A seizure disorder specialist, or epileptologist, is a neurologist with additional training in epilepsy. They establish whether episodes are seizures, classify the type, choose and adjust medication, and identify when someone needs surgical evaluation. Perhaps the most consequential judgement is recognising when medication is not going to be enough and surgical evaluation should be considered.
A seizure disorder specialist, or epileptologist, is a neurologist with additional training in epilepsy. They establish whether episodes are seizures, classify the type, choose and adjust medication, and identify when someone needs surgical evaluation. Perhaps the most consequential judgement is recognising when medication is not going to be enough and surgical evaluation should be considered.
The first job is often not treatment but diagnosis, because several things resemble seizures: fainting from a blood pressure or cardiac cause, functional or dissociative seizures, sleep disorders, and migraine with aura. Getting this wrong in either direction has real consequences, including years of unnecessary anti-seizure medication. That work relies on a detailed history, a witness account, and EEG, with prolonged ambulatory recording where episodes are infrequent. Both routine and ambulatory EEG are performed at the CNS offices.
Seizure type determines which medications are appropriate, since some agents effective in focal epilepsy can worsen certain generalised types. The specialist selects accordingly, weighing your other conditions, other medications, age and whether pregnancy is a consideration, then adjusts over several visits. They also manage the practical side: driving rules, pregnancy planning, interactions with hormonal contraception, and what to do about missed doses.
Perhaps the most consequential judgement is knowing when medication is not going to be enough. After two appropriately chosen and adequately dosed medications have failed, adding a third has a substantially lower chance of success, and continuing to try drugs delays assessment for options that might work. At that point the diagnosis is revisited and, if confirmed, referral for surgical or device evaluation follows at a specialised centre. This practice performs no surgery.
Clinical Neurology Specialists has been physician-owned since 1998, when Leo Germin, M.D., FAANEM founded it. Five board-certified neurologists and four advanced practice providers see patients at the Las Vegas and Henderson offices, each with its own AANEM-accredited electrodiagnostic laboratory.
Clinical Neurology Specialists is an adult outpatient neurology practice for patients 18 and older. The practice performs no surgery and operates no imaging suite, infusion suite or interventional pain programme, and provides no emergency or inpatient care.
Physician-reviewed. Reviewed by the physicians of Clinical Neurology Specialists — board-certified neurologists, AANEM-accredited electrodiagnostic laboratories, physician-owned since 1998. Reviewed 1 August 2026. This article is general education for adults 18 and older and is not a substitute for a consultation.
Sources and further reading: MedlinePlus: epilepsy; MedlinePlus: electroencephalogram (EEG); American Academy of Neurology.
Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.