Epilepsy Monitoring Unit (EMU)

Fellows participate longitudinally in EMU care across dedicated adult and pediatric units, including:

• Oklahoma state’s only 4‑bed adult EMU and 4‑bed pediatric EMU
• Evaluation of patients with medically refractory epilepsy and paroxysmal events
• Seizure localization and characterization using video‑EEG monitoring
• Progressive responsibility in patient management, diagnostic formulation, and care planning

EEG Experience

EEG training is integrated throughout all clinical settings and includes:

• Interpretation of routine EEG and long‑term video-EEG recordings
• Clinical correlation of EEG findings with seizure semiology and neuroimaging
• Exposure to EEG patterns across a wide range of ages and epilepsy syndromes
• Close faculty supervision with graduated autonomy in interpretation and reporting

Outpatient Epilepsy Clinics

Fellows participate in longitudinal outpatient epilepsy care for adult and pediatric patients, emphasizing continuity and long‑term management. Experience includes:

• Evaluation of new‑onset and refractory epilepsy
• Antiseizure medication selection, adjustment, and monitoring
• Participation in specialized clinics, including:
  • Neuromodulation clinics for patients with VNS, RNS, and DBS devices
  • Ketogenic diet clinics, introducing dietary therapies as part of comprehensive epilepsy care
• Long‑term treatment planning and patient counseling

Surgical Epilepsy and Advanced Therapies

Fellows are involved in the evaluation of patients undergoing workup for epilepsy surgery and advanced therapies. Training includes:

• Participation in multidisciplinary epilepsy surgery conferences
• Exposure to comprehensive presurgical diagnostic techniques, including:
  • Scalp video‑EEG monitoring
  • Intracranial EEG (stereo‑EEG and subdural grid monitoring)
  • Wada testing for memory and language lateralization
  • High quality imaging modalities including 3T MRI Brain, 18FDG-PET Brain, ictal -SPECT studies
  • Access to advanced modalities including quantitative EEG and computational slicer software (CURRY)
• Clinical exposure to neuromodulation therapies, including:
  • Vagus nerve stimulation (VNS)
  • Responsive neurostimulation (RNS)
  • Deep brain stimulation (DBS)
• Collaborative care with neurosurgery, neuropsychology, neuroradiology, and psychiatry
• “Epilepsy Surgery Program”