Comprehensive Epilepsy Clinic
The Comprehensive Epilepsy Center at Texas Neurology serves the greater North Texas area by making diagnostic tests and treatment modalities accessible to patients with epilepsy. At Texas Neurology, we provide a thorough diagnostic evaluation, including different electroencephalogram options, such as routine, ambulatory EEG and/or inpatient video EEG monitoring, as well as magnetic resonance imaging (MRI) available at our facility, both of which are gold standards in diagnosing epilepsy. If indicated, in addition to anti-epileptic drugs, epilepsy surgery evaluation may be discussed to know if this may be an option for improved patient outcomes.
Our goals are to help patients understand epilepsy, learn about the latest therapy options, and make informed decisions about their treatment. Patients with seizures that start from a single source in the brain are evaluated for epilepsy surgery combined with brain mapping in order to offer best precision in removing the seizure source without causing long term impairments.
Typically, if seizures have not been brought under control after three months of care by a primary care provider then further neurologic intervention by an epileptologist at an epilepsy center is appropriate such as Texas Neurology.
Also, if seizures have been managed by a general neurologist, and seizures have not been brought under control after 12 months, a referral to a specialized epilepsy center with an epileptologist is recommended with AAN Practice Parameter recommending early referral.
- The Center's program includes a combination of services for inpatient and outpatient care. Services include:
- Diagnosis of epilepsy and related conditions
- Establishment of a medication plan considering factors such as seizure control, with little or no behavioral/cognitive manifestations
- A six-bed epilepsy unit with on-line computer analysis for continuous EEG and video monitoring
- Clinical trials of investigational drugs
- Evaluation of intractable seizures for surgical treatment options
- Preoperative and postoperative care following epilepsy surgery
- On-going management of device if placed including VNS and/or RNS
- Psychosocial assessments and rehabilitation referrals
- Educational and social support groups
- Management of epilepsy before, during and after pregnancy
- EEG Testing (routine and long-term monitoring)
- 1.5T and 3T MRI utilizing advanced brain imaging technologies
Intractable epilepsy treatment goals include:
- Localizing the seizure focus in the brain
- Revising/stabilizing the medication regimen
- Offering surgical removal of the source of seizures, if needed
- Providing surgical devices that have been shown to have significant seizure reduction in trials, such as vagus nerve stimulator (VNS) or responsive neuro-stimulation (RNS also known as Neuropace).
N. Bruce Jenevein, M.D.
Dr. Jenevein graduated from Duke University in North Carolina and returned to Texas for his medical training at the University of Texas Southwestern Medical Center at Dallas. He completed his neurology residency at Parkland Hospital and then completed his fellowship training in epilepsy and neurophysiology at the University of Texas Southwestern Medical Center.
Dr. Jenevein joined Texas Neurology and the Baylor University Medical Center at Dallas medical staff in 1991. He is particularly interested in the treatment of epilepsy.
Gincy Samuel, M.D.
Dr. Samuel earned her medical degree from the University of Texas Medical Branch at Galveston. She completed her neurology residency and clinical neurophysiology fellowship training at the University of Texas Southwestern Medical Center at Dallas. Dr. Samuel is affiliated with Baylor University Medical Center and is a member of the Comprehensive Epilepsy Clinic at Texas Neurology.
Dr. Samuel has been involved in research studies involving management and treatment of patients with epilepsy. She has presented at the American Academy of Neurology and has published in national peer-reviewed journals. Her involvement with national societies includes the American Academy of Neurology and Texas Neurological Society.
Dr. Samuel is a patient advocate for patients with epilepsy. She works closely with patients and care givers to help improve quality of life.
Diana Bannister, ACNP-BC
Diana is a licensed Acute Care Nurse Practitioner, board certified by the American Academy of Nurse Practitioners. She received her Bachelor of Science in Nursing from Angelo State University and her Master of Science in Nursing from the University of Texas at Arlington. Prior to her career as an Acute Care Nurse Practitioner, Diana worked as an intensive care nurse at Baylor Medical Center, working for 12 years.
Diana previously worked as an Acute Care Nurse Practitioner in the area of heart failure before joining Texas Neurology.
Elizabeth Clark, APRN, FNP-BC
Elizabeth is a licensed Family Nurse Practitioner, board certified by the American Academy of Nurse Practitioners. She received both her Bachelor of Science in Nursing from the University of Texas at Tyler, as well as her Master of Science in Nursing. Prior to her career as a Family Nurse Practitioner, Elizabeth worked as an Intensive Care Nurse as well as Operating Room Nurse in East Texas. Elizabeth previously worked as a Family Nurse Practitioner in Neurology in East Texas before joining Texas Neurology. Elizabeth enjoys running, swimming and cycling and spending time with her two cats, Sammy and Rosie and her dog, Daisy. She also is actively involved in the community, participating in medical mission trips as well as local outreach programs.
Suzanne Racz, PA-C
Suzanne Racz, PA-C, is a licensed and certified Physician Assistant. In 1990 she received her Bachelor of Science Degree in Physician Assistant Studies at the University of Texas Medical Branch in Galveston, TX. Suzanne comes to Texas Neurology with previous experience in Emergency Medicine, Primary Care, and Cardiology.