When managing epilepsy, patients may consider consulting an epileptologist under specific circumstances. These include confirming an epilepsy diagnosis, lack of seizure control after three months with a primary care physician or one year with a general neurologist, ineffective treatment despite trying two or three different medications, experiencing unwanted side effects from medications, and having other medical conditions that interact with epilepsy. Additionally, individuals who are pregnant or planning to become pregnant should seek specialized care.
An epileptologist often operates within an epilepsy center. “An epileptologist typically works in a designated epilepsy center, which is capable of evaluating people whose seizures are not under adequate control. An epilepsy center provides a very comprehensive approach to care,” said Duke epileptologist Aatif Husain, MD.
Epilepsy centers employ specialists equipped to conduct sophisticated testing for precise diagnosis and provide the latest treatments. They address medication side effects, suggest surgical options when necessary, and assist in managing the social and emotional aspects associated with epilepsy.
Duke’s Level 4 Epilepsy Center is recognized by the National Association of Epilepsy Centers for offering top-tier diagnostic, treatment, and surgical services.



