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SPECIAL FEATURE Neurological Surgery, P.C. N EUROLOGICAL SURGERY, P.C. providers El izabeth M. Trinidad, M.D.; John A. Grant, M.D., FACS; and Zachariah M. George, M.D., are all fellowship trained, affiliated with area hospitals, and provide expert neurosurgi- cal care for pediatric patients in the Long Island area. As Dr. Trinidad explains, most con- genital problems manifest in childhood, yet a limited number of hospitals are equipped with infrastructure to handle pediatric patients who present with the symptoms of these disorders. The sym- biotic relationship established between affiliated hospitals and Neurological Surgery, P.C. allows partnering hospi- tals access to expert pediatric care for their patients, while the neurosurgery practice's pediatric neurosurgeons gain access to consultants, intensive care units (ICUs) and, in the instances where a pediatric infrastructure exists, pediatric subspecialists. Dr. Trinidad notes that physicians within Neurological Surgery, P.C. also consult one another to benefit from their colleagues' areas of expertise. Specialists at Neurological Surgery, P.C. are trained to provide care for the full gamut of neurological conditions. Because it is not a freestanding pediatric institution, providers have the latitude to treat patients from infancy to adulthood. A child suffering from a neurological con- dition may be cared for by Neurological Surgery, P.C. physicians for his or her entire life. Options for Epilepsy Treatment According to the Epilepsy Foundation, epilepsy affects 2.2 million Americans, of which more than 300,000 are children younger than age 15. Dr. Trinidad, a general and pediatric neurosurgeon, typically sees advanced epileptic patients Zachariah M. George, M.D; Elizabeth M. Trinidad, M.D.; and John A. Grant, M.D., FACS, confer. Completing the Pediatric Care Continuum AT 10 LOCATIONS IN NASSAU AND SUFFOLK COUNTIES, MANHATTAN AND QUEENS, NEUROLOGICAL SURGERY, P.C. PROVIDES PEDIATRIC PATIENTS ADVANCED SURGICAL AND NONSURGICAL TREATMENTS FOR A WIDE RANGE OF NEUROLOGICAL CONDITIONS FROM EPILEPSY TO BRAIN TUMORS. whose seizures do not respond to medica- tion therapy. As part of initial evaluation, Dr. Trinidad employs an ambulatory electroencephalogram (EEG) to gather information about the origin of a patient's seizures. If that information is not suffi- cient for diagnosis, she checks the patient into the hospital to conduct an EEG test in conjunction with video surveillance. This approach enables the source of the seizures to be identified, and recorded symptoms can be correlated with the electrographic pattern of discharge. "If it gets to the next stage and epilep- tologists feel the patient is a candidate for surgical resection, then they see me," Dr. Trinidad says. "I can be part of their evaluation and analyze the findings to see what more we can do." Dr. Trinidad provides surgical inter- vention for patients whose EEGs show points of origination, such as temporal lobe hyperactivity or an identifiable