The program's clinical facilities and fellow responsibilities include the following:
- Electrophysiology (EP) Laboratory - More than 1800 EEGs are performed at AGH each year, including inpatient and outpatient tests. The fellow is responsible for reviewing these EEGs and their interpretation, under supervision by our fellowship-trained experts. The lab also performs 24-hour ambulatory EEGs.
- EpilepsyMonitoring Unit (EMU) - The fellow will gain experience in the placementof sphenoidal electrodes and interpreting video-EEGs used to assesscandidates for epilepsy surgery. The fellow will round on patients
in the EMU on a daily basis, reviewing video-EEG records, and will
participate in the epilepsy case conference in which surgical candidates
are discussed.
- EpilepsyClinic - The fellow will attend epilepsy clinic to gain clinical
experience in managing patients with epilepsy. Patients seen in the
clinic include those who are postoperative epilepsy surgery; those on
various medical regimens, including those in drug studies; and patients
with vagus nerve stimulators.
- Electromyography (EMG)/Nerve Conduction Velocity (NCV) Laboratory - More than 1300 EMG/NCVstudies are performed yearly in this lab under the direction of George Small, MD, and Sandeep Rana, MD. The fellow will progress rapidly to design, perform, and interpret these
studies.
- ALS,Neuromuscular, and Botox clinics - AGH has a large population of patients with motor neuron disease, myasthenia gravis, or peripheral neuropathy, and Dr. Rana's amyotrophic lateral sclerosis (ALS) clinic is the region's largest. The fellow's experience is also strengthened by Dr. Small
and Dr. Rana's participation in the Neuropathy Association, the nation's
largest resource regarding this condition.
- Autonomic Neurophysiology Laboratory - This lab, opened in 2005, allows the fellow additional experience in diagnosing cardioadrenergic, cardiovagal, and small-fiber pathology using tilt-table testing results, the R-R interval, Valsalva testing, and QSART testing results from patients with unexplained syncope or idiopathic peripheral neuropathy.
