The majority of patients with epilepsy will respond to medical management.  However, up to 25% of epilepsy patients will develop refractory epilepsy (continue to have seizures despite maximal medical management).  When this occurs, our specialized team of experts becomes involved.  Treatment options range from medical trials, ketogenic diet, vagus nerve stimulation, and surgical resection of the seizure focus.

Vagus Nerve Stimulation

Vagus Nerve Stimulation is a procedure used to control epileptic seizures. It involves the use of a small device about the size of a silver dollar, which sends mild, electrical impulses to the brain via a nerve in the neck called the vagus nerve.  Dr. Trumble has pioneered a technique in which only a single incision (near the collar bone) is used, minimizing surgical time and post-operative pain and scarring.

View Dr. Trumble's clinical presentation on the Surgical Management of Pediatric Epilepsy. (Viewer Discretion Advised: The presentation contains surgical images.)