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+961-1-350000
PO Box: 11-0236
Riad El Solh, Beirut 1107 2020
Beirut - Lebanon (More)
Comprehensive Adult and Pediatric Epilepsy Program

About Us
The Comprehensive Adult and Pediatric Epilepsy Program at the American University of Beirut Medical Center is a multidisciplinary program that brings together a multidisciplinary team of health care providers to deliver a state-of-the-art continuum of care including diagnostic evaluation, testing, and treatment for patients of all ages living with epilepsy and seizure disorders.

A team of dedicated physicians and health care professionals – including epileptologists, neurosurgeons, neuroradiologists, neuropsychologists, and nutritionists – in addition to other faculty and staff members work closely to deliver the highest level of epilepsy care.

Our goal is to accurately diagnose and provide optimum treatment (medical or surgical) for each patient to significantly improve each patient’s quality of life.

Patients from across Lebanon and other countries in the region come to our epilepsy program seeking expert, comprehensive and compassionate care.

Services/Procedures
Our program receives referrals for:
·       Diagnostic evaluation: to differentiate epileptic seizures from non-epileptic spells
·       Seizure classification: to classify seizure type to determine the appropriate medical management
·       Presurgical evaluation: to determine patient’s eligibility for surgical intervention
Diagnostic services provided include:
·       Complete seizure history
·       Comprehensive neurological exam
·       Neuophysiologic assessment including:
o   Routine awake and sleep video-EEG
o   Outpatient prolonged sleep deprived video-EEG
o   Inpatient continuous long-term video-EEG monitoring (non-invasive LTM)
o   Invasive (intracranial) continuous LTM
·       Neuroimaging including:
o   Epilepsy protocol MRI
o   PET scan (performed at a different hospital)
o   Ictal and interictal SPECT scans
·       Neuro-psychological assessment
·       Metabolic evaluation
·       Speech evaluation
·       Wada test
·       Functional brain mapping
Treatment options include:
·       Medical treatment by antiepileptic medications
·       Psychological counseling
·       Dietary therapy- ketogenic diet
·       Surgical intervention for medically refractory epilepsy:
o   Focal Resection
This is done when seizures are found to originate consistently from one single focus/area in the brain that can be safely resected and it involves removal of that part of the brain.
o   Hemispherectomy
This is performed when most of one of the cerebral hemispheres is affected due to a hemispheric lesion like birth defect, stroke, Sturge-Weber syndrome or Rasmussen’s syndrome.
o   Corpus Callosotomy
This surgery is performed when seizures start on both sides of the brain at the same time. It is performed to interrupt the pathway by which seizures spread and does not involve removal of parts of the brain where seizures originate.
o   Vagus Nerve Stimulation (VNS)
This is performed when Video-Long Term EEG Monitoring reveals that seizures cannot be isolated to one resectable focus. The surgery involves implanting a small device under the skin on the upper chest. The device delivers electrical current to the vagus nerve in the neck, sending impulses to the brainstem and consequently decreasing the tendency for seizures and helping achieve seizure control.
Faculty
 
Name
Title
Specialty
Email Address
Clinic Extension
Ahmad Beydoun, MD
Program Director, Professor of Neurology
Neurology, epilepsy
5800
Marwan Najjar, MD
Assistant Professor
Neurosurgery
5800/5670
Wassim Nasreddine, MD
Assistant Professor
Neurology, epilepsy
5800
Roula Hourany Risk, MD
Assistant Professor
Diagnostic Radiology
5020/60
Mukbil Hourani, MD
Professor
Diagnostic Radiology
5020/60
Pascale Karam, MD
Assistant Professor
Inborn errors of metabolism
7950
Fadi Maalouf, MD
Assistant Professor
Psychiatry (child & adolescent)
5650/1
 
Staff
Name
Title
Email Address
Extension
Samira Abi Mousleh
EEG Technician
5541/2
Ghina Ammar
EEG and Sleep Technician
5541/2 6828
Daad Aoun
Clerk Typist, EMU
5541/2
Salah Gharzeddine
Chief Medical Technician, EMU
5541/2
Mohamad Kanso
EEG/EMG Supervisor
5816
Rihab Molaeb
Secretary,
EEG/EMG lab
5816
Alhan Shamseddine
Administrative Officer
5510
Angie Kais
EEG and Sleep Technician
5541/2
Imad Jurdi
EEG and Sleep Technician
5541/2
Khodr Jamal
EEG and Sleep Technician
5541/2

Research
Over the years since its establishment in 1995, our epilepsy program has been the leading epilepsy research center in the region. Research projects conducted by the program involved evaluation for drug therapy and experimental medications, basic science research, and epidemiologic and clinical studies.

Currently, a multi –center research project entitled: “Prospective Evaluation of Patients with Newly Diagnosed Epilepsy: A Multi-Center Study” is being conducted. This research project is the largest prospective study so far in patients with newly diagnosed epilepsy. In its second year, a total of 780 patients were screened and enrolled in this study from all different governorates of Lebanon.

Educational Programs
Neurophysiology fellowship program
The objectives of the clinical neurophysiology and epilepsy fellowship program is to graduate specialists for Lebanon and the Middle East region, with expertise in the management of  patients suffering from epilepsy including the presurgical evaluation of patients suffering from medically refractory epilepsy.   In addition, graduates of this program will have expertise in the interpretation of various neurophysiological tests including EEG, evoked potentials, sleep studies and/or EMG.  Participation in research is considered a mandatory part of the training.  This clinical neurophysiology and epilepsy fellowship was started in June 2005. It is important to stress that this is the first fellowship in clinical neurophysiology and epilepsy available in the Middle East. 
The clinical neurophysiology and epilepsy fellowship is a one or two years program.  Candidates must have completed a three years residency training in adult or pediatric neurology in Lebanon or abroad.  The one year program is aimed at physicians interested in becoming proficient in the interpretation of a variety of neurophysiological tests and in developing expertise in the medical management of patients with epilepsy.  The two-year program is geared at physicians interested in developing expertise in the presurgical evaluation and management of patients with medically refractory epilepsy.  The program will only accommodate one fellow per calendar year.  If a fellow is enrolled for a two-year fellowship, no fellow will be recruited during the second year. 
The program includes supervised clinical training in epilepsy, clinical neurophysiology, and video-EEG monitoring.   The training consists of participation in the outpatient neurology clinics, OPD epilepsy clinics, inpatient admissions and consultations, inpatient admitted to the epilepsy monitoring units for CCTV/EEG monitoring and review of a variety of clinical neurophysiological studies including EEG, evoked potential studies, EMG and polysomnograms.
Participation in at least one research project under the supervision of a faculty member is considered obligatory for fellows enrolled in the two-year program. Participation of the fellows in the undergraduate as well as the post-graduate teaching activities of the Division of Neurology is mandatory. The fellows are active participants in the weekly Neurology conferences and the fellow is encouraged to participate in regional and international epilepsy meetings.

Fellows
Name
Year
Email
Pager
Ahmad Fawaz,M.D.
First Year Epilepsy Fellow
0360

Location
The Epilepsy Monitoring Unit (EMU) is located on the 6th floor of the main Hospital building, where Pediatric and Adult outpatient EEGs and Long Term Monitoring (LTM) are performed.
The EEG/EMG lab is located on the 4th floor of phase I, where Adult outpatient EEGs and Pediatric and Adult EMGs are performed.

Contact Us
To schedule an EEG appointment for a Pediatric patient, please call the outpatient Pediatric EEG lab at +961 1 374374 extension 5541.

To schedule an EEG appointment for an Adult patient, please call the outpatient Adult EEG lab +961 1 374374 extension 5816.

To refer a patient or to schedule an admission, please call the Epilepsy Program Administrator at +961 1 754500 (direct line).

If you wish, you can send us a detailed medical report (at Fax # +961 1 374374, ext 6541) concerning your/the patient’s case ahead of time before you come to the appointment in order to arrange for the needed tests/scans
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