Epilepsy Department Common Diseases
| Disease Name | ||
|---|---|---|
| Early and late ate-onset epilepsy | postoperative epilepsy | traumatic epilepsy |
| epilepsy related to brain tumors | refractory (drug-reisitant) epilepsy | |
Epilepsy Team Introduction
The Pediatric Epilepsy Team at the Neuroscience Center specializes in the treatment of epilepsy in children. The incidence of childhood epilepsy in Taiwan ranges from 0.6% to 0.7%, with over 20% of cases being refractory to medication alone. These cases, often associated with brain abnormalities or evolving symptoms, may require epilepsy surgery performed by pediatric neurosurgeons.
Before epilepsy surgery, a thorough understanding of the patient's medical history and identification of the underlying cause are essential. For patients with unclear etiology, preoperative assessments are conducted, including specialized brain imaging to observe abnormalities and nuclear medicine scans to assess glucose metabolism.
The initial phase of treating patients involves understanding their epilepsy history, including video EEG monitoring, MRI&fMRI, SPECT/PETand neuropsychological evaluation. Subsequent evaluation phases (phase 2) may include invasive procedures such as stereoEEG and extraoperative strip/grid electrocorticography Epilepsy surgery requires collaboration between neurosurgery and neurology, with pediatric/adult epileptologists playing crucial roles. Additionally, rehabilitation assessments, specialized neuroimaging, and collaboration with anesthesia and ICU teams are essential components of the multidisciplinary approach to treating pediatric epilepsy.
Epilepsy surgeries encompass various approaches, including palliative surgeries and resective surgeries. The goal of surgery is to eliminate epileptic manifestations even without medication. However, success rates vary, with only 70-80% of cases achieving seizure control. For cases with less distinct manifestations or when the epileptic focus cannot be clearly identified, palliative surgeries, vagus nerve stimulation, corpus callosotomy or deep brain stimulation may be considered to mitigate symptoms. In addition, ketogenic diet is one of important therapy for epilepsy patients other than many newer generation of antiseizure medication.
Director
Min-Lan Tsai M.D.
Director, Department of Epilepsy, Taipei Neuroscience Institute
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Specialty
General pediatrics、Pediatric neurology disease in children、Pediatric epilepsy&headache&Involuntary movement、Developmental delay & early evaluation
Education
- 1979-1986 M.D. Degree: China Medical College, Taichung, Taiwan (Medical School included a 1-year rotating internship)
- 2003-2005 Master degree (MSc): Graduate Program of Neuroscience, University of Western Ontario, London, ON, Canada
Experience
- 2024.04- Director, Department of Seizure Disorders, Taipei Neuroscience Institute
- 2010-2015 Clinical lecturer, Department of Medicine, National Yang-Ming University, Taipei, Taiwan
- 2013-2015 Ministry of educational lecturer with certificate, Department of Medicine, National Yang-Ming University, Taipei, Taiwan
- 2015- Attending physician, Department of Pediatrics, Taipei Medical University Hospital, Taipei, Taiwan
Member Introduction
Tai-Tong Wong M.D.
- Director of Pediatric Neurology and Neurosurgery Department, Taipei Neuroscience Institute
Specialty
- Pediatric neurosurgery、Pediatric brain and spinal tumors、Epilepsy surgery in children、Hydrocephalus, intracranial cyst, and endoscopic intraventricular surgery、Craniosynostosis and craniofacial dysmorphism、Cerebral vascular disease in children、Moyamoya disease and vascular reconstructive surgery、Spina bifida and tethered cord release、Craniocervical junction abnormalities and surgical treatment、Traumatic brain injury in children and shaking baby syndrome management
Education
- M.D, National Defense Medical Center
Experience
- 2024.04- Director, Division of Pediatric Neurology and Neurosurgery, Taipei Neuroscience Institute
- 2024.03 Director, Division of Pediatric Neurology and Neurosurgery, Taipei Neuroscience Institute
Shu-Mei Chen M.D., Ph.D.
- Attending Physician, Department of Neurosurgery, Taipei Medical University Hospital
Specialty
- Brain Tumor, Cerebral Cortical Functional Location、Endoscopic pituitary tumor resection、Epilepsy surgery、Skull base surgery、Minimally Invasive Spinal Surgery、Pediatric Neurosurgery
Education
- 2009-2019 Ph.D., Graduate Institute of Clinical Medical Sciences, Chang Gung University
- 1994-2001 M.D., School of Medicine, College of Medicine, Taipei Medical University
Experience
- 2023.11- Vice President of Teaching, Biodesign Center, Taipei Medical University
- 2020.07- Assistant Professor, Department of Surgery, School of Medicine, Taipei Medical University
- 2019.10- Visiting Staff, Taipei Medical University Hospital
- 2010-2019 Visiting Staff, Division of Neurosurgery, Taipei Municipal Wan-Fang Hospital
Yi-Shan Yang M.D.
- Attending Neurosurgeon, Taipei Medical University Hospital
Specialty
- Herniation Disc disease、Spondylolisthesis、Spinal tumors、Spinal fractures、Spinal stenosis、Spinal trauma、Degenerative Disc disease、Brain tumors、Cerebrovascular diseases (including brain tumors, arteriovenous malformations)、Brain trauma、Hydrocephalus
Education
- M.D., School of Medicine, Taipei Medical University
Experience
- Attending Physician, Department of Neurosurgery, Taipei Medical University Hospital
- Dedicated Attending Physician, Surgical Intensive Care Unit (SICU), Taipei Medical University Hospital
- Chief Resident, Department of Neurosurgery, Taipei Medical University Hospital
- Resident, Department of Neurosurgery, Taipei Medical University Hospital
- Resident Physician, Department of Surgery, Taipei Medical University Hospital
Chun-Ren Wei, M.D.
- Attending Neurologist at Taipei Medical University Hospital
Specialty
- Sleep disorders、Neuromuscular disease、Cerebrovascular disease、Headache、General neurological disease
Education
- Bachelor's Degree in Medicine, Taipei Medical University
Experience
- Director of the Neurology Department Examination Room, Taipei Medical University Hospital
- Attending Neurologist, Fangliao Hospital, Pingtung
- Resident in Neurology, Taipei Medical University Hospital
- Residency Training in Neurology, National Taiwan University Hospital
His-Chang M.D., PH.D.
- Attending Physician of Pediatrics, Taipei Medical University Hospital
Specialty
- General pediatric、Preventive health care for children、Neonatal care、Pediatric Neurological Diseases
Education
- 2003-2007 Ph.D., School of Medicine, Kyoto University
- 1995-2001 M.D., School of Medicine, Kagoshima University
Experience
- Director, Department of Pediatrics, Taipei Medical University Hospital
- Attending Physician, Department of Pediatrics, Taipei Medical University Hospital
- 2021.06- Associate Professor, Department of Pediatrics, School of Medicine, College of Medicine, Taipei Medical University
- 2017.08-2021.06 Assistant Professor, Department of Pediatrics, School of Medicine, College of Medicine, Taipei Medical University
- 2015.08-2017.03 Assistant Professor, Master Program in Clinical Pharmacogenomics and Pharmacoproteomics, Taipei Medical University
- 2011.03-2017.03 Assistant Professor, Department of Pediatrics, School of Medicine, College of Medicine, Taipei Medical University
Feng-Chin Lee M.D.
- Attending Physician of Pediatrics, Taipei Medical University Hospital
Specialty
- Emergency medicine、Pediatric Medicine
Education
- Bachelor’s Degree in Medicine, Far Eastern University
- Bachelor’s Degree in Nursing, Taipei Medical University
Experience
- Resident in Pediatrics, Tri-Service General Hospital
- Resident, Taoyuan General Hospital, Ministry of Health and Welfare
Li Wei, M.D., Ph.D.
- Director of Neurosurgery, Taipei Municipal Wan-Fang Hospital
Specialty
- Stroke, intracranial hemorrhage, hydrocephalus surgical treatment、Brain aneurysm, cerebrovascular disease surgical treatment and endovascular intervention、Minimally invasive spinal surgery (cervical, lumbar disc herniation)、Brain tumor surgery and gamma knife treatment、Peripheral nerve surgery
Education
- Researcher, Neurovascular and Interventional Surgery, University of California, Irvine, US
- 2017 PhD, Program for Translational Medicine, Taipei Medical University
- 2010 M.S., Graduate Institute of Injury Prevention and Control, Taipei Medical University
- 2002 M.D., College of Medicine, Taipei Medical University
Experience
- 2024.04- Director, Department of Medical Administration, Taipei Neuroscience Institute
- 2022- Associate Professor, Graduate Institute of Injury Prevention and Control, Taipei Medical University
- 2022.01- Director, Division of Neurosurgery, Taipei Municipal Wan-Fang Hospital
- 2017-2022 Assistant Professor, Graduate Institute of Injury Prevention and Control, Taipei Medical University
- 2020- Attending Physician, Division of Neurosurgery, Taipei Municipal Wan-Fang Hospital
- 2018-2020 Attending Physician, Division of Neurosurgery, Taipei Tzu Chi Hospital
- 2009-2018 Attending Physician, Division of Neurosurgery, Taipei Municipal Wan-Fang Hospital
- Attending Physician, Division of Neurosurgery, Ministry of Health and Welfare Shuang Ho Hospital
Chun-Hua Chen, M.D
- Attending Neurologist, Taipei Municipal Wan-Fang Hospital
Specialty
- Cerebrovascular disease、General neurological disorders、Peripheral neuropathy、Intensive care medicine
Education
- Bachelor’s Degree in Medicine, Yangon Medical College, Myanmar
Experience
- Resident and Chief Resident in Neurology at Taipei City Wan Fang Hospital
Tai-Ngar Lui, M.D.
- Director, Department of Neurodegenerative Disease, Taipei Neuroscience Institute
Specialty
- Pediatric neurosurgery、Spinal neurosurgery
Education
- 1978, College of Medicine, National Taiwan University
Experience
- -2024.03 Director, Department of Epilepsy, Taipei Neuroscience Institute
- Honorary Chairman, Taiwan Society for Pediatric Neurosurgery
- Board Member, Taiwan Neurosurgical Society
- Board Member, Taiwan Neurosurgical Spine Society
- Chairman, Department of Neurosurgery, Linkou Chang Gung Memorial Hospital
- Associate Professor, Chang Gung University
Wei-Lun Lo, M.D., Ph.D.
- Director, Department of Neurodegenerative Disease, Taipei Neuroscience Institute
Specialty
- Movement disorder surgery (Parkinson's disease and primary tremors) - deep brain stimulation, high-frequency thermocoagulation, etc.、Epilepsy surgery - temporal lobectomy, deep electrode implantation monitoring, vagal nerve stimulation, etc.、Chronic pain surgery - nerve block surgery, spinal extradural separation, dorsal root nerve entry block, spinal cord stimulation.、Head and neck and face pain surgery (migraine, trigeminal neuralgia, clustered headache, etc.) - Gamma knife stereotactic radiosurgery, posterior occipital nerve stimulation, etc.、Brain Tumors - Glioma, Meningioma, etc
Education
- 2015-2020 Ph.D., The Ph.D. Program for Neural Regenerative Medicine, Taipei Medical University
- 2010-2016 M.D., School of Medicine, College of Medicine, Taipei Medical University
Experience
- 2024.04- Vice Director, Department of Medical Administration, Taipei Neuroscience Institute
- Attending Physician, Taipei Medical University Shuang Ho Hospital, Ministry of Health and Welfare
- 2021.06- Assistant Professor, Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University
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Yin-Chia Huang M.D.
- Chief Resident of Neurology Department, Taipei Medical University Shuang Ho Hospital
Specialty
- General Neurological Disorders
Education
- National Cheng Kung University
Experience
- Resident and chief resident of neurology department, Shuang Ho Hospital, Taipei Medical University
Yi-Chun Kuan M.D.
- Attending Neurologist, Taipei Medical University Shuang Ho Hospital
Specialty
- Insomnia/sleep disorder/sleep apnea、Dementia、Epilepsy/seizure、Stroke/cerebral vascular disease、Headache/dizziness、General neurological disorder(restless leg syndrome, Bell's palsy, carpal tunnel syndrome etc.)
Education
- 1999-2006 M.D., School of Medicine, College of Medicine, Taipei Medical University
Experience
- 2024.04- Director, Degenerative Disease, Taipei Neuroscience Institute
- 2021.11-2022.07 Associate Professor, Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University
- 2020.08- Associate Professor, Department of Neurology, School of Medicine, College of Medicine, Taipei Medical University
- 2017.08-2020.07 Assistant Professor, Department of Neurology, School of Medicine, College of Medicine, Taipei Medical University
- 2014.08-2017.07 Instructor, Department of Neurology, School of Medicine, College of Medicine, Taipei Medical University
Cheng-Che Chou M.D.
- Attending Pediatrician, Department of Pediatrics, Taipei Medical University Shuang Ho Hospital
Specialty
- General pediatric、Pediatric neurology、Pediatric epilepsy、Pediatric neurosonography、Pediatric electroencephalographer
Education
- M.D., College of Medicine, Chang Gung University
Experience
- Attending Physician, Department of Pediatrics, Keelung Chang Gung Memorial Hospital
- Research Fellow, Pediatric Neurology, Linkou Chang Gung Memorial Hospital
- Chief Resident, Department of Pediatrics, Linkou Chang Gung Memorial Hospital
Yung-Ting Kuo M.D., PH.D.
- Chief of Pediatrics, Taipei Medical University Shuang Ho Hospital
Specialty
- Consultation in children growth, development, and prevention medicine.、Consultation in premature baby’s growth and development.、Developmental disability.、Children neurologic problems (headache, dizziness, vertigo, involuntary movement…etc.).、Seizure, epilepsy, epileptic syndrome and treatment.、Children neuromuscular disorder, muscle biopsy and consultation.、Genetic and molecular examination.
Education
- 2005-2016 Ph.D., Graduate Institute of Medical Sciences, Taipei Medical University, Taiwan
- 2015 Ph.D. candidate, Graduate Institute of Medical Sciences, College of Medicine, Taipei Medical University, Taipei, Taiwan
- 2003-2004 M.S., Department of Biochemistry and Molecular Cell Biology, School of Medicine, Taipei Medical University
- 1984-1991 B.S., College of Medicine, China Medical University, Taichung, Taiwan
Experience
- 2023.02- Associate Professor, Department of Pediatrics, School of Medicine, Taipei Medical University
- 2021.08- Director, Division of Pediatric Neurosurgery, Department of Pediatrics, Taipei Medical University Shuang Ho Hospital
- 2016.11-2023.01 Assistant Professor, Department of Pediatrics, School of Medicine, Taipei Medical University