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Epilepsy

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Epilepsy overview

The University of Utah has a long and distinguished history in epilepsy research, particularly in regard to antiepileptic drug (AED) development and the genetics of epilepsy.  The integrated epilepsy program at the University of Utah builds on this history by promoting collaboration among basic, translational, and clinical researchers.

 

The integrated epilepsy program supports the full range of epilepsy research, teaching and service, with particular focus on how brain injury leads to epilepsy, with an emphasis on children and the immature brain, the development of new therapies for intractable epilepsy, and how genetic mechanisms contribute to the epilepsies.

 

Program members are primarily drawn from clinical and basic science departments in the School of Medicine, the College of Pharmacy, and the College of Engineering.  Among the clinical departments presently involved in epilepsy research and clinical care are the Departments of Neurology, Neurosurgery, Pediatrics, and Obstetrics and Gynecology.  Basic-science departments with epilepsy researchers include Human Genetics, Pharmacology and Toxicology, Physiology, Bioengineering, and Computing.


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Epilepsy Experts

Epilepsy - Primary Interest

Pegah Afra, M.D.

Assistant Professor
Neurology

Clinical adult epilepsy; electroencephalography and magnetoencephalography

 

James F. Bale, M.D.

Professor
Department of Pediatrics

Clinical pediatric epilepsy

 

Joanna C. Beachy, M.D., Ph.D.

Associate Professor
Pediatrics

Neonatology; neonatal seizures; perinatal hypozic-ischemic brain injury

 

Steven L. Bealer, Ph.D.

Professor
Pharmacology & Toxicology

Cardiovascular effects of seizures and status epilepticus; animal models of sudden unexpected death in epilepsy (SUDEP)

 

Tawyna Constantino, M.D.

Assistant Professor
Neurology

Clinical adult epilepsy; electroencephalography; presurgical patient evaluation

 

William Crowley, Ph.D.

Professor and Chair
Pharmacology & Toxicology

Neuroendocrine and neurochemical factors that regulate the secretion of anterior and posterior pituitary hormones; effects of seizures and status epilepticus on feeding and the reproductive system

 

F. Edward Dudek, Ph.D.

Professor and Chair
Physiology

Basic mechanisms of epileptogenesis; pre-clinical research on status epilepticus and epilepsy; antiepileptic drugs

 

Jeffrey J. Ekstrand, M.D., Ph.D. (CV .pdf)

Assistant Professor
Pediatrics

Clinical pediatric epilepsy; basic research on status epilepticus and epilepsy syndromes in animal models of pediatric epilepsy

 

Francis M. Filloux, M.D.

Professor
Pediatrics

Clinical pediatric epilepsy.

 

Michael R. Franklin, Ph.D.

Professor
Pharmacology and Toxicology

Antiepileptic drugs (AEDs); AED-induction of metabolic enzymes.

 

Michael Funke, MD., Ph.D.

Assistant Professor
Neurology

Clinical application of magnetic source imaging (MSI) to human epilepsy; integration of MSI with other functional imaging modalities; magnetoencephalography (MEG), electroencephalography (EEG) and intracranial electrocorticogram (ECoG) recordings.

 

Bradley E. Greger, Ph.D.

Assistant Professor
Bioengineering

Basic research on cortical circuits using multi-channel electrode arrays in humans and animal models.

 

Paul A. House, M.D.

Assistant Professor
Neurosurgery

Clinical epilepsy neurosurgery in adults; chronic multi-channel recordings from humans.

 

Christopher R. Johnson, Ph.D.

Professor
Computer Science

Computational techniques and tools/software building patient specific computer models from MRI/CT images (segmentation, mesh generation), simulating the bioelectric fields within the head (inverse source localization), and visualizing the results.

 

John R. W. Kestle, M.D., M.Sc.

Professor
Neurosurgery

Surgical management of children with epilepsy including temporal, extratemporal, hemispherectomy, callosotomy, vagal nerve stimulation, subdural monitoring and mapping.

 

Mark F. Leppert, Ph.D.

Distinguished Professor and Chair
Human Genetics

Genetics of human epilepsy; animal models of genetic epilepsy.

 

Fumisuke Matsuo, M.D.

Professor
Neurology

Clinical adult epilepsy; electroencephalography.

 

Awais Riaz, M.D., Ph.D.

Assistant Professor
Neurology

Clinical adult epilepsy; electroencephalography, intraoperative monitoring.

 

Peter Roper, Ph.D.

Research Associate
Physiology

Computer analysis of electrographic seizures and status epilepticus; neuronal computational modeling.

 

Nanda A. Singh, Ph.D.

Post Doc
Human Genetics

Genetics of human epilepsy; animal models of genetic epilepsy.

 

Roy M. Smeal, Ph.D.

Research Assistant Professor
Pharmacology and Toxicology

Pharmacology of antiepileptic drugs (AEDs).

 

Kimberly D. Statler, M.D., M.P.H.

Assistant Professor
Pediatrics

Pediatric intensivist; traumatic brain injury and post-traumatic epilepsy in children.

 

Colin B. Van Orman, M.D.

Professor
Pediatrics

Clinical trials on antiepileptic drugs.  Presurgical evaluation in children.

 

H. Steve White, Ph.D

Professor
Pharmacology & Toxicology

Antiepileptic drug pharmacology; screening and development of new antiepileptic drugs (AEDs).

 

Karen S.Wilcox, Ph.D.

Associate Professor

Pharmacology & Toxicology

Basic mechanisms underlying epileptogenesis, seizure generation, and pharmacotherapy resistance to anticonvulsant drugs; uses electrophysiological, pharmacological, behavioral, and immunohistochemical techniques in a variety of in vitro preparations and several animal models of epilepsy.

 

Epilepsy - Secondary Interest

 

Pamela C. Bennett, Ph.D.

Research Biologist / VISN 19 MIRECC Investigator
Department of Psychiatry

 

Ronald S. Bloom, M.D.

Professor
Department of Pediatrics

 

Deirdre Caplan, Ph.D.

Associate Professor
Pediatrics

 

Gordon J. Chelune, Ph.D.

Professor
Neurology

 

William T. Couldwell, M.D., Ph.D.

Professor
Neurosurgery

 

Kathleen B. Digre, M.D.

Professor
Neurology, Ophthalmology & Visual Sciences

 

Kevin M. Flanigan, M.D.

Human Genetics & Neurology

 

Norman L. Foster, M.D.

Neurology

 

John M. Hoffman, M.D.

Willard Snow Hansen Presidential Endowed Chair in Cancer Research
Professor of Radiology and Neurology

Radiology, HCI

 

Edward W. Hsu, Ph.D.

Bioengineering

 

Randy L. Jensen, M.D., Ph.D.

Neurosurgery

 

Kirtly P. Jones, M.D.

Professor
Obstetrics/Gynecology

 

Raymond P. Kesner, Ph.D.

Psychology

 

Joseph L. Lyon, M.D., M.P.H.

Professor
Family and Preventative Medicine

 

Ronald J. Miller, M.D.

Adjunct Assistant Professor
Radiology

 

Mahmud N. Nanjee, Ph.D.

Research Associate Professor
Cardiovascular Genetics

 

Douglas S. Nelson, M.D.

Professor
Pediatrics

 

Dennis L. Parker, Ph.D.

Radiology

 

John D. Phillips, Ph.D.

Research Associate Professor
Internal Medicine

 

Theodore J. Pysher, M.D.

Professor
Pathology

 

Edward P. Quigley, M.D., Ph.D.

Assistant Professor (Clinical)
Radiology

 

Scott W. Rogers, Ph.D.

Neurobiology & Anatomy

 

Douglas E. Rollins, M.D.

Professor
Pharmacy

 

Karen L. Salzman, M.D.

Associate Professor
Radiology

 

Ken R. Smith, Ph.D.

Professor
Family and Consumer Studies

 

Terry P. Smith, D.P.M.

Assistant Professor
Vascular Surgery

 

Edwin A. Stevens, M.D.

Professor
Radiology

 

Joel A. Thompson, M.D.

Professor
Pediatrics

 

Keith G. Tolman, M.D.

Professor
Gastroenterology

 

Marion L Walker, M.D.

Professor
Neurosurgery

 

John A. White, Ph.D.

Professor
Bioengineering

Basic mechanisms of neuronal synchronization and seizure generation; mechanisms of spread of electrical activity through hippocampus and entorhinal cortex; cellular electrophysiology and imaging techniques.

 

Epilepsy - Administrators

 

Edward B. Clark, M.D.

Professor
Chairman of Pediatrics

 

William R. Crowley, Ph.D.

Pharmacology & Toxicology

 

F. Edward Dudek, Ph.D.

Professor and Chairman
Physiology

 

William M. McMahon, M.D.

Psychiatry

 

Thomas N. Parks, Ph.D.

Vice President for Research

 

Stefan M. Pulst, M.D.

Chairman
Neurology

 

Richard D. Rabbitt, Ph.D.

Chairman of Bioengineering

 

Monica L. Vetter, Ph.D.

Interim Chair
Neurobiology & Anatomy

 

John A. White, Ph.D.

Professor
Bioengineering

 

Epilepsy - Post Docs

 

Anitha B. Alex

Post Doc
Pharmacology and Toxicology

 

Atif Ali

Post Doc
Physiology

 

Mark Lehmkuhle

Physiology

 

Wendy Pouliot

Post Doc
Physiology

 

Li-Rong Shao

Post Doc
Physiology

 

Ajay K. Srivastava

Post Doc
Pharmacology and Toxicology

 

Nanda A. Singh, PhD

Post Doc
Human Genetics

 

Cristina Trandafir

Post Doc
Physiology

 

Epilepsy - Graduate Students

 

Eli Iacob

Graduate Student
Neuroscience Program
Wilcox Laboratory

 

Jason G. Little

Graduate Student
Pharmacology and Toxicology

 

Christina Rossi

Graduate Student
Psychiatry and Physiology

 

Nicole M. Rowley

Graduate Student
Pharmacology and Toxicology

 

Jay R. Vargas

Graduate Student
Pharmacology and Toxicology

 

Andrew Zayachkivsky

Graduate Student
Physiology

 

 


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Epilepsy News

A Simple Quantitative Method for Analyzing Electrographic Status Epilepticus in Rats

University researchers from the Departments of Physiology and Bioengineering have published methods allowing for the objective, quantitative, and rapid assessment of the effects of both short- and long-lasting pharmacological manipulations on ESE and other forms of prolonged repetitive electrical activity.  Journal of Neurophysiology 101: 1660-1670, 2009.

Epilepsy Program Researchers Awarded Interdisciplinary Research Grant

Karen Wilcox of the Pharmacology and Toxicology Department and John White of the Bioengineering Department have received funding for "Two Photon Imaging of Calcium Signals in Reactive Astrocytes in an Animal Model of Epilepsy" 


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Epilepsy Training

Epilepsy/EEG Neurology Fellowship Training

Mark B. Broomberg, M.D., Ph.D., Program Director

One year program duration.

 

 


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Epilepsy Your Brain

Defining Epilepsy

People who have epilepsy suffer from periodic seizures that may result in unconsciousness, muscle spasms, and falls. The cause of epilepsy is unknown in 50 to 70 percent of cases, but we do know that head injury, stroke, or brain tumors can trigger seizures. Although medication and/or surgery can help most people with epilepsy, there are many epileptics who do not respond to any available treatment.

While epilepsy cannot currently be cured, most people with epilepsy are able to live fairly normal lives. However, for some people, epilepsy can limit their freedoms. For example, some states won’t give drivers licenses to people with epilepsy, and some people with epilepsy are unable to pursue certain jobs and recreational activities. Also, the frustration and humiliation that some epileptics experience can cause behavioral and emotional problems.

Understanding the Brain’s Role in Epilepsy

Epilepsy causes brief disturbances in the brain that interfere with its normal electrical patterns and cause seizures. Abnormality in the brain wiring or an imbalance in the brain’s neurotransmitters can contribute to epilepsy. Normal brain activity can’t return until the disturbances stop.

The seizures may be caused by conditions at birth, or from illness, injury, or exposure to toxins. If the seizures continue to occur, the condition is diagnosed as epilepsy.

What You Need to Know

Epilepsy is one of the most widely stigmatized brain disorders, and that alone can have devastating consequences. Epilepsy is far more common than most people realize, and new treatment options are making it possible for most patients to lead productive and fulfilling lives. If you or a loved one experience even one seizure, get a medical diagnosis. Don’t let fear or misperceptions keep you from getting help. Research has shown that early treatment and continued monitoring of epilepsy can help greatly in minimizing the effects of the disorder.

Sources of Information about Epilepsy

Epilepsy Association of Utah
The Epilepsy Association of Utah provides resources for families and individuals in Utah who suffer from the effects of epilepsy.

Epilepsy Therapy Project
The Epilepsy Therapy Project exists to overcome the barriers to successful translation of promising new research insights and to make new therapies a reality for patients.

Epilepsy Foundation
Dedicated to the welfare of people with epilepsy, to work for children and adults affected by seizures through research, education, advocacy and service.

American Epilepsy Society
In support and enhancement of the study, acquisition, dissemination, and application of medical knowledge concerning epilepsy in all of its phases: biological, clinical and social.