in perinatal and hemorrhagic strokes. Dr. Armstrong. “I’m kind of the director of their lives right now.” Dr. Armstrong works with a multidisciplinary team including hematologists, rehabilitation specialists, neurosurgeons, neuroradiologists, pharmacists, nurses, clinical social workers and neuropsychologists. Along with the team at the Hemophilia and Thrombosis Center, Dr. Armstrong is trying to understand when and why strokes occur in utero; she follows healthy pregnant women and children who have experienced perinatal stroke into adulthood in the hope of helping them achieve better development. Epilepsy surgeries (July 2016-June 2017) The Culture of Different 15