Quick Answer
Both CNS offices assess seizures, perform routine and ambulatory EEG and handle device programming. Both are in the Las Vegas valley: 7751 W. Flamingo Road, Suite A-100, Las Vegas NV 89147 and 1691 W. Horizon Ridge Parkway, Suite 100, Henderson NV 89012.
Part ofThis guide sits beneath epilepsy and seizures, which covers the study itself, how it is performed and what the report should contain.
Epilepsy and Seizures →Key Takeaways
- Classification comes before treatment, and it rests substantially on description.
- Missed doses are the commonest reason control is lost.
- Sleep deprivation is a potent and frequently under-recognised provocation.
- Driving restrictions follow a seizure immediately and Nevada applies its framework case by case.
- Treated at None. Surgery and device implantation are referred.
Epilepsy
Epilepsy is a brain disorder characterised by a lasting predisposition to unprovoked seizures. A seizure is a burst of abnormal, synchronised electrical activity; epilepsy is the underlying tendency for those bursts to recur.
What the assessment establishes
The first question is rarely which epilepsy medication. It is whether the episodes were seizures at all, and that is settled largely by description rather than by testing.
The witnessed account is the most valuable evidence available
More useful than any single study. What someone else saw: whether the eyes were open or closed, whether there was stiffening before shaking, how long it lasted by the clock rather than by impression, whether there was tongue biting or incontinence, and critically how long the confusion afterwards lasted and what it looked like. Recording that in writing, even roughly, is worth more than a normal EEG. A phone video of an event, where safe to take, is genuinely valuable.
What else produces episodes that look like seizures
Faints, which frequently involve brief jerking and get misread as convulsions. Cardiac arrhythmias, which are dangerous and need excluding. Sleep phenomena. Non-epileptic attacks, which are real, involuntary and treatable, and which do not respond to anti-seizure medication. Distinguishing these matters enormously, because it determines whether someone takes medication for years and whether they can drive.
Where the testing fits, and its limits
A routine EEG samples twenty to forty minutes, and epilepsy is intermittent, so a normal recording means nothing appeared in that window. The opposite error matters more: normal variants closely resemble abnormalities, and an over-called recording can commit someone to years of unnecessary medication and a driving restriction. That is why interpretation stays in-house with fellowship training rather than being sent out.
Driving, which begins immediately
Restrictions follow a seizure at once, and this is the consequence patients are least prepared for and most affected by. Nevada operates its own licensing framework applied case by case, so what applies to your situation is discussed individually rather than quoted as an interval that may not apply.
| Also considered | How it is distinguished |
|---|---|
| Syncope (fainting) | Warning lightheadedness, pallor and rapid recovery; a witnessed account usually separates it from a seizure. |
| Provoked seizures | Triggered by alcohol withdrawal, very low sodium or glucose, or acute illness — treating the provocation comes first. |
| Functional (non-epileptic) events | Episodes without epileptic activity on EEG; ambulatory or prolonged recording is often what settles it. |
| Sleep and movement disorders | Events arising only from sleep may need overnight or multi-day recording to classify. |
What the practice does
01
What brings people in
A first witnessed event, spells of uncertain cause, or seizures that continue despite treatment.
02
What the evaluation settles
Whether the events are epileptic, whether they are focal or generalised, and whether an EEG or a longer recording is needed to classify them.
03
What you leave with
A classification where the recording supports one, a medication and safety plan including driving guidance, and a follow-up interval.
Bring a witness and a written account
Whoever saw the event, if possible, or their written description with times. Your complete medication list including anything bought without a prescription, since several common medications lower the seizure threshold. And any prior EEG reports as the actual reports rather than a statement that they were normal or abnormal.
Testing performed and interpreted here
Routine EEG and multi-day ambulatory monitoring at both offices, interpreted by a neurologist with fellowship training in epilepsy rather than read externally. Where events are infrequent, the longer window is the point rather than an escalation.
The provocations worth addressing
Sleep deprivation, which is potent and frequently under-recognised. Missed doses, which is the commonest reason control is lost. Alcohol, both intake and withdrawal. And shift work, where an irregular schedule is itself a risk factor and worth raising rather than treating as unrelated.
What is not provided
No surgery, so epilepsy surgery and device implantation are referred, though implanted devices are followed up and programmed here. No emergency or inpatient care. A seizure lasting more than five minutes, or repeated without recovery between, is a medical emergency needing 911.
The first 30, 60 and 90 days
Step 1
First visit
History and neurological examination, a review of records and prior imaging, and a decision on which studies are actually indicated. You leave with the plan, not just a referral.
Step 2
Within 30 days
Indicated in-office studies are performed and interpreted by the neurologist who ordered them, in our AANEM-accredited laboratories. Results are explained in plain language.
Step 3
60 to 90 days
Follow-up to judge whether the plan is working, adjust it, and coordinate with your referring clinician. Where a diagnosis needs time to confirm, this is where it is revisited.
Had a seizure or an unexplained episode?
Bring whoever saw it, or their written account with times. That is the most useful thing you can bring.
The Bottom Line
Classification first, then treatment. And raise driving at the first appointment rather than discovering it later.
Frequently Asked Questions
What is the most useful thing to bring?
A witnessed account of the event, in writing if the witness cannot attend. What someone else saw is the most valuable evidence available and is more useful than a normal EEG, because the diagnosis rests substantially on description. A phone recording of the witness account, made soon after the event, preserves detail that fades within days.
What should the witness describe?
Whether the eyes were open or closed, whether there was stiffening before shaking, how long it lasted by the clock rather than by impression, whether there was tongue biting or incontinence, and how long the confusion afterwards lasted and what it looked like. Anything unusual in the minutes beforehand is worth noting as well.
My EEG was normal. Does that mean it was not a seizure?
No. A routine recording samples twenty to forty minutes and epilepsy is intermittent, so a normal result means nothing appeared in that window. The description of the event continues to carry more weight than the study. Where events are infrequent, a multi-day ambulatory recording at home is the usual next step.
What else can look like a seizure?
Faints, which frequently involve brief jerking. Cardiac arrhythmias, which need excluding. Sleep phenomena. And non-epileptic attacks, which are real and involuntary and treatable but do not respond to anti-seizure medication. Low blood sugar and certain medication effects can also mimic seizures, which is part of why blood work is checked early.
When is a seizure an emergency?
When it lasts more than five minutes, or when seizures repeat without recovery between them, or after a first seizure with no prior diagnosis. Those need 911 rather than an appointment. An injury during the event, or a seizure in someone pregnant or with a known heart condition, also warrants emergency assessment.
What happens about driving?
Restrictions follow a seizure immediately. Nevada operates its own licensing framework applied case by case, so what applies to your situation is discussed individually rather than quoted as a fixed interval. Occupational implications, and safety around swimming, bathing and heights, are covered at the same time, because they often matter more day to day than the licence itself.
Can epilepsy surgery be done here?
No. The practice performs no surgery, so surgery and device implantation are referred to surgical centres. Implanted devices are followed up and programmed here. Candidacy assessment beforehand, and the years of programming and medication management afterwards, are both handled here, so a surgical referral is one step rather than a handover.
Why do you ask about my sleep and alcohol?
Because sleep deprivation is a potent seizure provocation and alcohol matters both as intake and as withdrawal. Addressing those sometimes changes the picture without any medication change. Missed medication doses are the other common provocation, and a pill organiser or a phone alarm prevents more seizures than most dose increases would.
What should I do about driving in the meantime?
Do not drive until it has been discussed, and raise it at the appointment rather than waiting to be asked. Restrictions follow a seizure immediately and Nevada applies its own framework case by case, so what applies to you is worked through individually rather than quoted as a fixed interval.
Can I bring someone who saw the event?
Please do, and it is the single most useful thing you can arrange. What a witness saw carries more diagnostic weight than a normal EEG, because classification rests substantially on description. If they cannot attend, a written account with times, or a short recording made soon afterwards, preserves detail that fades within days.
How this page was sourced
Practice facts come from Clinical Neurology Specialists directly: that no surgery of any kind is performed, that implanted devices are followed up and programmed at both offices, that both EEG types are performed and interpreted in-house, and that Dr. Panduranga holds fellowship training in epilepsy. Clinical context is sourced to the organisations listed below.
Nevada driving requirements are referred to rather than quoted, because they are applied case by case and a stated interval could mislead someone it does not apply to. No named medications, doses or seizure-freedom rates appear. No outcome is promised. Scope is adults 18 and older.
Change log
- 2026-07-28 — page published; clinical content reviewed.
- 2026-07-28 — last reviewed against AAN, AANEM and NINDS guidance; internal links and schema verified.
- Review cadence: quarterly, or sooner if guidance changes.
How to cite this page
Clinical Neurology Specialists. “What is the Trusted treatment for epilepsy.” Reviewed 2026-07-28. https://www.cnsnevada.com/conditions/epilepsy-seizures/what-is-the-best-treatment-for-epilepsy/
References
- American Epilepsy Society — clinical guidance on epilepsy diagnosis and management.
- National Institute of Neurological Disorders and Stroke — the reference catalogue of nervous-system disorders.
- American Academy of Neurology — practice guidance and specialist supply.
This page is for general information about a Clinical Neurology Specialists office and is not medical advice, a diagnosis, or a treatment recommendation. It does not create a physician-patient relationship. Adults 18 and older. For an active stroke, a first-time or prolonged seizure, sudden severe headache, sudden weakness, sudden vision loss, or a head injury with loss of consciousness, call 911 or go to the nearest emergency department.