Epilepsy Clinic

Specialist epilepsy care supported by EEG testing and epileptologist expertise

Epilepsy is a neurological condition where a person has a tendency to experience recurrent seizures. Seizures can look different from person to person. Some involve convulsions or loss of consciousness, while others may appear as blank spells, confusion, unusual sensations, sudden changes in awareness, night-time events or unexplained episodes of collapse.

At Melbourne NeuroCare, our Epilepsy Clinic provides specialist assessment and management for adults with suspected seizures, established epilepsy, difficult-to-control epilepsy and complex seizure-like episodes requiring diagnostic clarification.

Our service is supported by access to EEG testing and clinicians with epilepsy expertise, including an epileptologist. The aim is to clarify the diagnosis, reduce seizure burden where possible, improve safety and provide a clear long-term management plan.

Patient promise

Specialist-led epilepsy assessment, EEG-supported diagnosis and practical long-term care for people living with seizures, suspected seizures or complex seizure-like events.

Conditions we assess and manage

Melbourne NeuroCare provides assessment and management for a wide range of epilepsy and seizure-related concerns, including:

  • First seizure or suspected seizure
  • Established epilepsy requiring specialist review
  • Focal epilepsy
  • Generalised epilepsy
  • Medication-resistant or difficult-to-control seizures
  • Nocturnal seizures or unexplained night-time events
  • Blank spells, absence-like episodes or altered awareness
  • Seizure-like episodes requiring diagnostic clarification
  • Medication side effects or treatment optimisation
  • Epilepsy associated with brain injury, stroke, tumour, infection or structural brain changes
  • Driving, work, sport, travel, pregnancy planning and lifestyle questions related to epilepsy

When should you attend the Epilepsy Clinic?

You may benefit from specialist epilepsy review if you have had a seizure, unexplained collapse or repeated episodes that could represent seizures.

Common reasons to attend include:

  • You have had a first seizure or unexplained collapse
  • You experience recurrent episodes of confusion, blank spells or loss of awareness
  • Your seizures are not fully controlled
  • You are experiencing side effects from anti-seizure medication
  • You need review of an existing epilepsy diagnosis or treatment plan
  • You require EEG testing or specialist interpretation
  • You need advice about driving, work safety, sport, travel or lifestyle
  • You have epilepsy and are planning pregnancy or medication changes
  • You have complex events where it is unclear whether they are epileptic seizures

If you are experiencing a medical emergency, a prolonged seizure, repeated seizures without recovery, serious injury or breathing difficulty, call 000 or attend the nearest emergency department.

How Melbourne NeuroCare helps

Careful clinical assessment

Accurate epilepsy care starts with understanding exactly what has happened. We take a detailed history of each event, including warning symptoms, duration, movements, awareness, recovery, possible triggers and any witness observations.

Where available, video recordings from family members, carers or witnesses can be helpful. This information assists with determining whether the episodes are likely to be epileptic seizures or another condition that can mimic seizures.

EEG testing

Melbourne NeuroCare offers EEG testing to support the diagnosis and management of epilepsy and seizure-like events.

An EEG records electrical activity in the brain and may help identify epileptiform activity, support seizure classification and guide treatment decisions. EEG findings are always interpreted alongside the clinical history, as a normal EEG does not always exclude epilepsy and an abnormal EEG must be understood in context.

Epileptologist-led expertise

Patients with complex epilepsy, diagnostic uncertainty or difficult-to-control seizures may benefit from review by an epileptologist.

An epileptologist is a neurologist with advanced expertise in epilepsy and seizure disorders. This expertise can be helpful for clarifying seizure type, reviewing epilepsy syndrome classification, assessing medication options and determining whether further investigations or advanced epilepsy care may be appropriate.

Medication optimisation

Anti-seizure medication needs to be tailored to the individual. The right treatment depends on seizure type, epilepsy syndrome, side effects, other medications, lifestyle needs, pregnancy considerations and long-term goals.

We review current medication effectiveness, tolerability, interactions and safety. Where appropriate, treatment can be adjusted carefully with the aim of improving seizure control while minimising side effects.

Safety, driving and lifestyle advice

Epilepsy care involves more than medication. We provide practical advice around safety, daily routines and lifestyle factors that may affect seizure risk or independence.

This may include discussion around:

  • Driving restrictions and medical fitness-to-drive requirements
  • Work safety and occupational risks
  • Swimming, heights and machinery
  • Sleep, alcohol and missed medication doses
  • Travel planning
  • Sport and exercise
  • Seizure first aid
  • Safety planning for family, carers, school or workplace settings

Referral for advanced epilepsy care where appropriate

Some patients with medication-resistant epilepsy or complex diagnostic presentations may require further investigation or advanced epilepsy services.

Where clinically appropriate, Melbourne NeuroCare can help coordinate referral for advanced epilepsy assessment, epilepsy monitoring, imaging, epilepsy surgery consideration or other specialist services.

Treatment and management options

Epilepsy management is personalised. Depending on the patient’s symptoms, history and diagnosis, care may involve:

  • Specialist neurological consultation
  • EEG testing
  • Review of previous investigations
  • Anti-seizure medication selection or adjustment
  • Medication side effect review
  • Seizure classification and diagnostic clarification
  • Safety and lifestyle planning
  • Driving and work-related advice
  • Pregnancy and medication planning where relevant
  • Referral for advanced epilepsy investigations where appropriate

Why choose Melbourne NeuroCare?

Melbourne NeuroCare provides specialist epilepsy care supported by EEG services and epileptologist expertise. Our approach combines careful diagnosis, practical treatment planning and long-term support.

Patients choose Melbourne NeuroCare for:

  • Specialist assessment of seizures and seizure-like episodes
  • EEG testing and specialist interpretation
  • Epileptologist input for complex or difficult-to-control epilepsy
  • Medication review and treatment optimisation
  • Practical guidance around safety, driving, work and lifestyle
  • Support for patients with medication-resistant epilepsy
  • Coordination of further investigations or advanced epilepsy care where needed
  • Clear communication with patients, families, carers and referring doctors

Frequently asked questions

An EEG is often helpful, but it is only one part of the assessment. It records electrical activity in the brain and may help support the diagnosis or classification of epilepsy.

A normal EEG does not always exclude epilepsy, and an abnormal EEG does not automatically confirm that every event is an epileptic seizure. EEG results need to be interpreted alongside the clinical history.

An epileptologist is a neurologist with advanced expertise in epilepsy and seizure disorders. They commonly assist with complex diagnosis, medication-resistant epilepsy, seizure classification and advanced treatment planning.

Many people with epilepsy achieve good seizure control with the right treatment plan. Some patients need more detailed assessment, medication changes or referral for advanced epilepsy review.

The aim of treatment is to reduce seizures where possible, improve safety, minimise medication side effects and support daily function.

Please bring any previous neurology letters, hospital discharge summaries, EEG reports, brain imaging reports, medication lists and seizure records if available.

Witness descriptions or video recordings of events can also be very helpful, especially when the person having the episode does not remember what happened.

Driving after a seizure depends on the type of event, diagnosis, seizure control, treatment plan and applicable medical fitness-to-drive requirements.

Your neurologist can provide guidance based on your circumstances, but patients should not assume it is safe or legal to drive after a seizure until they have received appropriate medical advice.

Yes. Anti-seizure medications can cause side effects, and these vary depending on the medication and the individual. Side effects may include tiredness, dizziness, mood changes, concentration problems, sleepiness, balance issues or other symptoms.

Medication should not be stopped suddenly unless advised by a doctor, as this may increase seizure risk. If side effects are affecting you, specialist review can help assess safer treatment options.

Yes. Some anti-seizure medications require careful review before pregnancy due to potential risks. Patients with epilepsy who are planning pregnancy should seek specialist advice before making medication changes.

The goal is to balance seizure control, medication safety and pregnancy planning in a careful, individualised way.

No. Some conditions can look like epileptic seizures but have a different cause. These may include fainting, cardiac events, sleep disorders, migraine, movement disorders or non-epileptic seizure-like events.

Specialist assessment, witness history and EEG testing can help clarify the diagnosis and guide appropriate management.

Book an appointment

Book an appointment with the Melbourne NeuroCare Epilepsy Clinic.

If you have seizures, unexplained episodes, suspected epilepsy or concerns about your current treatment plan, specialist assessment and EEG-supported care may help provide clarity and direction.

📞 Call 1300 080 784 or Book Online to arrange your Epilepsy Clinic appointment at Melbourne Neurocare.

Book an appointment

We encourage you to schedule a consultation with one of our expert neurologists, other specialists, or allied health professionals. Your well-being is our highest priority, and we are committed to helping you achieve the best possible results.