Our Services

MREA offers a comprehensive and cutting edge approach to the treatment of epilepsy, in cooperation with other medical services at The Nebraska Medical Center:

Consultations for adults and children over age 8


Medical management of seizures

The primary method of controlling seizures is by utilizing anti-epileptic drugs (AEDs). Over the last several years, several AEDs have been introduced that are as effective as older medications, but are substantially safer. At MREA, our philosophy is to focus on managing seizures with the latest AEDs, with the goal of preventing medication induced side effects in our patients.

Routine EEG analysis

The electroencephalogram (EEG) is one of the primary methods of characterizing and diagnosing seizure disorders. An EEG can commonly provide us with critical information (such as the location of the brain where the seizure starts), essential to the treatment decision process.

Long term computer assisted Video-EEG analysis

Computer-assisted Video EEG (VEEG) analysis is utilized when conventional EEG is insufficient to diagnose a seizure disorder, or when presurgical characterization of seizures is necessary. These studies typically last approximately one week on average.

Presurgical evaluation and diagnosis of epilepsy

If medical management of seizure disorders fails, our objective is to seek surgical solutions to ensure the best possible chance of seizure freedom, while providing the safest surgery possible.

To do this, several studies are typically performed to localize the brain area where seizures start, and to outline brain regions that are responsible for critical functions, such as language, memory, and movement.

Some of these studies include:
  • 3 Tesla seizure protocol MRI scans
  • Magnetoencephalography (MEG)
  • Positron Emission Tomography (PET) scanning
  • Neuropsychological evaluations
  • Wada Testing

Surgical procedures for the treatment of Epilepsy

MREA offers the latest in invasive neurophysiological techniques in the treatment of epilepsy, in collaboration with neurosurgeons at The Nebraska Medical Center.

Surgical procedures include:
  • Intraoperative electrocorticography
  • Subdural and depth electrode recordings
  • Invasive functional mapping of motor, language, and visual function