Neuroscience services at Orange Regional Medical Center specialize in advanced diagnosis and treatment of the nervous system, spine and orthopedic care. Designated as a regional Stroke Center, Orange Regional cares for Hudson Valley patients who exhibit stroke like symptoms immediately in our Emergency Department where patients are evaluated by our highly-skilled team of experts.
As part of our neuroscience services, Orange Regional Medical Center also offers advanced and comprehensive spine surgery and epilepsy services. Our team of skilled neurosurgeons and orthopedic spine surgeons bring a high level of experience and specialized training to patients suffering with a wide variety of spine diseases.
Orange Regional's innovations in minimally invasive techniques combined with a comprehensive rehabilitation program and pain management therapies mean shorter recovery times to get you back on your feet faster.
Our Neuroscience Services
Treatment of Epilepsy
A common condition treated in our Neurosciences department at Orange Regional Medical Center is the treatment for patients with epilepsy, a common neurological condition which affects the nervous system - also known as a seizure disorder. It is usually diagnosed after a person has had at least two seizures. Diagnosing a seizure disorder may be challenging, as seizures in epilepsy may be caused by a brain injury or a genetic disorder, or the cause may be unknown.
At Orange Regional, we offer patients access to expert epilepsy care. Often neurologists will treat the seizure disorder with medication. For many patients, medication alone is sufficient to control the seizures. If medications are insufficient, additional diagnostic and treatment options may be indicated, such as advanced brain monitoring, more detailed imaging, implantation of neurostimulators, or surgery. Epilepsy specialists at Orange Regional can review all your options with you so that you can make the best, informed decision regarding your care.
What is a seizure?
A seizure is an electrical abnormality in the brain that can temporarily affect a person’s movements, sensations, thoughts and actions. Seizures may result from many different disorders that affect the brain. They can range in severity from unnoticeable to life-threatening. They can be partial (occurring in part of the brain) or generalized (occurring throughout the brain). They are also classified as simple (patient is wide awake) or complex (affecting level of alertness), ranging from mild confusion to complete loss of consciousness.
The classic “grand mal” (or what is now termed “generalized tonic clonic”) seizure involves stiffening of the muscles, shaking, loss of consciousness and brief disruption of breathing. Other types of seizures include absence (typically in children causing disruption of awareness and staring) and myoclonic seizures (causing muscle jerking). Most seizures are brief, lasting from a few seconds to a few minutes, but a seizure can be sustained, quickly becoming a medical emergency.
How is epilepsy diagnosed?
Many other neurological abnormalities can be confused with epilepsy, so it is critical to make an accurate diagnosis to provide the appropriate treatment.
A critical piece of information in determining the type of seizure disorder is the description of the event by those who witnessed it. However, other information is often needed to make the proper diagnosis, including a review of the medical history, blood tests, brain imaging tests such as CT and MRI and sometimes a lumbar puncture. These tests provide information regarding the structure of the brain (what it looks like), the environment the brain is in (through blood and spinal fluid tests) and the electrical activity of the brain (how it functions).
An important tool in the diagnosis of epilepsy is the electroencephalogram (EEG). The EEG measures the electrical activity of the brain from less than an hour (routine) to sometimes several days (the latter often combined with video monitoring as a video EEG), and can provide critical information in diagnosing and treating the seizure disorder. More complicated cases may require even further testing.
What to Do During a Seizure
If you or a loved one is experiencing a seizure, seek medical attention immediately. The underlying cause may be life threatening.
- Report your experience to your Primary Care Provider.
- Inquire about a neurologist referral.
If you are a witness to a seizure, there are things you can do to help:
- Keep them safe from harming themselves. Clear away objects that could pose a hazard.
- Do not restrain them.
- Do not place anything inside the person's mouth.
- Do not restrain the person's movements, unless they place him or her in danger.
- Turn the person on his or her side to open the airway and allow secretions to drain out of their mouth.
- Stay with the person until the seizure ends.
- Do not pour any liquids into the person's mouth or offer any food, drink or medication until he or she is fully awake.
- If the person appears to be having difficulty breathing, call 911. If the patient does not resume breathing after the seizure, start cardiopulmonary resuscitation (CPR).
- Let the person rest until he or she is fully awake.
Every second counts when a stroke occurs. Our award-winning, designated Stroke Center offers necessary, quick and effective stroke care to our community.
Spine Surgery & Procedures
Orange Regional's expert team performs a variety of spine procedures including, diskectomy, fusion, oncologic spine surgery, interspinous spacers, and more.
We offer the latest in minimally invasive spine and orthopedic care to get you back on your feet, fast. Advanced procedures and faster recoveries.
A comprehensive range of high-quality rehabilitation services with professionally trained, licensed therapists who develop customized treatment plans per your needs.