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Neurology

Houston, Texas

The Cullen Building at Baylor College of Medicine.
Department of Neurology
not shown on screen

Richard A. Hrachovy, M.D.

Professor of Neurology

Head, Peter Kellaway Section of Neurophysiology

Program Director, Clinical Neurophysiology Residency Program, Baylor College of Medicine

Director, Baylor Comprehensive Epilepsy Center

Medical Director, Neurophysiology Laboratory, St. Luke's Episcopal Hospital

Regional Director, Southwest Epilepsy Center of Excellence, Department of Veterans Affairs

Site Director, Southwest Epilepsy Center of Excellence, Michael E. DeBakey Veterans Affairs Medical Center

Deputy Executive, Neurology Care Line, Michael E. DeBakey Veterans Affairs Medical Center

Clinical Service Area

Neurology

Specialty

Epilepsy
Clinical Neurophysiology
Seizure Disorders

Board Certification

American Board of Psychiatry and Neurology, Neurology
American Board of Psychiatry and Neurology, Clinical Neurophysiology

Medical School

M.D., University of Texas Medical Branch Hospitals at Galveston, Texas

Residency

Neurology, University of Texas Medical Branch at Galveston, Texas

Clinical Fellowship

Neurophysiology, Baylor College of Medicine, Houston, Texas

Clinic Location

Michael E. DeBakey VA Medical Center
2002 Holcombe Blvd.
Houston, Texas 77030

Clinical Interests

Clinical neurophysiology, electroencephalography, epilepsy, neonatal seizures, infantile spasms

Contact Information

Richard A. Hrachovy, M.D.
Department of Neurology
Baylor College of Medicine
One Baylor Plaza, MS NB302
Houston, Texas 77030

Tel: 713-798-0980
Fax: 713-798-0984
Email:

Journal Publications (Selected out of 65)

  • Frost JD, Jr, Lee CL, Hrachovy RA, Swann JW. High frequency EEG activity associated with ictal events in an animal model of infantile spasms. Epilepsia. 2011;52(1):53-62. [View journal article]
  • Pellock JM, Hrachovy R, Shinnar S, Baram TZ, Bettis D, Dlugos DJ, et al. Infantile spasms: a U.S. consensus report. Epilepsia. 2010;51(10):2175-89. [View journal article]
  • Lee CL, Frost JD, Jr, Swann JW, Hrachovy RA. A new animal model of infantile spasms with unprovoked persistent seizures. Epilepsia. 2008;49(2):298-307. [View journal article]
  • Frost JD, Jr, Hrachovy RA. Pathogenesis of infantile spasms: a model based on developmental desynchronization. J Clin Neurophysiol. 2005;22(1):25-36. [View journal article]
  • Hrachovy RA, Frost JD, Jr, Glaze DG. Coupling of focal electrical seizure discharges with infantile spasms: incidence during long-term monitoring in newly diagnosed patients. J Clin Neurophysiol. 1994;11(4):461-4. [View journal article]
  • Hrachovy RA, Frost JD, Jr, Glaze DG. High-dose, long-duration versus low-dose, short-duration corticotropin therapy for infantile spasms. J Pediatr. 1994;124(5 Pt 1):803-6. [View journal article]
  • Hrachovy RA, Glaze DG, Frost JD, Jr. A retrospective study of spontaneous remission and long-term outcome in patients with infantile spasms. Epilepsia. 1991;32(2):212-4. [View journal article]
  • Hrachovy RA, Frost JD, Jr, Kellaway P. Hypsarrhythmia: variations on the theme. Epilepsia. 1984;25(3):317-25. [View journal article]
  • Hrachovy RA, Frost JD, Jr, Kellaway P, Zion TE. Double-blind study of ACTH vs prednisone therapy in infantile spasms. J Pediatr. 1983;103(4):641-5. [View journal article]
  • Hrachovy RA, Frost JD, Jr, Kellaway P. Sleep characteristics in infantile spasms. Neurology. 1981;31(6):688-93. [View journal article]

Books and Volumes

  • Mizrahi EM, Hrachovy RA, Kellaway P, Stockard-Pope JE. Atlas of neonatal electroencephalography. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2004.
  • Frost JD, Jr, Hrachovy RA. Infantile spasms: diagnosis, management, and prognosis. Boston: Kluwer Academic Publishers; 2003.

Book Chapters and Other Publications (Selected out of 25)

  • Mizrahi EM, Moshe SL, Hrachovy RA. Normal EEG and sleep: preterm and term neonates. In: Schomer DL, Lopes da Silva F, editors. Niedermeyer's electroencephalography: Basic principles, clinical applications, and related fields. 6th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins; 2011. p. 153-162.
  • Hrachovy RA. Electroencephalography. In: Rolak LA, editor. Neurology secrets. 5th ed. Philadelphia: Mosby Elsevier; 2010. p. 403-427.
  • Hrachovy RA, Frost JD, Jr. Adrenocorticotropic hormone and steroids. In: Engel J, Jr, Pedley TA, editors. Epilepsy - a comprehensive textbook. 2nd ed. Philadelphia: Wolters Kluwer | Lippincott Williams & Wilkins; 2008. p. 1519-1529.
  • Hrachovy RA, Frost JD, Jr. Severe encephalopathic epilepsy in infants: infantile spasms (West syndrome). In: Pellock JM, Bourgeois BFD, Dodson WE, editors. Pediatric epilepsy: diagnosis and therapy. 3rd ed. New York: Demos; 2008. p. 249-268.
  • Hrachovy RA, Frost Jr JD. Infantile spams. In: Chapman K, Roberts C, Rho JM, editors. Pediatric epilepsy case studies: From infancy and childhood through adolescence. Boca Ratan, FL: CRC Press, Taylor & Francis Group; 2008. p. 109-116.
  • Hrachovy RA. Development of the normal EEG. In: Levin K, Luders H, editors. Comprehensive clinical neurophysiology. Philadelphia: WB Saunders Co.; 2000. p. 387-413.
  • Hrachovy RA, Frost JD, Jr. Infantile spasms. In: Dam M, Gram L, editors. Comprehensive epileptology. New York: Raven Press; 1990. p. 113-121.
  • Hrachovy RA, Mizrahi EM, Kellaway P. Electroencephalography of the newborn. In: Daly DD, Pedley TA, editors. Current practice of clinical electroencephalography. 2nd ed. New York: Raven Press; 1990. p. 201-242.
  • Kellaway P, Mizrahi EM, Hrachovy RA. Seizures of newborns and infants. In: Wada JA, Ellingson RJ, editors. Clinical neurophysiology of epilepsy. EEG handbook. Amsterdam: Elsevier Science Publishers BV; 1990. p. 311-330.
  • Hrachovy RA, Frost JD, Jr. Infantile spasms: a disorder of the developing nervous system. In: Kellaway P, Noebels JL, editors. Problems and concepts in developmental neurophysiology. Baltimore: Johns Hopkins University Press; 1989. p. 131-147.

Poster and Platform Presentations (Selected out of 14)

  • Pacheco V, Cherian V, Izadyar S, Hrachovy R. Can EEG sampling be used as an effective tool for detecting clinically significant seizures? Presented at the American Clinical Neurophysiology Society (ACNS), 2012 Annual Meeting in San Antonio, Texas (Feb. 7-12, 2012).
  • Izadyar S, Franks R, Chen DK, Hrachovy RA. Intact vs. impaired ictal sensorium: Does it affect outcome of psychogenic nonepileptic events following disclosure of diagnosis. Abstract No 1.074, 2011, American Epilepsy Society Annual Meeting, www.aesnet.org [View poster]
  • Livesay S, Bershad E, Suarez J, Hrachovy R, Manian P, Herlihy JP, et al. Clinical utility of continuous electroencephalogram (CEEG) monitoring in hypothermia after cardiac arrest. Neurocrit Care. 2011;15:S42.
  • Izadyar S, Chen D, Collins R, Benge J, LeMaire A, Hrachovy R. Induction of psychogenic non-epileptic events: Success rates vary with ictal semiology and neuropsychological profile. Abstract No 1.346, 2010, American Epilepsy Society Annual Meeting, www.aesnet.org. [View poster]
  • Izadyar S, Friedman D, Pacheco V, Hrachovy R. Comparison of detection rates of non-convulsive status epilepticus and non-convulsive seizure in critically ill patients using routine EEG and continuous EEG in a busy county and a private hospital. Neurology. 2010;74(9 Suppl 2):A29. [View poster]
  • Frost JD, Lee CL, Hrachovy RA, Swann JW. High frequency EEG activity associated with ictal events in the TTX model of infantile spasms. Epilepsia. 2009;50(Suppl 11):28-9.
  • Mizrahi EM, Frost JD, Jr., Friedman DE, Hrachovy RA, Slater JD. Assessment of acute mild traumatic brain injury by quantitative EEG analysis — Mission Connect: Mild Traumatic Brain Injury Translational Research Consortium — The Integrated Clinical Protocol: Neurophysiology Core. Presented at the US Department of Defense, Military Health Research Forum 2009 in Kansas City, Mo. (Aug. 31 - Sept. 3, 2009). [View poster]
  • Lee CL, Antalffy B, Frost JD Jr, Hrachovy RA, Swann JW. Persistent focal neocortical abnormalities in the TTX model of infantile spasms. Epilepsia. 2007;48(Suppl 6):295.
  • Goldman AM, Burgess DL, Gibbs RA, Chapman KE, Wilfong AA, Hrachovy RA, et al. The prevalence of inter-ictal cardiac arrhythmias and LQT gene variants in patients with idiopathic epilepsy. Epilepsia. 2006;47(Suppl 4):366-7.
  • Lee CL, Frost JD Jr, Swann JW, Hrachovy RA. Neonatal blockade of cortical or hippocampal activity: A possible model of infantile spasms. Epilepsia. 2006;47(Suppl 4):223-4.

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