泰国曼谷医院癫痫门诊

Sleep disorders and epilepsy are diseases that are becoming more and more known in the media because the number of patients with such diseases increases every year, a trend that is likely to continue.
In response, Bangkok Hospital mobilized physicians specializing in neurology, epilepsy, and sleep disorders to open the Sleep and Epilepsy Center, which applies 20 years of technological medical research to support patients with sleep disorders and epilepsy. Both diseases have profound effects on the lives of patients, the safety of their families, and the welfare of society at large.When being diagnosed and treated at the Sleep and Epilepsy Center, patients learn about the causes of their disease, as follows.

When considering brain disorders, it is important to determine what part of the brain is the physical source of the disorder so that an appropriate treatment can be applied.

For patients who suffer from absent-mindedness or memory loss, we will search for the cause of the ailment to determine whether or not there are any signs of epilepsy.

For patients suffering from epilepsy, simply taking medication is often not enough. We will diagnose what kind of epilepsy a patient has and where in the brain it originates from via an EEG-fMRI together with a PET scan. Knowing its location, the doctor can prescribe appropriate medication or surgery for the patient.

If you suffer from sleep apnea, can't sleep well, or stop breathing during your sleep, don't overlook these symptoms. Consult with your doctor as early as possible so that you can determine the cause of the ailment, as there may be risk risk of other, more severe diseases.

Feelings of drowsiness, not getting enough sleep, and falling asleep spontaneously should not be taken lightly.These symptoms could be warning signs of narcolepsy. Take special note of any patterns you develop in this regard, otherwise it can be dangerous when driving or working with machinery.

At our Sleep Lab, the Bangkok Sleep and Epilepsy Center provides services for patients of all ages with sleep abnormalities and epilepsy, where we monitor patients 24 hours a day.

The Bangkok Sleep and Epilepsy Center treats patients suffering from sleep disorders and epilepsy. We have eight
examination rooms divided into four sleeping rooms and four epilepsy test rooms, with a control room and bedside care technicians standing by 24 hours a day. The Sleep Center focuses on providing sleep examinations to analyze the functioning of the body's various systems during sleep, such as the respiratory system, as well as testing oxygen levels in the blood, brain wave functions (electrocardiogram), and muscle behavior. Testing is recommended for patients who have problems with sleep disorders such as snoring, excessive sleep, dyspnea, and sleepwalking and other body movement while sleeping. Some patients exhibit eyelid retraction, bruxism, face spasms, or body spasms during sleep. We provide rooms both for nighttime sleep (Night Sleep Lab) and daytime sleep (Day Sleep Lab). Sleep technicians adjust the pressure level of your CPAP as necessary during treatment 24 hours a day. Actigraphy devices are used to assess behavior while both sleeping and waking; these devices resemble wristwatches and are used to track the sleep habits of patients day and night. The resulting data is interpreted by a doctor specializing in sleep disorders.
We provide comprehensive and holistic care for by specialized medical professionals in order to help maintain and help improve the quality of life of patients with epilepsy.
Diagnostic and treatment services by specialized personnel and consultation for cases of epilepsy or symptoms of epilepsy. Relevant advice will be given on best treatment methods and how to reduce risks during an episode.  Epilepsy diagnosis through detecting the electrical source causing the seizures
(Epileptogenic lesion), diagnosis includes several methods such as:

EEG:  Electrical wires will be placed on the head at various positions during which time the patient will be closing their eyes. This will last for about 20-30 minutes in order for the machine to record electrical waves and pinpoint the source causing epilepsy.

Video EEG Monitoring:  The test will happen at the office under the supervision of medical staff. A video recording of the brain’s electrical waves will be made during a seizure revealing changes in the brain during an attack. This test will be more accurate than the traditional EEG.

MRI: An MRI provides the most detailed images of current modern technology and is especially useful in finding the causes of epilepsy even in cases such as wounds, small tumors, and congenital tumors.

PET scan: The positron emission tomography (PET) scan creates computerized images of chemical changes, such as sugar metabolism, that take place in tissue. Typically, the patient is given an injection of a substance that consists of a combination of a sugar and a small amount of radioactively labeled sugar. The radioactive sugar can help in locating a tumor, because cancer cells take up or absorb sugar more avidly than other tissues in the body.

          o Ictal Spect : Ictal means seizure, an ictal spect is one obtained once you are having a seizure. 45 seconds or less from  the onset of your seizure, the nurse will inject a minute amount of a radioactive tracer (containing a very low dose of radioactivity) into an IV in your arm. The tracer travels to your brain and marks the area where the blood flow was increased during your seizure. 
         o Interictal Spect : It is identical to an ictal SPECT scan, except the injection is performed in between seizures, when your brain is at rest. The radioactive tracer  will be injected when no seizure activity has occurred for several hours or more. 
         o Interictal PET : A comparison of the ictal and interictal scans may reveal a focal area of abnormal blood flow indicating the seizure focus. 

Functional mapping: This helps to reveal which parts of the brain are involved in controlling the body and which parts are not. If a wound is found in the section not important in controlling the body’s functions then it can be removed through surgery to treat epilepsy. 

Neuropsychological and Wada Test: Most epilepsy patients considering surgery undergo the Wada (WAH-dah) test. The "Wada test" is named after the Japanese physician who first performed it, Juan Wada, MD. The Wada test is used to determine which side of the brain controls language function and how important each side of the brain is in regard to memory function.

ICU Monitoring: Monitoring of vital parameters can include several of the ones mentioned above, and most commonly include at least blood pressure and heart rate, and preferably also pulse oximetry and respiratory rate.

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