Every second of life, brain cells are communicating with each other. The brain waves come in frequencies and create patterns that can be monitored by an electroencephalogram or EEG. There are three important scenarios in which the utilization of EEG can make a huge impact in the clinical outcome.
A-Video EEG monitoring:
Epileptic seizures are caused by sudden abnormal electrical discharges in the brain. Psychogenic or non-epileptic seizures are attacks that look like epileptic seizures, but are not caused by abnormal electrical discharges. They are stress-related or emotional and usually occur in those who have been abused sexually, emotionally or physically. These spells, which may occur decades later, are called psychogenic non-epileptic seizures or PNES.
“PNES are the most common condition misdiagnosed as epilepsy. In general, one in five patients sent to epilepsy centers for seizures actually have PNES. These spells resemble epilepsy with the blank stares, shaking or a full seizure – brought on by stress and repressed memories,” said Dr. M. Faisal Khan, Board Certified neurologist and fellowship trained in Neurophysiology (EEG)/ Sleep at Duke University. Triumph-Kindred Hospital-Sugar Land can offer Video EEG monitoring (the gold standard to diagnose PNES) to Fort Bend County residents.
Recently a patient seen at, Triumph-Kindred Hospital-Sugar Land, began having spells the same year she lost three family members, according to Dr. Khan. She had also been in an abusive relationship. After leaving the relationship and working through the grief, the spells stopped. But it was not long before she was in another relationship which was also abusive. The spells, resembling epilepsy, returned. She had been treated with several anti-seizure medications with no benefit. We were able to diagnose her accurately as having PNES by performing video EEG monitoring.
B- Application of hypothermia along with EEG for cardiac arrest patients:
“When someone has a heart attack, the brain can convulse due to lack of blood. Even if CPR is administered in time to save the patient, the brain can be affected to the extent the patient becomes brain dead even if their heart is revived,” Dr. Khan said.
“Using an EEG, we can monitor brainwaves and with the proper application of hypothermia techniques to cool the hot brain down, so the person’s brain can be salvaged.” Dr. Khan said.
C- Long –term EEG monitoring in Critically sick patients:
This is a very common scenario in ICU where patients are dealing with multiple organ dysfunctions (MODS). The brain is the most sensitive organ in our body. It is first to get affected and the last to recover. The brain can be seizing in response to MODS but the body is not which we call as non-convulsive seizures and the presentation can be as subtle as alteration in mental status. The only way to detect this is to do extended EEG monitoring.
“This advanced technology is being used to help improve outcomes for critically ill patients” Dr. Khan said.
“These techniques provide additional patient care to help return them to health,” said Randy Briones, director, Triumph-Kindred Hospital-Sugar Land.
Presently, Methodist Sugar Land and Triumph-Kindred Hospital-Sugar Land are the only two hospitals in Fort Bend County with this advance level EEG technology. However, Dr. Khan is in talks with the other local hospitals to establish this technology.
“The academic hospitals in Houston have this technology, equipment and specialists to provide care, yet, it is new to the community hospitals of Fort Bend. Patients should not have to worry about where they should go when a serious health problem arises, and that is why it is important that this technology be in every hospital,” Dr. Khan said.
Triumph-Kindred Hospital-Sugar Land has changed the face of long term acute care by bringing this technology to Fort Bend County as they continue leading the way, as part of their campaign to raise the bar in patient care.
Combining our Strengths
Kindred Healthcare and Triumph Healthcare are pleased to announce that we are now working together to provide aggressive, specialized, interdisciplinary extended acute care hospital services in 118 locations in 21 states. With our combined expertise we are in a better position to serve the patients more effectively than ever before
For more information please contact Dr. M. Faisal Khan, M.D., 281-494-6387.