For the first time in Armenia “Arabkir” MC’s specialists team performed the Wada test, which is an important examination prior to the neurosurgical treatment of epilepsy.
The purpose of this test is to determine the dominant hemisphere, which is necessary during the operation in order to not to damage speech, memory and motor centers. The examination team includes neurosurgeons, neurologists, anesthesiologists, EEG technicians and developmental pediatricians. The first test in “Arabkir” MC was conducted by neurosurgeon Sevak Badalyan, anesthesiologists Aghavni Hambardzumyan and Vahe Kharatyan, neurologist Biayna Sukhudyan, EEG technician Tamara Araskhanyan and developmental pediatrician Irina Tovmasyan.
The patient is 11 years old with focal structural epilepsy, and has epileptic seizures with daily frequency. The test was performed with anesthetic medication approved by international guidelines, with accepted standards of neurological and developmental assessment.
At the beginning of the test cerebral angiography was performed in order to determine possible features of cerebral vasculature. The main stage of the procedure started by injecting an anesthetic medication into the internal carotid artery, which is performed by neurosurgeons. The actual testing part began within 5 minutes of the injection. EEG monitoring was done throughout the Wada test, which allows to determine the start and end of the testing.