New Onset Seizure Center

The Epilepsy Program at Monmouth Neuroscience Institute now offers a specialized center for patients who have experienced a recent seizure or seizure-like episode.

The New Onset Seizure Center now gives patients rapid access to epilepsy specialists and the most accurate diagnostic techniques available.

As a result, patients receive advanced epilepsy care within a week of their diagnosis.

seizure physician

The center is designed to provide prompt access to epilepsy specialists who are trained to immediately interpret diagnostic studies, make medication decisions, and (if necessary) arrange for timely referral to an epilepsy monitoring unit, which can lead to more comprehensive evaluations, including evaluations for epilepsy surgery.

seizure EEG

Delays in accurate diagnosis and appropriate treatment of epilepsy can result in memory deficits, and loss of the ability to work and drive.

Patients who see an epilepsy specialist early in their treatment are more likely to be prescribed medication suited to their current and future needs.


Our certified epilepsy center provides state-of-the-art diagnostic and therapeutic expertise in all aspects of:

You can download a referral form on-line or call 732 923 5576 to schedule an appointment.


New Onset Seizure Center Key Physicians:

Joshua T Mendelson, MD

Vicki E. Raab, MD


How it works:

Monmouth’s New Onset Seizure Center provides rapid out-patient evaluation and treatment of patients presenting with new onset seizures referred directly from the emergency department or from their primary care physicians’ office.

A seizure (or fit) is a sudden episode of transient neurologic symptoms such as involuntary muscle movements, sensory disturbances and altered consciousness, caused by abnormal electrical activity in the brain.  Epilepsy is a brain disorder in which a person has repeated seizures over time.  A new onset seizure is defined as a seizure occurring in a patient who does not have a history of previous seizures or epilepsy. Epilepsy can be caused by stroke, dementia, traumatic brain injury, CNS Infections, congenital brain defects, brain tumors, abnormal blood vessels in the brain, and/or use of certain medications (including antidepressants, tramadol, cocaine, and amphetamines)  Seizure patients need a thorough evaluation to determine the cause and prognosis of their seizures, and make the complex decisions about the most appropriate interventions to prevent future episodes and improve outcomes and quality of life.  These are difficult decisions best made by certified epilepsy specialists and not during an emergency room visit. 


The New Onset Seizure Center allows seizure patients to get an expedited evaluation by an epilepsy specialist before committing to any decisions about medication choices and the need for further testing.

 epilepsy vEEG

Patients seen in the Emergency Room or their doctor’s office with a new onset seizure can now be sent home, with certain precautions, safe and secure in the knowledge that they can be seen by an appropriate specialists within a week, improving the quality of their care and avoiding unnecessary hospitalization.


The center is located in Monmouth’s brand new Neuroscience Clinic Space.  Patients first undergo a brief screening visit with our neuroscience nurse practitioner.  They will then undergo a routine diagnostic electroencephalogram and brain magnetic resonance imaging study.  Once these tests have been completed, all patients will be evaluated by one of the center’s certified epilepsy specialists for consultation and disposition, which might include initiation or adjustment of medications and/or other investigations to be arranged for another day such as video EEG monitoring.


The center is available for any patient aged 16 or older who has experienced a new onset seizure within the last 2 weeks and who does not have a known epilepsy diagnosis or already follow with a neurologist.  All we ask is that patients are referred by a doctor, so that we can be sure the center is the right place for that patient to be seen.  Obviously, patients who are actively experiencing seizures or who are medically unstable should be taken to the nearest Emergency Department right away and not wait for an appointment to be seen in our center.  



Find Out More:

Download a Referral Form:

Seizures vs. epilepsy

Monmouth’s certified epilepsy center

Monmouth’s epilepsy monitoring unit

The Epilepsy Foundation

The National Association of Epilepsy Centers

American Epilepsy Society

National Epilepsy Society


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