Dewi Schrader

MHSc, MBBS, FRCPC

Investigator, BC Children's Hospital
Neurologist, Pediatric Neurology, BC Children's Hospital

Epilepsy affects approximately 50 million people worldwide. Up to 30 per cent of patients with focal epilepsy have persistent, disabling seizures that are resistant to conventional treatment. Uncontrolled epilepsy is harmful to the brain, has devastating socio-economic consequences, and is associated with increased risk of injury and sudden death. Surgery is the most effective treatment for drug-resistant focal childhood epilepsy.

Magnetic resonance imaging (MRI) has revolutionized the evaluation and management of drug-resistant epilepsy by allowing the reliable detection of the structural lesion associated with certain focal epilepsies, thus leading to increased rates of successful resective surgery. Multiple studies have shown that the most important predictor for favorable post-surgical outcome is the complete resection of the abnormality detected on pre-operative MRI. However, despite technical improvements in MR hardware and sequences, in up to 50 percent of patients with drug-resistant focal epilepsy have a best-practice MRI that is unremarkable and thus unable to show the potential surgical target.

Our research focuses on the use of advanced MRI techniques to improve the understanding and treatment epilepsy due to focal lesions.

Academic Affiliations

  • Clinical Assistant Professor, , Department of Pediatrics, Faculty of Medicine, University of British Columbia
  • Research Theme: Brain, Behaviour & Development
  • Research Group(s): Visualizing the Brain

Contact Information

Location

4500 Oak St, Vancouver, BC, Canada, V6H 3N1

Changes in Gray Matter Morphology and White Matter Microstructure Across the Adult Lifespan in People With Temporal Lobe Epilepsy

Neurology

Chen, J. and Ngo, A. and Rodriguez-Cruces, R. and Royer, J. and Caligiuri, M.E. and Gambardella, A. and Concha, L. and Keller, S.S. and Cendes, F. and Yasuda, C.L. and Alvim, M.K.M. and Bonilha, L. and Gleichgerrcht, E. and Focke, N.K. and Kreilkamp, B.A.K. and Domin, M. and Von Podewils, F. and Langner, S. and Rummel, C. and Wiest, R. and Martin, P. and Kotikalapudi, R. and Bender, B. and O?Brien, T.J. and Sinclair, B. and Vivash, L. and Kwan, P. and Desmond, P. and Lui, E. and Duma, G.M. and Bonanni, P. and Ballerini, A. and Vaudano, A.E. and Meletti, S. and Tondelli, M. and Alhusaini, S. and Doherty, C.P. and Cavalleri, G. and Delanty, N. and Kalviainen, R. and Jackson, G.D. and Kowalczyk, M. and Mascalchi, M. and Semmelroch, M.K.H.G. and Thomas, R.H. and Soltanian-Zadeh, H. and Davoodi-Bojd, E. and Zhang, J. and Lenge, M. and Guerrini, R. and Bartolini, E. and Hamandi, K. and Foley, S. and R{\"u}ber, T. and Bauer, T. and Weber, B. and Caldairou, B. and Depondt, C. and Absil, J. and Carr, S.J.A. and Abela, E. and Richardson, M.P. and Devinsky, O. and Pardoe, H.R. and Severino, M. and Striano, P. and Tortora, D. and Kaestner, E. and Hatton, S.N. and Arienzo, D. and Vos, S.B. and Ryten, M. and Taylor, P.N. and Duncan, J.S. and Whelan, C.D. and Galovic, M. and Winston, G.P. and Thomopoulos, S.I. and Thompson, P.M. and Sisodiya, S.M. and Labate, A. and McDonald, C. and Caciagli, L. and Bernasconi, N. and Bernasconi, A. and Lariviere, S. and Schrader, D.V. and Bernhardt, B.C.

DOI: 10.1212/WNL.0000000000213688

What defines response to vagus nerve stimulation in children with drug-resistant epilepsy? A prospective cohort study from the CONNECTiVOS collaboration

Epilepsia

Niazi, F. and Mithani, K. and Suresh, H. and Wong, S.M. and Yau, I. and McRae, L. and Dinger, T.F. and Rutka, J.T. and Ochi, A. and Otsubo, H. and Weiss, S. and Sham, L. and Donner, E. and Chau, V. and Hadjinicolaou, A. and Major, P. and Weil, A.G. and Tailor, J. and Abel, T.J. and Remick, M. and Akwayena, E. and Schrader, D. and Bollo, R.J. and Smyth, M.D. and Aum, D. and Lew, S. and Wang, S. and Niazi, T. and Raskin, J.S. and Widjaja, E. and Weiner, H.L. and Gadgil, N. and LoPresti, M.A. and Albert, G.W. and Fallah, A. and Kerr, E. and Smith, M.L. and Jain, P. and Ibrahim, G.M.

DOI: 10.1111/epi.18520

PERSONALIZED BIOMARKERS OF MULTISCALE FUNCTIONAL ALTERATIONS IN TEMPORAL LOBE EPILEPSY

Biorxiv

Xie, K. and Sahlas, E. and Ngo, A. and Chen, J. and Arafat, T. and Royer, J. and Zhou, Y. and Rodr{\'i}guez-Cruces, R. and Dascal, A. and Caldairou, B. and Fadaie, F. and Barnett, A. and Audrain, S. and Larivi{\`e}re, S. and Caciagli, L. and Pana, R. and Weil, A.G. and Grova, C. and Frauscher, B. and Schrader, D.V. and Zhang, Z. and Concha, L. and Bernasconi, A. and Bernasconi, N. and Bernhardt, B.C.

DOI: 10.1101/2025.04.24.650457

A WORLDWIDE ENIGMA STUDY ON EPILEPSY-RELATED GRAY AND WHITE MATTER COMPROMISE ACROSS THE ADULT LIFESPAN

bioRxiv

Chen, J. and Ngo, A. and Rodrguez-Cruces, R. and Royer, J. and Caligiuri, M.E. and Gambardella, A. and Concha, L. and Keller, S.S. and Cendes, F. and Yasuda, C.L. and Alvim, M.K.M. and Bonilha, L. and Gleichgerrcht, E. and Focke, N.K. and Kreilkamp, B. and Domin, M. and von Podewils, F. and Langner, S. and Rummel, C. and Wiest, R. and Martin, P. and Kotikalapudi, R. and Bender, B. and O'Brien, T.J. and Sinclair, B. and Vivash, L. and Kwan, P. and Desmond, P.M. and Lui, E. and Duma, G.M. and Bonanni, P. and Ballerini, A. and Vaudano, A.E. and Meletti, S. and Tondelli, M. and Alhusaini, S. and Doherty, C.P. and Cavalleri, G.L. and Delanty, N. and Klviinen, R. and Jackson, G.D. and Kowalczyk, M. and Mascalchi, M. and Semmelroch, M. and Thomas, R.H. and Soltanian-Zadeh, H. and Davoodi-Bojd, E. and Zhang, J. and Lenge, M. and Guerrini, R. and Bartolini, E. and Hamandi, K. and Foley, S. and Rber, T. and Bauer, T. and Weber, B. and Caldairou, B. and Depondt, C. and Absil, J. and Carr, S.J.A. and Abela, E. and Richardson, M.P. and Devinsky, O. and Pardoe, H. and Severino, M. and Striano, P. and Tortora, D. and Kaestner, E. and Hatton, S.N. and Arienzo, D. and Vos, S.B. and Ryten, M. and Taylor, P.N. and Duncan, J.S. and Whelan, C.D. and Galovic, M. and Winston, G.P. and Thomopoulos, S.I. and Thompson, P.M. and Sisodiya, S.M. and Labate, A. and McDonald, C.R. and Caciagli, L. and Bernasconi, N. and Bernasconi, A. and Larivire, S. and Schrader, D. and Bernhardt, B.C.

DOI: 10.1101/2024.03.02.583073

Expanding the molecular and phenotypic spectrum of CTLA-4 insufficiency

Pediatric Allergy and Immunology

Duke, S. and Maiarana, J. and Yousefi, P. and Burks, E. and Gerrie, S. and Setiadi, A. and Amid, A. and Boerkel, C. and Erdle, S. and Guttman, O. and Kanani, A. and Lawrence, S. and Lee, A.F. and Pourshahnazari, P. and Rayar, M. and Rozmus, J. and Schrader, D. and Sharma, M. and Shopsowitz, K.E. and Tan, R. and To, F. and Yang, C. and Hildebrand, K.J. and James, E. and Turvey, S.E. and Markle, J.G. and Biggs, C.M.

DOI: 10.1111/pai.14077

Associations of Cerebral Blood Flow Patterns with Gray and White Matter Structure in Patients with Temporal Lobe Epilepsy

Neurology

Ngo, A. and Royer, J. and Rodriguez-Cruces, R. and Xie, K. and Dekraker, J. and Auer, H. and Tavakol, S. and Lam, J. and Schrader, D.V. and Dudley, R.W.R. and Bernasconi, A. and Bernasconi, N. and Frauscher, B. and Lariviere, S. and Bernhardt, B.C.

DOI: 10.1212/WNL.0000000000209528

Cerebral perfusion alterations in temporal lobe epilepsy: Structural underpinnings and network disruptions

Alexander Ngo and Jessica Royer and Ral Rodrguez-Cruces and Ke Xie and Jordan DeKraker and Hans Auer and Shahin Tavakol and Jack Lam and Dewi Schrader and Roy W. R. Dudley and Andrea Bernasconi and Neda Bernasconi and Birgit Frauscher and Sara Larivire and Boris C. Bernhardt

DOI: 10.1101/2023.08.22.553552

08 / 2023

Multimodal mapping of regional brain vulnerability to focal cortical dysplasia

Brain

Lee, H.M. and Hong, S.-J. and Gill, R. and Caldairou, B. and Wang, I. and Zhang, J.-G. and Deleo, F. and Schrader, D. and Bartolomei, F. and Guye, M. and Cho, K.H. and Barba, C. and Sisodiya, S. and Jackson, G. and Hogan, R.E. and Wong-Kisiel, L. and Cascino, G.D. and Schulze-Bonhage, A. and Lopes-Cendes, I. and Cendes, F. and Guerrini, R. and Bernhardt, B. and Bernasconi, N. and Bernasconi, A.

DOI: 10.1093/brain/awad060

All hands on deck: A multidisciplinary approach to SARS-CoV-2-associated MIS-C,Tout le monde sur le pont: une approche multidisciplinaire du SRAS-CoV-2 associe au SIME

Paediatrics and Child Health (Canada)

Lopez, A.A. and Patel, M. and Rayment, J.H. and Tam, H. and Roberts, A. and Laskin, S. and Ahmed, M.A. and Barakauskas, V. and Galanis, E. and Goldfarb, D. and Halparin, J. and Harris, K.C. and Kissoon, N. and Lawrence, S. and Mcguffin, D. and Meckler, G. and Noel, K. and Schrader, D. and Sherwood, M. and Singh, A. and Vercauteren, S. and Tucker, L. and Biggs, C.M.

DOI: 10.1093/pch/pxac018

KCNQ2 R144 variants cause neurodevelopmental disability with language impairment and autistic features without neonatal seizures through a gain-of-function mechanism

eBioMedicine

Miceli, F. and Millevert, C. and Soldovieri, M.V. and Mosca, I. and Ambrosino, P. and Carotenuto, L. and Schrader, D. and Lee, H.K. and Riviello, J. and Hong, W. and Risen, S. and Emrick, L. and Amin, H. and Ville, D. and Edery, P. and de Bellescize, J. and Michaud, V. and Van-Gils, J. and Goizet, C. and Willemsen, M.H. and Kleefstra, T. and M?ller, R.S. and Bayat, A. and Devinsky, O. and Sands, T. and Korenke, G.C. and Kluger, G. and Mefford, H.C. and Brilstra, E. and Lesca, G. and Milh, M. and Cooper, E.C. and Taglialatela, M. and Weckhuysen, S.

DOI: 10.1016/j.ebiom.2022.104130

All hands on deck: A multidisciplinary approach to SARS-CoV-2-associated MIS-C

Paediatrics and Child Health (Canada)

Lopez, A.A. and Patel, M. and Rayment, J.H. and Tam, H. and Roberts, A. and Laskin, S. and Tucker, L. and Biggs, C.M. and Ahmed, M.A. and Barakauskas, V. and Galanis, E. and Goldfarb, D. and Halparin, J. and Harris, K.C. and Kissoon, N. and Lawrence, S. and McGuffin, D. and Meckler, G. and Noel, K. and Schrader, D. and Sherwood, M. and Singh, A. and Vercauteren, S.

DOI: 10.1093/pch/pxab110

Connectomic profiling and Vagus nerve stimulation Outcomes Study (CONNECTiVOS): A prospective observational protocol to identify biomarkers of seizure response in children and youth

BMJ Open

Siegel, L. and Yan, H. and Warsi, N. and Wong, S. and Suresh, H. and Weil, A.G. and Ragheb, J. and Wang, S. and Rozzelle, C. and Albert, G.W. and Raskin, J. and Abel, T. and Hauptman, J. and Schrader, D.V. and Bollo, R. and Smyth, M.D. and Lew, S.M. and Lopresti, M. and Kizek, D.J. and Weiner, H.L. and Fallah, A. and Widjaja, E. and Ibrahim, G.M.

DOI: 10.1136/bmjopen-2021-055886

Seizure action plans in the pediatric population with epilepsy: Uptake, determinants, and parental interest in a mobile application

Epilepsy and Behavior

Chiu, M. and Peinhof, S. and De Guzman, C. and Borhani, M. and Siu, C. and Kuzeljevic, B. and Schrader, D. and Huh, L. and Connolly, M.B.

DOI: 10.1016/j.yebeh.2021.107860

Multicenter Validation of a Deep Learning Detection Algorithm for Focal Cortical Dysplasia

Neurology

Gill, R.S. and Lee, H.-M. and Caldairou, B. and Hong, S.-J. and Barba, C. and Deleo, F. and D'Incerti, L. and Mendes Coelho, V.C. and Lenge, M. and Semmelroch, M. and Schrader, D.V. and Bartolomei, F. and Guye, M. and Schulze-Bonhage, A. and Urbach, H. and Cho, K.H. and Cendes, F. and Guerrini, R. and Jackson, G. and Hogan, R.E. and Bernasconi, N. and Bernasconi, A.

DOI: 10.1212/WNL.0000000000012698

ILAE Neuroimaging Task Force Highlight: harnessing optimized imaging protocols for drug-resistant childhood epilepsy

Epileptic Disorders

Larivire, S. and Federico, P. and Chinvarun, Y. and Jackson, G. and Morgan, V. and Rampp, S. and Vaudano, A.E. and Wang, I. and Cendes, F. and Boelman, C.G. and Bernasconi, A. and Bernasconi, N. and Bernhardt, B.C. and Schrader, D.V.

DOI: 10.1684/epd.2021.1312

Rapid Implementation of Virtual Health in a Pediatric Neurology Practice During COVID-19.

The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques

Lee J and Schrader D and Boelman C and Huh L and Connolly MB

DOI: 10.1017/cjn.2020.241 PubMed: 33148364

11 / 2020

Functional connectome contractions in temporal lobe epilepsy: Microstructural underpinnings and predictors of surgical outcome

Epilepsia

Larivire, S. and Weng, Y. and Vos de Wael, R. and Royer, J. and Frauscher, B. and Wang, Z. and Bernasconi, A. and Bernasconi, N. and Schrader, D.V. and Zhang, Z. and Bernhardt, B.C.

DOI: 10.1111/epi.16540

Multiscale Structure-Function Gradients in the Neonatal Connectome

Cerebral Cortex

Larivire, S. and Vos De Wael, R. and Hong, S.-J. and Paquola, C. and Tavakol, S. and Lowe, A.J. and Schrader, D.V. and Bernhardt, B.C.

DOI: 10.1093/cercor/bhz069

GP.04 Prevalence and determinants of seizure action plans in a pediatric epilepsy population

Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques

M Chiu and S Peinhof and M Borhani and C DeGuzman and C Siu and B Kuzeljevic and D Schrader and L Huh and MB Connolly

DOI: 10.1017/cjn.2019.80

06 / 2019

Targeting age-related differences in brain and cognition with multimodal imaging and connectome topography profiling

Human Brain Mapping

Lowe, A.J. and Paquola, C. and Vos de Wael, R. and Girn, M. and Lariviere, S. and Tavakol, S. and Caldairou, B. and Royer, J. and Schrader, D.V. and Bernasconi, A. and Bernasconi, N. and Spreng, R.N. and Bernhardt, B.C.

DOI: 10.1002/hbm.24767

Functional connectome contractions in temporal lobe epilepsy: Microstructural underpinnings and associations to surgical outcome

bioRxiv

Larivire, S. and Weng, Y. and de Wael, R.V. and Frauscher, B. and Wang, Z. and Bernasconi, A. and Bernasconi, N. and Schrader, D.V. and Zhang, Z. and Bernhardt, B.C.

DOI: 10.1101/756494

Brain morphometry: Epilepsy

Neuromethods

Schrader, D.S. and Bernasconi, N. and Bernasconi, A.

DOI: 10.1007/978-1-4939-7647-8_18

Multimodal MRI profiling of focal cortical dysplasia type II

Neurology

Hong, S.-J. and Bernhardt, B.C. and Caldairou, B. and Hall, J.A. and Guiot, M.C. and Schrader, D. and Bernasconi, N. and Bernasconi, A.

DOI: 10.1212/WNL.0000000000003632

Whole-brain MRI phenotyping in dysplasia-related frontal lobe epilepsy

Neurology

Hong, S.-J. and Bernhardt, B.C. and Schrader, D.S. and Bernasconi, N. and Bernasconi, A.

DOI: 10.1212/WNL.0000000000002374

MRI-based lesion profiling of epileptogenic cortical malformations

Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)

Hong, S.-J. and Bernhardt, B.C. and Schrader, D. and Caldairou, B. and Bernasconi, N. and Bernasconi, A.

DOI: 10.1007/978-3-319-24571-3_60

Automated detection of cortical dysplasia type II in MRI-negative epilepsy

Neurology

Hong, S.-J. and Kim, H. and Schrader, D. and Bernasconi, N. and Bernhardt, B.C. and Bernasconi, A.

DOI: 10.1212/WNL.0000000000000543

4D CT angiography more closely defines intracranial thrombus burden than single-phase CT angiography

American Journal of Neuroradiology

Frlich, A.M.J. and Schrader, D. and Klotz, E. and Schramm, R. and Wasser, K. and Knauth, M. and Schramm, P.

DOI: 10.3174/ajnr.A3533

Advances in MRI for 'cryptogenic' epilepsies

Nature Reviews Neurology

Bernasconi, A. and Bernasconi, N. and Bernhardt, B.C. and Schrader, D.

DOI: 10.1038/nrneurol.2010.199

Epilepsy with occipital features in children: Factors predicting seizure outcome and neuroimaging abnormalities

European Journal of Paediatric Neurology

Schrader, D. and Shukla, R. and Gatrill, R. and Farrell, K. and Connolly, M.

DOI: 10.1016/j.ejpn.2010.08.005

Cingulate lesions presenting with epileptic spasms

Journal of Clinical Neurophysiology

Schrader, D. and Langill, L. and Singhal, A. and Steinbok, P. and Connolly, M.B.

DOI: 10.1097/WNP.0b013e3181baaacf

Urgent, resective surgery for medically refractory, convulsive status epilepticus

European Journal of Paediatric Neurology

Schrader, D.V. and Steinbok, P. and Connolly, M.

DOI: 10.1016/j.ejpn.2008.01.011

The role of neurosurgery in status epilepticus

Neurocritical Care

Ng, Y.-T. and Bristol, R.E. and Schrader, D.V. and Smith, K.A.

DOI: 10.1007/s12028-007-0038-4

Identification and characterization of two neurogenic zones in interface organotypic hippocampal slice cultures

Neuroscience

Chechneva, O. and Dinkel, K. and Schrader, D. and Reymann, K.G.

DOI: 10.1016/j.neuroscience.2005.07.058

Connectome-informed simulations of pediatric epilepsy surgery

Background

Surgery is the most effective treatment for drug-resistant childhood epilepsy. Yet, ~30 per cent of patients show post-surgical seizure recurrence and many suffer from cognitive side effects. So far, an outcome cannot be reliably predicted for a given patient prior to intervention.

Objectives

1) Integrate preoperative MRI markers and data on the actual surgery for more effective prediction;

2) analyze brain change from pre- to postoperative time points, mapping alterations of non-resected areas; 3) simulate network reorganization using connectome models.
Hypothesis. Combining preoperative markers of patient anatomy with with models that simulate consequences of surgery will yield high accuracy in predicting clinical and cognitive outcomes.

Methods

In children that will undergo epilepsy surgery, we will obtain MRI and neurocognitive data shortly before surgery, 6 months after surgery (and 12 months after surgery. We will overlay resection extent (from postoperative MRI) with preoperative MRI features (atrophy, gliosis, myelin), testing whether anomalies outside the resection margin predict seizure relapse. In addition, fMRI pattern analysis will localize regions critical for language/memory function, testing whether their resection relates to postoperative cognitive decline. Mixed-effects models will map MRI feature change, assessing surgical consequences. Connectome-based models will be devised to predict downstream degeneration and functional reorganization after surgery in non-resected areas. Supervised learners will predict outcomes based on preoperative data and simulations.

Expected Results

Empirical studies on surgical consequences will help build effective in silico models that optimize outcome prediction, improving clinical decision-making in >10,000 children with drug-resistant seizures in Canada.
Improved detection of Focal Cortical Dysplasia.
Focal cortical dysplasia (FCD) is the most common cause of surgically-treatable, extra-temporal epilepsy. Unfortunately, the findings of FCD on MRI are often subtle and can be easily overlooked. We are using advanced MRI techniques to improve the detection of focal cortical dysplasia, allowing us to offer the life changing benefits of epilepsy surgery to more patients.

Grants

SickKids Foundation - New Investigator Grant 2016 "Connectome informed simulations of pediatric epilepsy surgery"

Related News

Every day, our researchers work towards breakthroughs to transform the lives of kids in BC and around the world. Learn about our latest innovations and advancements in child health.

Our Research

At BC Children’s, we are making discoveries that save lives and transform health care for children in our province and around the world. Our research portfolio includes basic, clinical, population, and public health research.

EXPLORE OUR RESEARCH

Stay in the Know

Sign up for compelling stories about innovative science, the doctors and researchers who turn ideas into discoveries and treatments, and the kids and families whose lives are changed.

This field is for validation purposes and should be left unchanged.