NEWPORT BEACH, Calif., June 24, 2021 /PRNewswire/ — Orange County residents who’re struggling medication-resistant epilepsy can now entry a pioneering, minimally invasive surgical process to alleviate seizures. Pickup Family Neurosciences Institute (PFNI) at Hoag is considered one of solely three websites within the western U.S. to supply the process, MRI-guided laser ablation, by a scientific trial.
For practically 50 years, there have been few choices for sufferers that suffer from medication-resistant temporal lobe epilepsy. The simplest process was temporal lobectomy, a extremely invasive surgical procedure that includes eradicating a big part of the mind and may end up in lack of imaginative and prescient, speech, reminiscence and neurocognitive talents.
The SLATE scientific trial will examine the effectiveness of minimally invasive laser surgical procedure utilizing the Medtronic Visualase system. This method makes use of an MRI-guided laser probe, roughly the width of a guitar string, to focus on and destroy the scar, tumor, or malformation that causes seizures. The process is revolutionizing the surgical remedy of epilepsy, beforehand a big and invasive surgical procedure with quite a few potential unwanted side effects, which can now be carried out in a minimally invasive process requiring an in a single day hospital keep.
“We’re privileged to be on the forefront of providing minimally invasive, safer choices for sufferers who want to keep away from massive, open surgical procedure,” stated Chief of Epilepsy Surgery and Hoag neurosurgeon Vik Mehta, M.D., who’s the principal investigator of the trial. “With a purpose to meet the wants of individuals with epilepsy, we have to modernize approaches which might be extra patient-friendly. This is likely one of the promising choices to switch an invasive method that had loads of unwanted side effects, and we’re excited by the info up to now.”
Hoag is the one web site within the nationwide examine to make use of Surgical Theater, which mixes using digital actuality and augmented actuality to “rehearse” surgical procedure. This ensures the most secure and only method throughout the process.
Of the 14 sufferers that Hoag has handled with the Medtronic Visualase MRI-guided laser ablation system, 11 are fully seizure-free. One in all these sufferers, Lisa Egli, suffered from temporal lobe seizures since childhood, however is now seizure-free for greater than a yr since present process laser ablation surgical procedure with Dr. Mehta. She has been steadily decreasing the quantity of anti-seizure remedy she takes beneath the course of David Millett, M.D., Ph.D., Epilepsy Program Director at Hoag.
“At work, I get up in entrance of individuals and current, and I used to be at all times paranoid about having seizures. I’m not anymore,” she stated. “I really feel like my reminiscence has improved, as properly. I have been stunned how significantly better the standard of my life is.” Certainly, early knowledge additionally recommend that laser ablation additionally drastically reduces the chance of unwanted side effects.
Almost a million individuals who have epilepsy both do not reply to anti-seizure remedy or discover remedy steadily turns into ineffective at controlling their seizures. For these sufferers, temporal lobectomy has confirmed efficient, however it’s so invasive that solely a small fraction of sufferers elects to bear the surgical procedure. Hoag’s multidisciplinary epilepsy program on the PFNI is utilizing this new minimally invasive method to open a brand new avenue of efficient remedy to sufferers who’ve had restricted choices.
“Over time, folks with medication-resistant epilepsy turn into progressively extra disabled. They don’t seem to be capable of hold their jobs, or drive or keep relationships,” stated Dr. Millett. “If we are able to remedy them of their seizures, we can provide them their life again.”
The PFNI at Hoag has persistently ranked among the many prime one % of hospitals within the nation for neurology and neurosurgery. The hospital has been designated a Middle of Excellence in Robotic Surgical procedure (COERS) from the Surgical Evaluation Company. And Hoag is accredited by the Nationwide Affiliation of Epilepsy Facilities as a degree 4 epilepsy middle, which means it has the skilled experience and amenities to supply the very best degree medical and surgical analysis and remedy for sufferers with advanced epilepsy.
The hospital’s observe document of excellence is one motive Hoag was chosen to take part within the examine.
“Sufferers want a well-trained epileptologist to tease out what sorts of seizures they’re having and what therapies they want,” stated Dr. Millett. “For some sufferers, surgical procedure is the most suitable choice. Hoag was chosen to take part on this examine as a result of our experience in figuring out and treating epilepsy is among the many most trusted within the nation.”
Drs. Millett and Mehta stated they hope the examine will lead to a sea change for sufferers whose epilepsy can’t be managed by remedy.
“The purpose is to attain excessive charges of seizure-freedom with minimal unwanted side effects, a really low threat profile and brief hospital keep,” Dr. Mehta stated. “We’re excited to be part of this examine and to pioneer an efficient possibility for sufferers with seizure issues.”
For extra details about the scientific trial, please contact [email protected].
ABOUT PICKUP FAMILY NEUROSCIENCES INSTITUTE
Compassionate Care, Scientific Excellence, Artistic Intelligence
Hoag and the Pickup Household Neurosciences Institute have been ranked by U.S. Information & World Report because the No. 1 hospital in Orange County and No. 27 nationally in Neurology & Neurosurgery, putting it within the prime 1% of neuro-specialist packages throughout the U.S., and the one one within the prime 30 and not using a formal college residency curriculum. Delivering a customized, built-in method utilizing best-practice pointers, essentially the most superior expertise, and integration of medical specialists in essentially the most applicable amenities, the Pickup Family Neurosciences Institute (PFNI) at Hoag offers world class look after sufferers with particular circumstances of the mind and backbone comparable to stroke, aneurysms and vascular malformations, mind tumors, epilepsy, motion issues, reminiscence and cognitive issues, ache, minimally invasive backbone surgical procedure, a number of sclerosis, habit drugs and sleep issues, in addition to the mind-body interface of psychological well being. A lot of Hoag’s PFNI packages have obtained excessive acclaim.The Hoag Stroke Program was the primary in Orange County and the second in California to be named a Licensed Complete Stroke Middle by DNV GL Healthcare and was awarded the American Stroke Affiliation’s Get With The Tips Stroke Gold Plus Efficiency Achievement for stroke care. And as one of many first facilities within the U.S. to supply essentially the most superior radiosurgical remedy system out there, Leksell Gamma Knife® Perfexion™, the PFNI mind tumor program is the most important in Orange County and can be among the many prime quantity packages within the western United States. Hoag has been acknowledged as a delegated Stage 4 Complete Epilepsy Middle by the Nationwide Affiliation of Epilepsy Facilities. The PFNI’s reminiscence and cognitive issues program is nationally acknowledged.
Hoag is a nonprofit, regional well being care supply community in Orange County, California, that treats greater than 30,000 inpatients and 480,000 outpatients yearly. Hoag consists of two acute-care hospitals – Hoag Hospital Newport Seaside, which opened in 1952, and Hoag Hospital Irvine, which opened in 2010 – along with 9 well being facilities and 13 pressing care facilities. Hoag has invested $261 million in packages and companies to assist the underserved neighborhood throughout the previous 5 years, together with areas like psychological well being, homelessness, transportation for seniors, training, and assist for single moms. Hoag is a delegated Magnet® hospital by the American Nurses Credentialing Middle (ANCC). Hoag affords a complete mix of well being care companies that features 5 institutes offering specialised companies within the following areas: cancer, heart and vascular, neurosciences, women’s health, and orthopedics by Hoag’s affiliate, Hoag Orthopedic Institute, which consists of an orthopedic hospital and two ambulatory surgical facilities. Within the 2020 – 2021 U.S. Information & World Report Greatest Hospitals Rankings, Hoag is the very best ranked hospital in Orange County and the one OC hospital ranked within the High 10 in California. For an unprecedented 23 years, residents of Orange County have chosen Hoag as one of many county’s finest hospitals in an area newspaper survey. Go to www.hoag.org for extra data.
SOURCE Hoag Memorial Hospital Presbyterian