EPILEPSY FOCUS ON - "If you change the way you look at things, the things you look at change." - Edmonton Epilepsy Association
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FOCUS ON MAY-JUNE 2022 ISSUE EPILEPSY N E W S L E T T E R “If you change the way you look at things, the things you look at change.” Wayne Dyer
IN President's Message 3 THIS From My Desk 4 EEA Activity Updates 6 March Epilepsy 9 Awareness Month ISSUE Fundraising Updates 11 25 Days for Epilepsy 13 Attitude of Gratitude 21 Epilepsy News 23 EEA Upcoming 32 Activities Volunteer With Us 36 EEA Calendar 38 EEA Board 39 A NOTE FROM THE EEA You will note this issue of the EEA Focus On Epilepsy newsletter feels a bit different. Our newsletter is evolving and we are trying out different ways to make it more appealing, always insightful and a strong mean of connection and awareness in the epilepsy community we serve, A members' survey we conducted in the spring of this year, told us in no uncertain terms, that the EEA newsletter is a strong program and service of our agency, to members, supporters and the community at large. We are grateful for the reception and the strong support as many hours go into the creation of our issues every two months. Continue to share your opinions about our newsletter with us, and share comments on how we can improve it.
MESSAGE FROM THE PRESIDENT At our last Board of Directors Meeting, we Our next big event will be held in June. Our had the opportunity to reflect upon the association celebrates its 62nd anniversary amazing work that our Executive Director, in June and we plan to celebrate with our 25 Valeria, has been doing for our association. Days for Epilepsy campaign. We are hoping She has spearheaded so many different and to have members get active, raise some creative projects and fundraising activities. money, and gather together at the end of We are truly fortunate to have Valeria the event for a backyard picnic. For anyone leading our team, and we would like to take who raises or donates at least $40, we also this opportunity to thank her for all her have some EEA shirts available. wonderful work. The EEA aims to meet the needs of With the help of our many volunteers and members both young and old. We hope to Sharon Otto, who we are grateful to have see many of our members at our June 25th back in the office, Valeria was able to event. We also hope to have members tune organize a very successful series of events in to some of our upcoming webinars. In for Epilepsy Awareness Month. We were able May, we are hosting a webinar on Paediatric to share information on epilepsy with the Epilepsy, and in June, our webinar topic is Edmonton City Council and we coordinated Epilepsy and Seniors. As you read through Kids on the Block Shows with special this edition of our newsletter, we hope you appearances from Cassidy Morgan, founder discover one or two events that are just of Purple Day. We also expanded our right for you. membership in our March Membership Drive and lit the High Level Bridge in purple And I look forward to seeing many of you at for epilepsy awareness. our June 25th event! | 03 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
FROM MY DESK Dear EEA Members and supporters out there, The main theme of this special EEA Focus on Epilepsy Newsletter Issue this month, is CHANGE. “If you change the way you look at things, the things you look at change.” This quote we selected for the cover page, permeates our entire issue. Our association is transforming, and along with it, our members and their needs, and the ways we deliver programs and services. Early this spring we conducted a Members' Survey, asking questions about our programs and services, ensuring our Directors are making the right financial and resource-related choices moving forward, especially as the world pandemic appears to be winding down, or at least the health restrictions connected to it. We share the details of those results on page 8. In short, you told us that this newsletter, the website and our booklets' program, along with social events and educational webinars, are the top reasons you love our agency, and hope we continue to support these activities and make them even more effective. Amongst these "top five" list, the one initiative that suffered the most, remains the social events, which were scarce to non-existent for the past twenty-four months, due to the pandemic. We heard you, and we are in fact resuming social activities with two major events in June and December this year, with some changes that we hope you will welcome. The educational and awareness building activities also drastically changed in these past two years, as the entire world moved online, to remain connected. Innovating our delivery of programs was an essential move to remain relevant, and to maintain our ability to spread the word about this brain disorder. Expanded access, easier ways to connect and reaching out to experts, as well as the ability to offer sessions across the province and beyond, were positive outcomes of this important change. However, we know a good portion of our long-term members, whose needs remain often greater and more individualized, felt a significant loss of connection, being unable to attend Zoom meetings or being reached, on a regular basis, by our weekly updates, sharing news and opportunities that others also offer online. That is the critical reason we established the free lending programs of digital tablets from our resource library, since early 2021. Any EEA member who learns about this program can reach out to us, on paper or over the phone, and we can work together on the application. The program offer the device (the tablet), free training videos (online and on a DVD), as well as up to | 04 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
FROM MY DESK 15 hours of individualized training, over the phone, in person or online, to anyone who wishes to learn how to use the device. This essential program brings about a significant change but one we are here to help you with and we know, if you chose to make the jump, this will be a change that will make you feel less isolated, and more connected not only with our community but the entire larger world out there. To learn more about this program see page 35. Going back to the survey results, we are grateful for many of you telling us we are doing a fantastic job, for a small and mighty agency, and we also heard those of you who shared your impressions with us that we have shifted our service focus, to mainly youth and families. While we stand by our renewed efforts to reach out to all levels of our constituencies, and that a good portion of our membership growth has in fact been in the area of younger members and their families, we truly believe we place similar efforts in supporting all our members, regardless of their age and epilepsy diagnosis. To this end, we present you with a list of our ongoing and upcoming services in this issue, in three categories, to ease the classification of our supports: programs and services aimed specifically at adults (eighteen years or older) , youth and families and common programs that support both groups. I invite you to review page 32 for the complete list, and continue to share with us your impressions of what else we can do to reach out to you, in changed but still effective ways. For a registered charity with almost 62 years on our shoulders, impacting an average of 5,000 people per year, with two paid staff, over 30 steady volunteers and almost 250 registered members, we strive to find ways to stretch our dollars to the maximum, always keeping in mind the best ways to serve you. Funding remains our critical challenge, and, in the name of change we invite you to explore the upcoming month-long campaign for awareness and fundraising, we are calling "25 Days For Epilepsy", which is set to run between June 1 and 25, 2022. The campaign will focus on daily learnings and reflections on the connection between physical and mental wellbeing and epilepsy, and we are looking for Fundraising Champions to set a challenge during the month of June, and raise funds for epilepsy and the EEA, culminating in a Summer Backyard Celebration at our office, on June 25, 2022. Read all about this campaign starting on page 22 - there are so many ways you can contribute to the campaign and celebration! Let's celebrate together! Valeria | 05 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
Marnie S. at the EEA office with Jace . D Blake A. her Quilt. EEA ACTIVITY UPDATES In every issue of our newsletter we like to Our first quilt giveaway update everyone on all the initiatives, Two recipients of the Garry Hannigan's programs and key services we provide. Scholarship for sports Since the beginning of March and all The March Membership Drive recipient of through April 2022, we continued to be busy our special prize with supporting our members, while still Kids Upfront Fun offering remote programs, connecting with Our French Booklets Update project the community in remote ways (the collaboration pandemic still looms large on all of us), and Webinars and Families Online ensuring we collect the stories, sharing the Conversation Sessions support with one another and engaging Results of our Members' Survey with our members in any way we can. QUILT GIVEAWAY These updates are not everything we do in Marnie S. was our first recipient of the Quilt the two months that pass from one issue to Program Giveaway. Marnie has lived with the other, but they do summarize the key epilepsy for a very long time, and was very events and initiatives we are most grateful about the gift. This quilt was donated passionate about. by Kris Zielinski, one of our EEA Board Directors. To learn more about how you can In this issue's update we list the following apply for this free program check this link or key highlights: call our office. | 06 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
GARRY HANNIGAN'S SCHOLARSHIP FOR SPORTS We awarded this special scholarship for sports and activities to two youth who are members of the EEA: Jace D. and Blake A. The goal of the scholarship is to support youth with epilepsy in pursuing dreams about being active. joining sports' teams and fulfilling their dreams. Congratulations to Jace and Blake! MARCH MEMBERSHIP DRIVE One of our goals in the month of March, Epilepsy Awareness Month, was to increase our members. We reached a sports, festivals and special events, by total of 9 new members, which is a great accessing free tickets through the achievement for us. As an incentive to agency. This included special Oilers' join we rana special drive, and Jen L. was Game tickets for Khalia P. and her our winner of the prize. One key strategic family. These are wonderful moments goal of the EEA remains a 25% increase in EEA families get to share together, for members over each year. Join us today if free, as a perk of our membership! you are not a member yet! EEA EPILEPSY INFORMATION KIDS UPFRONT BOOKLETS - FRENCH PROJECT Another service of our agency, is to We are excited to have started this partner with Kids Upfront, and offer our important project for our association. In member families, with children under collaboration with Épilepsie section de the age of 18, opportunities to experience Québec, we will update all 11 titles of our booklet series into French. This is long overdue. Learn more about our booklets at this link or contact us for more details. WEBINARS AND ONLINE MEETINGS We continue our important collaboration with Epilepsy Association of Calgary, EAC, in our Epilepsy Education Webinar series. We offered two great sessions in March: one session about transitions into adulthood and one about epilepsy and genetics. Attending the sessions live, on Zoom is always free and the best way to access panelists and ask questions. We build resources in video format on our Khalia and her borther at an Oilers website at https://albertaeweb.ca/. Game | 07 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
EEA MEMBERS' SURVEY As we continue to work on the strategic goals set in our strategic plan for 2022-2024, we asked all our members to share their opinions on which programs the EEA offers to you, that are most valued and most useful. You told us the following: We love your Newsletter, your Website, the Booklets, Social Events and your Webinars! Please organize adult focus groups or social groups. We hope to have access to individual counselling sessions for mental health specific to epilepsy. We take your comments to heart, and plan to resource these programs and services accordingly. The newsletter is also on top of our agenda, as it has become, in the past two years, the key communication tool with our A thank you card from an EEA member members who are not digitally to office staff and volunteers. connected. We receive thank you cards, and greeting cards for those of you out there, who read about us on the paper version of this newsletter. You are in our hearts, always! As per individual counselling services, we are applying for grants to pilot new programs, over the phone, with certified staff, and we are planning two wonderful in-person events for this year: the Backyard Party, on June 25, 2022 (read more about it on pages 22 and following), and a Holiday Party on December 10, 2022. As per the other key programs, we continue to focus our energies on them and follow your comments to improve them each year! Cleo in purple. | 08 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
Members of the Epilepsy Paediatric Clinic at the Stollery Children's Hospital. MARCH EPILEPSY AWARENESS MONTH Change was certainly in the air for all our initiatives and programs to celebrate March as Epilepsy Awareness Month. From our daily posts on social media, to the visit to City Councillor, Erin Rutherford, for Anirniq Ward, along with her call during a councillors' meeting about Purple Day, on March 26, 2022. We offered digital live performances of the Kids on the Block show, with a special host, Cassidy Megan, the founder of Purple Day. People from across Canada joined Cassidy Megan, Fonder of Purple Day introducing the KOB shows on the shows and gave us the chance to teach about March 25, 2022 epilepsy to younger crowds. EEA Volunteers meeting with Councilor Erin March Epilepsy Banners on a Bridge. Rutherford, at City Hall in Edmonton. | 09 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
MARCH EPILEPSY AWARENESS MONTH (CONT) We took part in the city bridge banners' program, offered two sessions on epilepsy education, awarded two scholarships, increased our membership by 9 new members (our agency record to date), and increased our social media presence exponentially. In other words folks heard us, paid attention and learned a bit about epilepsy, which is one of our core mission foci. We rana successful 50-50 fundraising initiative in collaboration with the Oil Kings, shared purple bracelets and ribbons with many schools across Alberta and actively increased understanding of epilepsy in the Jace and his dad. community! Two young EEA members after the meeting with City Councillor. Blake enjoying winter activities. | 10 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
Julia and Cam sorting our soups. FUNDRAISING UPDATES We love to update you all about our progress and initiatives we organize to raise funds for our agency. In case you did not know this about the EEA, we follow a fundraising model that helps us remain fully independent. Casino remains an anchor of our financial survival, along with donations, grant writing and fundraising initiatives that make up the rest of our yearly budget. Our association has a proud track record of surplus, in its 62-years of history, even in challenging times. This speaks to the generosity of all of you, members and supporters, who help us keep our doors open, from year to year. We list here the key initiatives for the past two months, and tell you a bit more about our largest fundraising campaign for 2022 in the next page, which we run under the program of the Shaw Charity Classic, Birdies for Kids. The key fundraising initiatives since our last update include: Ongoing Online Donations - when you visit our donation page at https://edmontonepilepsy.org/donate/ you find the best way for you to contribute to our financial sustainability! We collaborated with the 50/50 Raffle organized by the Oil Kings, for their March 27, 2022 game. Our goal for the game was $6,000. A genuine thank you goes to the 18 volunteers who attended the game in person to help with the sale of tickets and to all of you who purchased a ticket or two! We also ran our very first Soup Sales Campaign, and generated over $600 in profits, along with some tasty dinners! We are considering running this campaign later in the year, when soups will be back along with colder weather! SkipTheDepot Donations continue. Remember to donate your recyclables to us! | 11 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
Shaw Charity Classic - Birdies for Kids In early 2022 the EEA applied to join this special fundraising program, and we are proud to have made the cut, along with about 200 charities in Alberta. Shaw Birdies for Kids presented by AltaLink is a non-profit program under the Calgary Shaw Charity Classic Foundation. This program is designed to help raise new funds for local charities, engage the community in the tournament, and provide matching funds for each charity involved. You can donate online or by cheque between March 1 and August 31 Donations can be made to the Shaw Charity Classic Foundation matching pool or directly to a participating charity Donations directed to a participating charity are matched up to 50% using the Foundation matching pool All administrative costs are covered by the tournament, meaning 100% of all donations will go directly to the charity selected. WHAT DOES THIS MEAN FOR THE EEA? Our application to this funding model focused our efforts in building resources, opportunities and new experiences for children living with epilepsy, with a special attention to brand new website we launched on March 26, 2022, we call: www.epilepsyweb4kids.ca Donations to the EEA through this fundraising channel are matched up to 50%, and we have raised, to date, over $41,000! We are combining the focus of our "25 Days for Epilepsy" campaign with the Shaw Charity Classic. So we hope you plan to join this campaign between June 1 and June 25 to help us stretch donations to much higher numbers! | 12 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
2 days for epilepsy 5 WALK/RUN/RIDE/MOVE FOR EPILEPSY! Join the EEA during the month of June to create awareness about epilepsy and physical and mental wellbeing. Become a Fundraising Champion and/or Donate to our cause. Join our Backyard Summer Celebration, on June 25, 2022! | 13 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
2 5 days for epilepsy WHY | WHAT | HOW We want to promote Between June 1 and Between June 1 and awareness and 25, 2022 (25 days!) we 25, 2022 (we will raise understanding about will focus on the funds for our epilepsy in the month connection between campaign (see the of June physical and mental Donate page). June 4, 1960 is EEA wellbeing and We will increase birthday. We turn 62! epilepsy. information about We want to focus on We will post and research and personal the connection update daily, on our experiences with between physical and social media, small active physical and mental wellbeing and chunks of information mental wellbeing and epilepsy and invite about this connection epilepsy. everyone to be more and invite you all to We celebrate together active! daily challenges! in person for the first We invite people to time in two years! become Fundraiser Champions and set personal movement goals and raise funds in the process. We celebrate together as a community on June 25, 2022 at the EEA office. | 14 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
become a fundraiser champion Until May 27, 2022 we are inviting members and supporters who wish to do so, to become our Fundraiser Champions. WHAT DOES IT MEAN TO BECOME A FUNDRAISER CHAMPION? You set a personal physical goal for the month of June, such as riding a bike for 100K, or walking 50K every week, or doing at least 10,000 steps per day! The physical goal is your choice! You seek people in your network, such as family members and friends to pledge to donate to our campaign. You register with the EEA and we add your name to the list of Champions and your pledgers can go to our link and add their pledges there directly. You agree to be part of the Challenge Leaderboard, where we update pledges from all champions. As a champion, as long as you raise a minimum of $35 you will have access to a free EEA purple shirt. 2 REGISTER 5 days for epilepsy | 15 HERE FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
donate There are two ways to donate to our campaign: DONATE THROUGH THE FUNDRAISING CHAMPIONS (access the pledges page online or connect to the champions offline) DONATE DIRECTLY TO THE SHAW CHARITY CLASSIC - BIRDIES FOR KIDS link on our website at this link - or offline - between June 1 and June 25, 2022. All donations during this time period (June 1 through 25, 2022) through the Shaw Charity Classic - Birdies for Kids, will be matched up to 50% (more funds for us) and used for our Kids website project and other youth-related initiatives in the next 18 months, which we will update you about in future newsletter issues. 2 days for 5 epilepsy | 16 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
receive a purple shirt 2 days for 5 Since 1952, Elite Promotional Marketing has been one of Western Canada’s leading corporate branding, sportswear, recognition and merchandise epilepsy program providers. With almost 65,000 sq. ft. of showroom, warehousing and production departments, and two locations in Edmonton and Calgary, Elite provides every client, organization, or team with a customized branding solution to meet their requirements. As an award-winning leader in the promotional products industry, we are committed to driving measurable results through top quality, quick and reliable service every step of the way. Visit us at www.elitepromotionalmarketing.com to learn more! The "25 Days for Epilepsy" is at its core a fundraising campaign! And a special one at that! The first 350 donations we receive, through the Shaw Charity Classic- Birdies for Kids, of at least $40, will receive access to select a free purple shirt, with the EEA logo., in male and female designs. You want to donate as early as possible as shirt sizes are limited. The shirts were partly sponsored by Elite Promotional Marketing. How do you get a shirt? You can make a pledge through one of our champions (help them raise funds) at this link. Or you can directly Donate online through this link - or send a cheque or cash through the PDF form on our website. You must donate a minimum of $40 to access these shirts. Once you donate, and we receive your details from the Charity Classic, we will send you a link or personally call you to order your shirt in the size of your choice. Donate early as size choices are limited. | 17 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
learn and share 2 5 days for epilepsy SPREAD THE WORD ON SOCIAL MEDIA Did you know we are on social media? Why is this important? We use these communication channels to keep in touch on a daily basis, and quickly share news about our programs, but also what we know to be important if you live or are impacted by epilepsy. During these 25 days in June for our special campaign, we will post daily tips, challenges and information about physical activity and mental wellbeing and epilepsy. You can click on each one of the icons below and start following us on each channel. There is great strength in numbers! | 18 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
join the party 2 SATURDAY, JUNE 25, 2022 EEA OFFICE, 11215 GROAT ROAD, EDMONTON, ALBERTA 5 days for epilepsy | 19 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
join the party On Saturday, June 25, 2022, we invite everyone to join us for an in-person live celebration, party, get together and just an excuse to be with other humans, at the EEA office backyard! To register and attend this special first live event from our association read the details below! LOCATION - 11215 GROAT ROAD, EDMONTON ALBERTA TIME: you can purchase your tickets for either of these time slots (for one or both) 10:00 to 1:00 p.m. 1:30 to 4:30 p.m. TICKETS PRICE: $5.00 PER TIME SLOT FOR MEMBERS $10.00 PER TIME SLOT FOR NON-MEMBERS BUY YOUR TICKETS TODAY! PURCHASE YOUR TICKETS AT THIS LINK TODAY OR CALL OUR OFFICE TO ARRANGE FOR OFFLINE PAYMENT. WHAT HAPPENS ON THAT DAY? Everyone in attendance will have a chance to connect with our member community, will be fed with an Italian store panini, soft drinks, tea or coffee, sweets and a goodie bag! We will have rock painting for the younger ones, a Heritage Walk group and a short formal program, led by our President, Tammy Tkachuk. 2 5 days days for epilepsy | 20 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
ATTITUDE OF GRATITUDE In this issue we love to share with you yet another personal story with epilepsy, from one of our long- standing members: Jason D. Jason offered to be interviewed by the EEA and to share his story, which includes living with epilepsy since a young age. His seizures are long well managed, and yet epilepsy is an integral part of Jason's life, while they have not stopped him from achieving some really great personal goals, and from being an upbeat, positive person. Today Jason lives in an assisted living environment with his mom, and he is an integral part of his community, waking up each day with the intention of making a difference. We are grateful for his wish to share his story and for being such an active member in support of epilepsy awareness and education. In the next page you will read excerpts of Jason's interview with us. For the full audio recording visit our page at https://edmontonepilepsy.org/me mberstories/, along with our previous members' stories. If you wish to share your own experience with epilepsy, contact us and we will arrange for an interview. Your courage to tell your story will inspire others. Jason and Erica, recreation Coordinator at Ashbourne Assisted Living. | 21 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
ATTITUDE OF GRATITUDE EEA: Hi Jason, and Thank you for talking with is today. Can you tell us a bit about yourself? J.: Hi there, I live here in Ashbourne with my mom, and I really like it here. I play cards, I do trivia, I do bingos on Saturday, and I like sports. I was in the Special Olympics in 1986, in bowling. [...] EEA: That is fantastic. Can you tell us a bit about your epilepsy? J.: Oh yes. I control it very well. Some days my eyes blink, but otherwise I can stop it. And if my hands go a different way, my friend, I can stop it too. EEA: Do you take medication? J.: Yes I do. EEA: So for your epilepsy, it sounds like even though you have epilepsy, you still do many, many, many things. Correct? J.: Correct. I find ways to cope with it. Some days it is good and some days it's not! EEA: So do you find it, for example, that if you stay positive and you think that you can, then things happen? J.: Yes, they do. [...] Well, some days I am tired. Other days I'm happy as a lark. Other days it's okay. But other than that, I'm just a cheerful person. And like my mum says, I get upstairs and sing down the hall after I'm done my program. EEA: What message of hope do you have for folks out there, who live with epilepsy? J.: Tell people about it. My brother knows about my epilepsy, and how to control seizures. Jason spoke with us from his heart, and the audio recording of this interview is available on the EEA website (click on this image to go there directly). We are always looking for new stories, to document different ways epilepsy is impacting people in our community. Your testimony will lift up others and show everyone life is possible with seizures, even if adjustments need to be made. And that we are here to support one another with compassion and understanding. | 22 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
EPILEPSY NEWS PRECISE NEW FORM OF BRAIN SURGERY REQUIRES NO INCISIONS, SCALPELS University of Virginia School of There is a new procedure for epilepsy in development which Medicine researchers have utilizes ultrasound waves and targeted microbubbles to deliver neurotoxins to problematic brain cells. This is called PING and developed a noninvasive way has been shown to be effective in laboratory tests for the to remove faulty brain circuits reduction or complete elimination of epilepsy. The benefit to that could allow doctors to this approach is that it is non-invasive so it does not require treat debilitating neurological surgery. PING is also very precise as it is coupled with MRI to diseases without the need for target the ultrasound waves towards only the brain cells conventional brain surgery. causing the epilepsy. This spares any nearby brain cells that are healthy which can reduce the amount of side effects that can The UVA team, together with occur after larger procedures such as surgery which often colleagues at Stanford damages healthy brain cells. University, indicate that the approach, if successfully translated to the operating room, could revolutionize the This neurotoxin kills the culprit brain cells while sparing other treatment of some of the most healthy cells and preserving the surrounding brain challenging and complex architecture. "This novel surgical strategy has the potential to neurological diseases, supplant existing neurosurgical procedures used for the including epilepsy, movement treatment of neurological disorders that don't respond to disorders and more. The medication," said researcher Kevin S. Lee, PhD, of UVA's approach uses low-intensity Departments of Neuroscience and Neurosurgery and the focused ultrasound waves Center for Brain Immunology and Glia (BIG). "This unique combined with microbubbles approach eliminates the diseased brain cells, spares adjacent to briefly penetrate the brain's healthy cells and achieves these outcomes without even natural defenses and allow the having to cut into the scalp." targeted delivery of a neurotoxin. | 23 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
The Power of PING The new approach is called PING, and it has already demonstrated exciting potential in laboratory studies. For instance, one of the promising applications for PING could be for the surgical treatment of epilepsies that do not respond to medication. Approximately a third of patients with epilepsy do not respond to anti-seizure drugs, and surgery can reduce or eliminate seizures for some of them. Lee and his team, along with their collaborators at Stanford, have shown that PING can reduce or eliminate seizures in two research models of epilepsy. The findings raise the possibility of treating epilepsy in a carefully-targeted and noninvasive manner without the need for traditional brain surgery. Another important potential advantage of PING is that it could encourage the surgical treatment of appropriate patients with epilepsy who are reluctant to undergo conventional invasive or ablative surgery. In a new scientific paper in the Journal of Neurosurgery, Lee and his collaborators detail the ability of PING to focally eliminate neurons in a brain region, while sparing non-target cells in the same area. In contrast, currently available surgical approaches damage all cells in a treated brain region. A key advantage of the approach is its incredible precision. PING harnesses the power of magnetic-resonance imaging (MRI) to let scientists peer inside the skull so that they can precisely guide sound waves to open the body's natural blood-brain barrier exactly where needed. This barrier is designed to keep harmful cells and molecules out of the brain, but it also prevents the delivery of potentially beneficial treatments. The UVA group's new paper concludes that PING allows the delivery of a highly targeted neurotoxin, cleanly wiping out problematic neurons, a type of brain cell, without causing collateral damage. Another key advantage of the precision of this approach is that it can be used on irregularly shaped targets in areas that would be extremely difficult or impossible to reach through regular brain surgery. "If this strategy translates to the clinic," the researchers write in their new paper, "the noninvasive nature and specificity of the procedure could positively influence both physician referrals for and patient confidence in surgery for medically intractable neurological disorders." "Our hope is that the PING strategy will become a key element in the next generation of very precise, noninvasive, neurosurgical approaches to treat major neurological disorders," said Lee, who is part of the UVA Brain Institute. Yi Wang et al. Noninvasive disconnection of targeted neuronal circuitry sparing axons of passage and nonneuronal cells. Journal of Neurosurgery, 2021 DOI: 10.3171/2021.7.JNS21123 | 24 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
EPILEPSY NEWS WHOLE-BRAIN PRECLINICAL STUDY ILLUMINATES HOW EPILEPTIC SEIZURES ORIGINATE New evidence from a zebrafish There is currently much debate over the origin of epileptic seizures and this is an important piece of information for model of epilepsy may help scientists to discover as identifying the origin could lead to resolve a debate into how production of new drugs. This research looked into the two seizures originate, according to types of brain cells that are thought to be involved with seizure Weill Cornell Medicine and formation, the excitatory neurons which activate brain regions NewYork-Presbyterian and the inhibitory neurons that shut off brain regions. There investigators. The findings may has been evidence for both sides with some scientists claiming that excitatory neurons are the cause while others say that also be useful in the discovery inhibitory neurons are the cause. This article demonstrates how and development of future a new model using zebrafish was made that allowed scientists epilepsy drugs. to track the activity of both these neurons during an epileptic seizure which has revealed that excitatory neurons may be the In the study, published Feb. 23 most important players. This can pave the way to discovering in Brain, the researchers were the contributions of these two brain cell types and hopefully demonstrate how seizures originate so we can create new able to track the activities of therapies. neurons throughout the entire brains of larval zebrafish during seizures. They showed "What's really nice about the zebrafish model is that we can that the seizures originated image every brain region, and in this model, for the first time, from an excess of "excitatory" we were able to distinguish and track the activity of both over "inhibitory" brain cell excitatory and inhibitory neurons," said first author Dr. James activity in relatively confined Niemeyer, a postdoctoral associate in neurological surgery at regions of the brain and spread Weill Cornell Medicine. "So, this is a good starting point for only when they overcame examining the nuanced roles of these cell types during strong inhibitory activity in seizures." surrounding regions. Dr. Niemeyer is a member of the laboratory of co-senior author Dr. Theodore Schwartz, who is the David and Ursel Neurons in the brain come in Barnes Professor of Minimally Invasive Neurosurgery and vice two broad categories: chair for clinical research at the Weill Cornell Brain and Spine excitatory neurons whose Center at Weill Cornell Medicine and a neurosurgeon at activity stimulates the activity NewYork-Presbyterian/Weill Cornell Medical Center. The of other neurons, and other co-senior authors of the study are Dr. Hongtao Ma, inhibitory neurons whose associate professor of neuroscience research in neurological activity quiets other neurons. surgery, and Dr. Emre Aksay, associate professor of physiology Some recent studies have and biophysics, both at Weill Cornell Medicine. indicated that surges in the activity of inhibitory neurons can paradoxically trigger seizures. The new findings suggest otherwise. | 25 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
Epilepsy is common, afflicting roughly fifty million people around the world at any one time. But how it originates has never been entirely clear. On the one hand, there is evidence that seizures arise from zones in the brain that favor excitatory neuron activity over the usual restraining influence of inhibitory neurons. On the other hand, several recent studies have suggested that excessive activity in inhibitory neurons may trigger seizures -- some researchers have observed earlier seizure activity in these cells. This has left a gap in understanding of the different roles of excitation and inhibition in seizures. "The issue has been hard to resolve, due to the challenges involved in distinguishing and tracking excitatory and inhibitory neuron activity across multiple brain regions in an awake animal," said Dr. Schwartz, who is also a professor of neurological surgery and of neuroscience at Weill Cornell Medicine. With the zebrafish, the researchers were able to surmount those challenges. Using special fluorescent probes, electrical recordings and a technique called two-photon microscopy, they simultaneously distinguished and tracked excitatory and inhibitory neurons' activity across the brain, before and during seizures induced by a standard chemical method. They observed that seizures in this model tend to originate in the midbrain, at sites with a heavy imbalance of excitatory over inhibitory neuronal activity. Surrounding zones were much more weighted towards inhibitory activity, and evidently for this reason were able to resist, at least briefly, the spread of seizure activity from the initiating zone. Prior studies that pointed to inhibitory neurons as seizure triggers may in some cases have detected only these highly inhibitory propagation zones rather than the initiating zone, the researchers suggested. "We did find overactive inhibitory neurons in the propagation zones, but the advantage of our approach is that we can image across all brain regions to determine where the seizure originates," said Dr. Aksay, who is also associate professor of computational neuroscience in computational biomedicine in the HRH Prince Alwaleed Bin Talal Bin Abdulaziz Al-Saud Institute for Computational Biomedicine at Weill Cornell Medicine. The team plan to use their zebrafish model for epilepsy drug screening and hope to confirm their findings in future experiments looking across multiple brain regions in a mouse model. The research was funded in part by a Weill Cornell Medicine seed grant for multidisciplinary research involving clinical and basic science departments. 1. James E. Niemeyer, Poornima Gadamsetty, Chanwoo Chun, Sherika Sylvester, Jacob P. Lucas, Hongtao Ma, Theodore H. Schwartz, Emre R. F. Aksay. Seizures initiate in zones of relative hyperexcitation in a zebrafish epilepsy model. Brain, 2022; DOI: 10.1093/brain/awac073 | 26 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
EPILEPSY NEWS VAGUS NERVE STIMULATION LOWERS COSTS OF CARE FOR CHILDREN WITH UNCONTROLLED EPILEPSY Vagus nerve stimulation is known as the pacemaker for the brain and is often used as a way to prevent seizures by sending mild electrical impulses to the brain. Research has shown that children who have both the vagus nerve stimulation device and take medication are able to reduce the number of times they are sent to the hospital. Though not as applicable in Canada, this can aid in lowering the cost of care required. With reduced need to visit the hospital, this device along with medication is also capable of increasing the quality of life of patients with epilepsy. Vagus nerve stimulation (VNS), The study found that the patients treated with ASM plus VNS sometimes referred to as a had savings of over $3,000 of epilepsy-related annual costs "pacemaker for the brain," per year, compared to treatment with ASM only. These involves a stimulator device findings mirror the team's previous report of children with that is implanted under the drug-resistant epilepsy having significantly decreased skin in the chest, with a wire inpatient healthcare utilization following VNS plus ASM that is wound around the compared to those treated with ASM alone. The study on vagus nerve in the neck. It healthcare utilization was published in Epilepsy & Behavior. helps prevent seizures by "We take a health services research perspective on the sending regular, mild electrical patients' journey with a challenging disease process of drug- pulses to the brain. Typically, resistant epilepsy that has not been met with a cure. For the patient is not aware the patients with drug-resistant epilepsy, reducing seizure device is operating. burden and addressing quality of life are important goals. We A new study from Ann & quantify aspects of outcomes of surgical therapies and Robert H. Lurie Children's medical therapies, and we assess the impact on health care Hospital of Chicago published costs and utilization. To the patients, families, health care in the journal systems, health care advocates, and policymakers, these are Epilepsiaexamined a important results," said senior author Sandi Lam, MD, MBA, population of pediatric Division Head of Neurosurgery at Lurie Children's and patients with drug-resistant Professor of Neurological Surgery at Northwestern University epilepsy. For these patients, Feinberg School of Medicine. "While we show lower costs to the study found that the the health care system following VNS surgery, from a patients who received VNS, practical standpoint it means fewer hospital admissions when used with anti-seizure because of seizures. Patients spend their days at home medications (ASM), had lower instead of in the hospital." hospital costs compared to the use of ASM alone. | 27 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
The study is unique in multiple ways. There has been no previous research focusing on children with drug-resistant epilepsy and comparing the outcomes of those who had VNS and ASMs and those who only received ASMs. The study also provides a breakdown of VAGUS NERVE STIMULATION LOWERS costs by site of care (inpatient, COSTS OF CARE FOR CHILDREN WITH outpatient, and Emergency UNCONTROLLED EPILEPSY Department). The study researchers found that emergency department costs decreased more for children treated with VNS and ASM, compared to ASM alone. While average annual total costs were higher in the ASM-only cohort, the researchers also observed that outpatient care costs for VNS with ASM were higher than ASM alone. The study authors note that it is not surprising that children required more outpatient care shortly after VNS implantation, since device adjustment for each patient is necessary in this time period. Outpatient costs for children with VNS decreased dramatically in the second year. Future studies warrant additional focus on costs and patterns of care in longer term follow-up. Research with national data do not substitute for clinical research. Each patient with epilepsy presents a unique case requiring tailored clinical care that should be managed at a comprehensive Level 4 NAEC pediatric epilepsy center like Lurie Children's. Large studies with health services research can inform future research as well as gaps and opportunities in health care delivery. The study shows that surgical options should be a part of the epilepsy treatment armamentarium. While future studies will look at cranial epilepsy surgery outcomes, this study was limited to VNS and did not include epilepsy surgery on the brain, which is an important way of epilepsy treatment. The study included children (0-17 years of age) who were diagnosed with refractory epilepsy, with 1113 patients treated with ASM plus VNS and 3471 patients treated with ASM only. Data were sourced from the Children's Hospital Association's Pediatric Health Information System (PHIS) database, which contains inpatient, emergency department, ambulatory, and observation encounter level data from more than 44 children's hospitals in the United States. Patients in the study were followed one year prior and two years after meeting pre- determined criteria for refractory epilepsy. Research at Ann & Robert H. Lurie Children's Hospital of Chicago is conducted through the Stanley Manne Children's Research Institute. The Manne Research Institute is focused on improving child health, transforming pediatric medicine and ensuring healthier futures through the relentless pursuit of knowledge. Lurie Children's is ranked as one of the nation's top children's hospitals by U.S. News & World Report. It is the pediatric training ground for Northwestern University Feinberg School of Medicine. | 28 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
EPILEPSY NEWS 19 A brain mechanism needed for learning explains why epileptic seizures become more frequent, but a finding in rodents offers hope for treatment, according to a new study. Epileptic seizures worsen via the same mechanism by which practice makes perfect, a new study from the Stanford University School of Medicine has found. The research, conducted on rodents with epilepsy, provides a major new insight into the mechanics of how seizures worsen: Seizures drive better insulation of the nerve fibers involved in seizing, allowing the brain to have seizures more efficiently. The findings explain why seizures generally become more frequent and severe in epilepsy patients who don’t take medication or whose epilepsy doesn’t respond to medication. The study was published May 2 in Nature Neuroscience. The research findings represent the first known example of a BRAIN PLASTICITY type of brain plasticity, called activity-dependent PROMOTES myelination, contributing to a disease. The study also WORSENING OF suggests new drug targets to interrupt the process and EPILEPTIC SEIZURES, prevent seizures from escalating. STUDY FINDS “I was surprised by what we saw. Initially, I thought that because this is a disease process, we would see deficient myelination somehow,” said the study’s lead author, Juliet Knowles, MD, PhD, assistant professor of neurology and neurological sciences and of pediatrics. “What we’re seeing is myelination in a pattern that favors seizure progression.” The study’s senior authors are Michelle Monje, MD, PhD, professor of neurology and neurological sciences, and John Huguenard, PhD, professor of neurology and neurological sciences. The learning process Myelin is the fatty substance that insulates nerves. In adaptive myelination, which Monje’s group discovered, the brain increases the number of myelinated fibers and the thickness of the coating around the nerve fibers that fire more often. This insulation helps cement things we learn in the physical structure of our brains. Myelin plasticity contributes to many brain functions, including attention, learning and memory. Normally, when someone practices a new skill, such as riding a bike or playing the piano, nerve firing triggers adaptive myelination. The busiest nerves become coated in thicker layers of insulating myelin, improving the speed and synchronization of nerve networks used in the skill and making the person a better cyclist or more accomplished musician. | 29 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
BRAIN PLASTICITY PROMOTES WORSENING OF EPILEPTIC SEIZURES, STUDY FINDS But the research shows, for the first time, that myelination can also make the nerves more efficient at unwanted actions. In a seizure, neurons fire with abnormal synchrony. Depending on the seizure type, the neural circuits involved may be localized to a small brain region, or they may extend across a large swath of the brain — but it’s the same circuits every time. Just as plenty of piano practice can cause a thick layer of myelination to increase the efficiency of the specific circuits needed to play a Beethoven sonata, lots of seizures can increase the myelination of — and therefore the efficiency of — the circuits that seize. This makes it easier for the brain to have seizures, similar to the way it’s easier to play Beethoven on the 50th run-through than on the fifth. “We think the onset of seizures begins with neuronal mechanisms, but the rearrangements in myelin really compound pathological changes in brain networks,” Knowles said. The process appears to be one reason epilepsy patients who aren’t taking medication or don’t respond to medication may experience more frequent and/or more intense seizures as the disease progresses. “This is the first demonstration of maladaptive myelination in a disease context, and I think this is the tip of the iceberg,” Knowles said. “We have to explore how it plays out in different types of epilepsy and maybe in other neurological and neuropsychiatric diseases.” Focus on ‘absence seizures’. In some seizures, the abnormal neuronal activity causes convulsions; in others, people lose muscle tone, causing them to collapse. The researchers focused on a common type called absence seizures, in which all behavior stops, usually for less than a minute. People having such seizures look like they are staring or daydreaming. They also experience brief loss of consciousness; afterward, they don’t know what happened. These seizures, though less dramatic than those that cause convulsions or collapse, still interfere with the lives of epileptic patients and can be dangerous if, for instance, someone has an absence seizure while crossing a street. Children and adults with certain types of epilepsy can experience hundreds of absence seizures daily. Although medication can treat it, about 30% of patients with childhood absence epilepsy still have seizures even though they’re taking medication. “For most forms of epilepsy, we don’t have disease-modifying treatment,” Knowles said. “We can give medications that temporarily stop seizures, but this does not address what’s happening structurally in the brain.” To understand how seizures change the brain, the researchers studied rodents with absence seizures. As in some types of human epilepsy involving absence seizures, the animals develop seizures in early life that gradually ramp up over time. | 30 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
BRAIN PLASTICITY PROMOTES WORSENING OF EPILEPTIC SEIZURES, STUDY FINDS In the brains of rats with absence epilepsy, the researchers looked at changes to myelin- forming cells called oligodendrocytes. Compared with the time before seizures began, by the end of the period of seizure onset — 4.5 months later — the animals had more and a greater density of new or dividing oligodendrocyte precursor cells, and more mature oligodendrocytes. This finding corresponded with the presence of thicker myelin coating on the nerve fibers — and more nerve fibers with myelin — in the brain region where seizures occur. However, there was no change in myelination in brain regions where seizures are uncommon. In addition, control animals without seizures did not show these changes. To find out if interrupting the seizure-induced myelination could block the development of seizures, the researchers genetically engineered mice to further their understanding of absence epilepsy. The scientists changed an important receptor in mice oligodendrocyte precursor cells that is needed for adaptive myelination. Because of the genetic engineering, the researchers could selectively delete the receptor, TrkB, from the oligodendrocyte precursor cells in these mice beginning when the seizures were expected to start. When TrkB was deleted, the mice still had some seizures, but the number of seizures was lower, and they did not become more frequent. The researchers also used a drug that blocks aspects of the maturation of oligodendrocyte precursor cells, administering the drug starting one week after the mice began having seizures. The findings were similar to those in genetically engineered mice: Seizures still occurred, but they did not become worse or more frequent. The class of drugs used in the study, HDAC inhibitors, includes some FDA-approved medications. The scientists hope to study whether such drugs could improve outcomes, particularly in children newly diagnosed with severe forms of epilepsy. “There’s a lot more that needs to be done to explore the molecular mechanisms that link pathological patterns of neuronal activity to maladaptive myelination and explore the potential of HDAC inhibition for severe and refractory epilepsy,” Knowles said. The study’s other Stanford authors are life science researchers Haojun Xu, Ankita Batra, Lijun Ni and Sydney Talmi; undergraduate student Tristan Saucedo; medical student Lydia Tam; and former research assistants Caroline Soane, Eleanor Frost, Danielle Fraga and Katlin Villar. The authors include members of Stanford Bio-X, the Stanford Maternal and Child Health Research Institute, the Stanford Wu Tsai Neurosciences Institute, the Stanford Institute for Stem Cell Biology and Regenerative Medicine, and the Stanford Cancer Institute. The research was funded by the National Institute of Neurological Disorders and Stroke (grants R01NS092597, K12NS098482, K08NS119800, R01NS034774 and R01NS117150), an NIH director’s pioneer award (grant DP1NS111132), the Robert J. and Helen C. Kleberg Foundation, the Stanford Maternal and Child Health Research Institute, Stanford Bio-X, Cancer Research UK, the American Epilepsy Society, the CURE Epilepsy Foundation, and the Child Neurology Foundation. Monje is on the scientific advisory board of Cygnal Therapeutics. The authors have no other competing interests. | 31 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
EEA UPCOMING ACTIVITIES As promised we list below the upcoming activities and programs, along with our ongoing offerings, categorized by membership groups and general audiences, divided by adult focus and youth and families focus. In the pages that follow we offer short descriptions of each offering and how you can join our services. When in doubt always contact our office! COMMON PROGRAMS (REACH OUT TO BOTH AGE GROUPS) NEWSLETTER WEBSITE VOLUNTEER OPPORTUNITIES EEA INFORMATION BOOKLETS REGULAR EMAIL UPDATES ON VIDEO RESOURCES UPCOMING OPPORTUNITIES, MEDICAL SOCIAL EVENTS (JUNE AND DECEMBER 2022) NEWS AND EVENTS SOCIAL MEDIA DAILY POSTS QUILT DONATION PROGRAM ADULT FOCUS YOUTH AND FAMILIES' FOCUS SERVICES, PROGRAMS AND INITIATIVES SERVICES, PROGRAMS AND INITIATIVES HOBSCOTCH - memory coaching program, one-on- FAMILIES ONLINE CONVERSATIONS (FOCS) - online one, 8 weeks monthly meetings with families living with children TABLET LENDING PROGRAM - free access up to two diagnosed with epilepsy years, to digital tablet, along with individualized YOUTH FLOWER GARDEN - during the summer we training offer youth the chance to come and plant some EPILEPSY EDUCATIONAL WEBINARS - monthly flowers in the EEA backyard, and tend to them. webinars on a variety of topics - mainly aimed at KIDS ON THE BLOCK - our puppet show, offered adult audiences online and in person to teach younger kids about COMMUNITY GARDEN PROJECT - in person access epilepsy. to seeds, dirt and a garden plot at EEA office for KIDS UPFRONT - we connect with this agency to members offer access to events and experiences for member UPLIFT GROUP FOCUS PROGRAM - EEA adult families with children under the age of 18. members can register for this 8-week sessions KIDS WEBSITE - on March 26, 2022, we launched the program offered online by the Epilepsy Association www.epilepsyweb4kids.ca website, along with of Calgary raising funds for a number of initiatives under this INDIVIDUAL PHONE AND IN PERSON sessions for specific project, which focuses on explaining unique support. Call us any time and we will find epilepsy to kids, in kids terms and language. WE will answers for your epilepsy-related questions, start building original resources under this project, including connecting you with agencies which engaging with kids and youth, empowering them to specialize in unique offerings. tell their story in their own words. MENTORING - we train willing members to become GARRY HANNIGAN AND BRITTANY HUGHES mentors and connect them with other members in MEMORIAL LIFE ENHANCEMENT SCHOLARSHIPS - need, for one-on-one sessions, talking about epilepsy dedicated to youth in support of their sports, arts impact on someone's life. and creativity dreams! BETTER CHOICES-BETTER HEALTH (New) - starting mid-September 2022, we will be offering this chronic pain online group program, to learn about ways of Find our more about some of these coping with chronic disease and self-manage one's daily life challenges. programs in the following pages. For any EPILEPSY 101 - ON DEMAND WEBINARS AND IN- inquiries about any of these programs and PERSON SESSIONS - to teach about epilepsy! services, contact us via email at Offered free of charge to communities, centres and employers. info@edmontonepilepsy.org or call our EPILEPSY TRUST SCHOLARSHIP - for young adults office at 780-488-9600. We would love to enrolled in post-secondary programs. tell you more! EEA AWARDS - special recognition programs for volunteers and members. | 32 FOCUS ON EPILEPSY NEWSLETTER MAY | JUNE 2022
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