Pediatric Epilepsy Surgery | Morgan’s Story - YouTube
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00:00:03 00:00:06 >> I was having multiple seizures.
00:00:06 00:00:08 One day I had nine in a row.
00:00:09 00:00:12 >> It was socially isolating, her seizures were.
00:00:12 00:00:17 So that process of trying to be with friends
00:00:17 00:00:18 wasn't always there.
00:00:18 00:00:20 And there would be many days I would pick Morgan up
00:00:20 00:00:23 from school and friends would be
00:00:23 00:00:26 walking to the local ice cream place after school,
00:00:26 00:00:28 or going on play dates and doing things
00:00:28 00:00:31 and Morgan just wasn't included.
00:00:31 00:00:34 And she would get in the car and she'd cry.
00:00:34 00:00:38 >> The first seizure I had was on the soccer field
00:00:38 00:00:43 and all I remember was the play was going one way
00:00:43 00:00:46 and I just started randomly- I couldn't control it.
00:00:46 00:00:49 I started walking the opposite direction.
00:00:49 00:00:52 >> It was very much like someone who had a concussion,
00:00:52 00:00:54 but never had the injury.
00:00:54 00:00:55 And she was very confused
00:00:55 00:00:58 and we really didn't know what was going on at that point.
00:00:58 00:01:01 We began doing research online
00:01:01 00:01:02 and we reached out
00:01:02 00:01:04 and made an appointment with Doctor Robinson.
00:01:04 00:01:07 And from the moment we met her,
00:01:07 00:01:10 we new it was the right thing for us.
00:01:10 00:01:11 >> How're you doing?
00:01:11 00:01:12 >> Good, how are you?
00:01:12 00:01:13 >> Good. Any problems?
00:01:13 00:01:17 >> When I first saw Morgan it was very evident
00:01:17 00:01:18 that the seizures were having a significant
00:01:18 00:01:20 impact on her quality of life.
00:01:20 00:01:23 She was very aware, very bright, social girl.
00:01:23 00:01:27 So she was extremely anxious to find an answer
00:01:27 00:01:32 and her parents obviously were as well, as you might expect.
00:01:32 00:01:34 So after I met Morgan in clinic,
00:01:34 00:01:37 I asked Doctor Habela to see her
00:01:37 00:01:40 and evaluate her as a pediatric epileptologist
00:01:40 00:01:43 and then Doctor Habela reviewed additional records
00:01:43 00:01:45 and we came up with a plan.
00:01:45 00:01:47 So turns out that on Morgans imaging studies,
00:01:47 00:01:49 it shows that she had two legions.
00:01:49 00:01:51 She had a right frontal legion
00:01:51 00:01:54 and then she had some scarring in the right temporal lobes
00:01:54 00:01:56 called Mesial Temporal Sclerosis.
00:01:56 00:01:58 So it's very important for us as a team
00:01:58 00:02:01 to figure out were her seizures coming from one place
00:02:01 00:02:03 or are they coming from both places
00:02:03 00:02:06 and that would really effect her treatment options.
00:02:06 00:02:09 And there's primarily two options.
00:02:09 00:02:12 One is to go in with open surgery.
00:02:12 00:02:15 Another option we have now is to use laser ablation.
00:02:15 00:02:19 The laser ablation causes a similar destruction
00:02:19 00:02:23 of the tissue that's causing the seizures,
00:02:23 00:02:24 but the nice thing about it is
00:02:24 00:02:28 it's much less for the patient to recover from.
00:02:28 00:02:31 >> We felt that the laser ablation would be
00:02:31 00:02:33 what was best for her.
00:02:33 00:02:36 So whew, we went ahead with it.
00:02:37 00:02:39 >> Once we were in the operating room
00:02:39 00:02:42 I knew that I was again in good hands.
00:02:43 00:02:46 I would just think to myself, "Alright Morgan, this is it.
00:02:46 00:02:49 This is going to make a big change in your life".
00:02:49 00:02:54 >> So for the surgery for Morgan it took about four hours.
00:02:54 00:02:56 We take an MRI and we matched it up with the computer
00:02:56 00:02:58 and the trajectory.
00:02:58 00:03:01 We place a tiny probe down inside of her
00:03:01 00:03:04 brain to the area we wanted to ablate,
00:03:04 00:03:06 to get rid of the seizures,
00:03:06 00:03:08 and then we passed the laser fiber to that area
00:03:08 00:03:10 and make the lesion.
00:03:10 00:03:12 From Morgan's prospective, she had about
00:03:12 00:03:15 an inch long incision in the back of her head
00:03:15 00:03:17 with absorbable sutures
00:03:17 00:03:21 and not too much in terms of discomfort.
00:03:21 00:03:24 >> One of the great little things that John Hopkins did,
00:03:24 00:03:28 she had this little doll, her little dog Lucky.
00:03:28 00:03:33 So Morgan had a bandage wrapped around her head, obviously.
00:03:33 00:03:36 They did the identical bandage on Lucky's head
00:03:36 00:03:39 which from a mood standpoint really made her laugh
00:03:39 00:03:41 and it was just a nice touch.
00:03:41 00:03:44 >> What Morgan's big question--
00:03:44 00:03:46 >> When we all play basketball outside,
00:03:46 00:03:50 am I going to be able to do that with them this summer?
00:03:50 00:03:52 >> Yeah you can play.
00:03:53 00:03:54 >> I'm seizure free--
00:03:56 00:03:56 so far.
00:04:01 00:04:02 >> She's been outside
00:04:02 00:04:04 playing with friends in the neighborhood,
00:04:04 00:04:06 her sisters, and also now
00:04:07 00:04:12 she's getting that quality of life back that she's missed.
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