Neurology & Neurological Sciences

An epilepsy center is a special unit in a clinic or hospital that provides comprehensive care for people with epilepsy and seizures. Epilepsy center specialists are experts in the diagnosis, evaluation and treatment of epilepsy. Epilepsy centers are classified as Level 3 and Level 4.  Level 4 centers offer epilepsy surgery.

Epilepsy centers provide the following comprehensive care:

  • Multidisciplinary care (care by many specialists) for people with seizures and epilepsy.
  • Expertise in pediatric and adult epilepsy
  • Comprehensive care including assessment of psychosocial issues
  • Education for each person and their caregivers regarding seizure management
  • Diagnostic studies including EEG (electroencephalogram), MRI (magnetic resonance imaging or brain scan), and video-EEG (epilepsy) monitoring. 
  • Testing before epilepsy surgery (Pre-Surgical Evaluation).
  • Medical and surgical treatment options

Epilepsy is a chronic disorder, the hallmark of which is recurrent, unprovoked seizures. A person is diagnosed with epilepsy if they have two unprovoked seizures (or one unprovoked seizure with the likelihood of more) that were not caused by some known and reversible medical condition like alcohol withdrawal or extremely low blood sugar.

The seizures in epilepsy may be related to a brain injury or a family tendency, but often the cause is completely unknown. The word “epilepsy” does not indicate anything about the cause of the person’s seizures or their severity. Many people with epilepsy have more than one type of seizure and may have other symptoms of neurological problems as well.

Although the symptoms of a seizure may affect any part of the body, the electrical events that produce the symptoms occur in the brain. The location of that event, how it spreads, how much of the brain is affected, and how long it lasts all have profound effects. These factors determine the character of a seizure and its impact on the individual.

Having seizures and epilepsy can affect one’s safety, relationships, workdriving, and so much more. Public perception and treatment of people with epilepsy are often bigger problems than actual seizures.

American Hospital Tbilisi Epilepsy and Sleep Disorders Department is headed by Nino Gzirishvili, MD, PhD, a young neurologist full of enthusiasm and positive energy.


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