Epilepsy Monitoring Unit (EMU)

Epilepsy, seizures, and seizure-like disorders can be challenging to treat. Identifying the most appropriate treatment plan for you or your family member starts with a thorough evaluation and diagnosis. Mather Hospital’s Epilepsy Monitoring Unit (EMU) is a four single bedded unit where seizures and other related conditionsare evaluated in real time. Using advanced computer-based monitoring equipment expressly designed for the evaluation of seizure disorders, the EMU team gathers data before a seizure starts, while one is occurring and during recovery.

The EMU is a safe environment where we can observe seizure activity over a few days (typically 24-72 hours or more) utilizing continuous video Electroencephalography (EEG) monitoring.Specially-trained neurologists (epileptologists), nurses and other physicians observe you during your stay in the EMU. We are at your side during and immediately after a seizure to ensure your safety and timely treatment.

Through the information we are able to gather, we can characterize your seizures and determine the most appropriate course of action to treat them. Our EMU team works together to provide you with a timely diagnosis and treatment plan.

 

What is Video Electroencephalography (EEG)?

Video EEG uses a video camera and recorder to track your brain wave activity during and between seizures, so your doctors can review and analyze what happens when you have them. This will help your doctor decide which treatment is best for you. Some or all the video and EEG recordings will be kept as part of your medical record or future comparison, if needed. While your seizures may be uncomfortable, the test itself should be painless. Video EEGs help us determine which treatments will be most effective.These advanced machines are equipped with computerized algorithms and technology that enhances seizure and event detection capabilities.

 

Patient intake

Referrals will be made by a neurologist. Patient Access is trained to obtain insurance authorization and call the patient to schedule a date/time for admission.

 

Why come to the EMU? 

 

Typically, patients are referred to the EMU by their neurologist.
Patients are referred for a number of reasons:

  1. To determine what type of episodes a patient is having.
  2. To determine if you are having seizures and what kind they are.
  3. To figure out why you have seizures and how best to treat them.
  4. To see if your seizures are medically-refractory making you a candidate for epilepsy surgery.
  5. To classify if your events are epileptic vs. non-epileptic.
  6. Or to make anti-seizure medication changes in a safe and controlled environment.

The Mather Hospital Epilepsy Monitoring Unit is proud to be a part of the advanced Comprehensive Epilepsy Center at Northwell Health leveraging additional resources in the management and treatment of medically-refractory or complex epilepsy cases utilizing state-of-the-art epilepsy surgery, neuromodulation devices and neuropsychological evaluation.

Admission day

Tests and monitoring

Please arrive at the hospital at the time stated in your Admission Letter. Elective admission go through the front lobby and check in through patient access. You’ll be sent to the EEG Lab to have electrodes placed.

Medications

An I.V. “heplock” will be placed in your arm during your hospital stay. The IV is placed for your safety in order to deliver rescue seizure medications if needed. After admission, your treating neurologist / epileptologist may consider reducing your home seizure medicine gradually or rapidly – but this can vary on a case-by-case basis and will be discussed with you before or during the admission to EMU.

Activity

You will not be able to wash your hair or shower until the EEG study is finished. Since you will be unable to pull clothes over your head, please bring clothes that fasten up at the front. You will be provided with a hospital gown to change into. You may walk around the room and sit out of bed, however you must call the nursing staff when using the bathroom. There is a recliner chair in your room to help make your stay as comfortable as possible.

Diet

You can have a regular diet. You may bring snacks from home. Please do not chew gum because it interferes with the EEG recording. Absolutely no smoking or vaping is allowed.

Electronic devices

Devices such as cellphones and headphones near the ear, may cause interference with the EEG monitoring due to “electrical artifact” and hence should be kept away from the head at all times (devices can still be used as long as kept away from the head).

Frequently asked questions

Who will care for me during my time in the EMU?

Your care EMU team may include neurologists, neurosurgeons, nurse specialists, EEG technologists, clinical technologists, ACPs (PAs/NPs), medical students, nursing students, psychologists, psychiatrists, dietitians, case managers and social workers. Together, the EMU team members work to evaluate your seizures and create a tailored treatment plan.

How long will I be in the EMU?

The length of your stay in the EMU depends on what your tests reveal, the frequency of your seizures and other factors. The length of stay is determined during the admission.

Do I still take my medications while in the EMU?

If you are taking medications to control your seizures, you may be instructed to temporarily reduce or gradually stop them during your EMU stay. This allows the EMU staff to record and analyze your seizures while they are happening.

What should I bring with me to the EMU?

Please bring all your medications and supplements. After a medical review of the medicines, we will store them safely on the unit or ask a family member/care partner to take them home. Medicines will then be dispensed from the hospital’s pharmacy. Make sure to pack loose-fitting clothing, including shirts and tops that button in the front. No pullovers or t-shirts. We also suggest that you bring personal care items and books, games and or crafts to help make you comfortable during your stay.

Can I shower during my EMU stay?

You will not be allowed to shower during admission while the electrodes are on your scalp because your head must stay dry. However, you can wash up from the neck down at the sink every day. After monitoring is completed and the electrodes are removed, you may shower.

 

Can I have visitors?

We encourage family and visitors to spend as much time with the patient as they wish. Please refer to the Mather Hospital’s visitor guidelines for the most up-to-date information about visitation. Our team can also help you with any concerns regarding visitation.

Northwell Health Physician Partners at Port Jefferson

815 Hallock Avenue
Port Jefferson Station, NY 11776
Phone: (631) 828-3036