The KNC Epilepsy Genetics Clinic specializes in the diagnosis and management of genetically determined epilepsies (even if after initial investigation the culprit gene(s) could not be determined) and familial epilepsies. The approach involves comprehensive testing to identify the root cause and the development of a treatment plan that may include medication, neuromodulation, epilepsy-specific diet treatment, or surgical resection of the affected area. Patients who are seen by Dr. Andrade's group have access to cutting-edge genetic research that may help determine the cause of their epilepsy and inform the best care plan.
Tests & Services
- The initial consult may last 1 to 2 hours. During this first visit, we will review the previous medical records, treatments and responses to treatment. We will also review the family history of epilepsy and other diseases.
- Depending on your initial evaluation, an
MRI (magnetic resonance imaging), MRI and/or SPECT scans may be ordered.
- Patients may also require a
routine,
sleep-deprived or ambulatory
EEG. In some cases, a stay in the
Epilepsy Monitoring Unit (EMU) will be indicated.
- Genetic tests may be ordered to evaluate the type of epilepsy. Many of these are done out-of-country requiring special authorization for financial coverage through provincial health care.
- Patients may be invited to participate in research studies, with a focus on understanding the genetic causes of epilepsy or the correlation between genetics and the clinical manifestations of epilepsy or its response to treatment.
How to Prepare
Please track your seizures; record the number of seizures, how long they lasted, their frequency, intensity and duration. Bring your journal to each appointment. This can be recorded in any journal or you may ask us for a
Seizure Diary.
Although the initial consultation needs to be done in person, follow-up visits may be arranged through Telehealth. Talk to your clinical team about whether this option would be appropriate for you.
Your first appointment can take 2 hours or more. Follow-up appointments usually take 15 to 30 minutes.
Many of our patients travel great distances to be seen. It is your responsibility to determine whether you qualify for travel grants. Appropriate travel grants to come to the Epilepsy Genetics Clinic will be signed by Dr. Andrade. Please note that you must sign the consent portion/authorization on the form before we can complete it. The cost for completion of this form is covered by provincial health care.
If you have other forms to be completed (insurance, Disability Tax Credit, Ministry of Transportation Driver Assessment, etc.) please ensure that you have entered the demographic portion (name, address, etc.) as well as signed the consent portion of the form before forwarding this to us for completion. Please note that the cost for completion of some of these forms is not covered by other sources (e.g., Provincial health care). If you are unsure whether or not the cost associated with the completion of the form is covered, please ask the administrative assistant, Rachelle, at 416 603 5927.
Learn more about
what you can expect when you have a clinic appointment.
