Winthrop Comprehensive Epilepsy Center
The Winthrop Comprehensive Epilepsy Center is one of the largest programs on Long Island with a team of highly-trained epilepsy specialists, including epileptologists, epilepsy surgeons, and neuropsychologists. We are a Level-4 Epilepsy Center, representing the highest certification in accordance with the National Association of Epilepsy Centers’ guidelines for patient care. We provide state-of-the-art diagnostic and treatment services to people with epilepsy and specialize in the management of people with forms of epilepsy that are difficult to control. The Center is the clinical program based in the department of Neurosciences at Winthrop University Hospital, a clinical campus of Stony Brook University School of Medicine.
Our mission is to administer high-quality individualized care for people with epilepsy through comprehensive diagnostic evaluation, advanced treatment options, and active participation in medical education and cutting edge research. An important goal of the Winthrop Comprehensive Epilepsy Center includes seizure reduction, and possible seizure elimination with medical and surgical therapies. The Center employs the leading-edge diagnostic evaluation with imaging, neurophysiologic monitoring, and neuropsychological evaluation to provide safe and effective surgical options for individuals with medication-resistant epilepsy. If one is considered a candidate for surgery, decision making is made through an integrated alliance with the epilepsy treatment team, primary care physician, and patient. Our team of epileptologists, surgeons, and neuropsychologists discuss individualized plans for each patient at weekly multidisciplinary surgical meetings where we explore all of the potential strategies, should a neurosurgical approach be chosen.
We strive to provide comprehensive services to support and educate those with epilepsy, their families, and the community. Epilepsy, like other chronic conditions, impacts quality of life and everyday living. We fully understand the significant challenges people with epilepsy face every day and consider addressing these issues is tantamount in providing optimal care. The Center offers access to community resources, health information provided by epilepsy health professionals, and psycho-social support.
Individualized Treatment for Epilepsy
Though most people receive medications to treat seizures, other treatments include:
Vagus Nerve Stimulation (VNS): a surgical procedure where neurosurgeons place a small pacemaker under the skin in the left side of the chest to stimulate the vagus nerve. This device regulates electrical activity in the brain and can reduce the frequency and severity of seizures. The implantation is a one to two our outpatient procedure and the device is programmed by your epilepsy neurologist.
Epilepsy surgery: a surgical procedure that removes the specific area of the brain that is generating the seizures.
Epilepsy Monitoring Unit
An Epilepsy Monitoring Unit providing continuous video-EEG monitoring featuring a fully computerized digital recording system and 24-hour monitoring by highly experienced nurses and staff, where we offer both phase 1 and phase 2 monitoring:
Phase 1 Monitoring: Phase 1 monitoring involves inpatient monitoring with video-EEG. A standard EEG is applied and patients may be monitored for several days. Patients are continuously monitored and weaned off their medications is a safe setting. We record brain activity during seizures and between seizures. This information is often highly valuable for diagnosis of seizures, classification of seizures leading to optimal care, and localization for potential epilepsy surgery.
Phase 2 Monitoring: Some patients undergoing evaluation for epilepsy surgery require more invasive monitoring to determine the region of the brain where the seizures are originating from. The Winthrop Comprehensive Epilepsy Center team discusses every patient considered for phase 2 monitoring, and careful planning is made by the Epilepsy Center team. Electrodes are placed on the surface of the brain in the operating room, allowing for more detailed analysis of brain activity. The data obtained from phase 2 monitoring often provides valuable information for surgical planning. In addition, functional cortical mapping may be performed by stimulating the electrodes at the bedside.
Referrals: For referral information, please call the Neurology Practice at 516-663-4525. For direct referral for video- EEG monitoring, contact Terry Rodgers at 516-663-9097.
The Comprehensive Epilepsy Center Team
Neurologists with specialty training in epilepsy, electroencephalography (EEG), and clinical neurophysiology
Neurosurgeons with expertise in epilepsy surgery
Nurses and staff dedicated to the evaluation and management of epilepsy
- Manuel Gonzalez-Bermudez, G.MD, B.Sc, B.Lit, R.EEG.T, R.NCS.T, R.ULT.T, EP.T. – Director of Neurodiagnostic Services
- Kathy Krieger, RN
- Ellen McCarthy, Neurodiagnostic Lab Medical Secretary
- Terry Rodgers, RN, LCSW-R, ACSW, C-ASWCM
- Elizabet Portieles Sanchez, F.G.MD, B.Sc, B.Litt,, EEG/EMG/NCV Technician
- Golareh Sina, PA
EEG Technicians are highly trained in administering tests to detect epilepsy
- Monica Amorin, EEG Technician
- Doris Bermudez, Supervisor/ EEG Technician
- Michael Giacoia, Neuro Vascular Technician
- Karen Greco, EEG Technician
- Florence Ingrassia, EEG Technician
- Janet Mojica, EEG Technician
- Christopher Moses, EEG Technician
- Demetrius Simmons, EEG Technician