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https://mychart.wellstar.org/mychart/signupandschedule/embeddedschedule?vt=1003&id=1326131467&view=plain

Thomas Holmes, MD

Specialties

Neurology

Education & Training

Doctor of Medicine

Thomas Holmes, MD

Neurologist with Wellstar since 2006.

Specialties

Neurology

Education & Training

Doctor of Medicine

Neurologist with Wellstar since 2006
  • Member of the Wellstar Medical Group A friendly headshot of Thomas Holmes, MD Thomas Holmes, MD
  • Office Locations
  • Expertise
  • Patient Reviews
  • Publications & Articles

Office Locations


Expertise

About Thomas Holmes, MD

Dr. Thomas Holmes received his medical degree from the Duke University School of Medicine and completed his neurology residency at Massachusetts General Hospital and Brigham and Women’s hospitals through Harvard University. He also completed his fellowship at Emory University Hospital in Neurophysiology with an emphasis in Epilepsy.

Dr. Holmes is board certified by the American Board of Psychiatry and Neurology in both Neurology and Clinical Neurophysiology. He serves as the Director of Neurodiagnostics for Wellstar Health System, and he oversaw Wellstar Kennestone Regional Medical Center's accreditation by the National Association of Epilepsy Centers as a level three epilepsy center. He has been recognized by Atlanta Magazine as a Top Doctor in Atlanta for the past several years. He is currently seeing patients as part of Wellstar Marietta Neurology and Headache Center.

Specialties

  • Neurology

Education & Training

  • Duke University School of Medicine

Degree

  • Doctor of Medicine

Residency

  • Brigham and Women's Hospital

Fellowship

  • Emory University School of Medicine

Certifications

  • American Board of Psych/Neurology - Neuro

Hospital Affiliations

  • Wellstar Kennestone Hospital
  • Wellstar Windy Hill Hospital
  • Wellstar Cobb Hospital
  • Wellstar Douglas Hospital
  • Wellstar Paulding Medical Center
  • Wellstar North Fulton Hospital
  • Wellstar Spalding Regional Hospital
  • Wellstar Sylvan Grove Hospital
  • Wellstar West Georgia Medical Center

Languages spoken

  • English

Common Treatments, Conditions, and Procedures

  • Brain Tumor
  • Dystonia
  • Multiple Sclerosis
  • Parkinson's Disease
  • Speech Problems

Patient Reviews

Overall patient rating

4.9

Based on 983 patient ratings

I'd recommend this provider to family and friends
Listened to me carefully
I'd recommend this practice to family and friends
Earned my trust
Shared the right amount of information

All reviews have been submitted by patients after seeing the provider.For more information about the review system, check out this Learn more about our review system.

Patient Reviews

5

They have no appts left when the dr wants a follow up so I had to make a appointment at a office quite a bit farther away from my home to get one as the dr wants one scheduled.

September 29, 2025

5

Dr. Holmes and staff do a great job taking care of their patients.

September 28, 2025

5

Dr. Holmes was excellent. He listened attentively to concerns and addressed each one thoughtfully and carefully.

September 28, 2025

5

Dr Holmes is a super Doctor. Helped me greatly after a stroke several years ago. I was lucky to have him as a Doctor.

September 27, 2025

5

I have used Dr Holmes for years and I am pleased with the service I receive from him and his staff.

September 27, 2025

4

Very rushed. Didn't get to ask/discuss an issue I wanted to discuss.

September 26, 2025

5

My healthcare provider is an extremely excellent knowledgeable, caring, compassionate physician. He listens, he shares his professional knowledge and has definitely helped me to learn and understand the physical illness I am being confronted with. He is absolutely the GREATEST and I am truly grateful and blessed to have him as my physician.

September 25, 2025

5

Everything went very well.

September 24, 2025

5

Always great to see Dr Holmes!

September 22, 2025

5

Ist time seeing Dr Holmes and I liked him very much. He had previously gone over all medical history in Mychart and it was apparent. He listened to me and took notes. Was extremely impressed and am looking forward to having him help me treat my headaches. Highly recommend him!

September 22, 2025

5

Dr. Holmes is very kind and caring.

September 21, 2025

5

Friendly staff, great service. Thank you so much

September 25, 2025

5

Just love that Dr. Holmes always smiles.

September 21, 2025

5

Staff always friendly and respectful. Doctor listen 's and explain's.

September 19, 2025

5

I have been going to Dr. Holmes for many years, and I fully trust my health to his care.

September 19, 2025

5

It was a very pleasant experience, and they actually got me in almost a month early due to their cancellation list policy. So they were really good about moving me up when I asked them to be put on that cancellation list. So they called me. They actually called me one time, did not get me. They called me a second time for a second cancellation that was available, and I was able to take that. And the office staff is wonderful. I love the doctor. He was full of information and it was just a very good experience.

September 20, 2025

5

Dr. Holmes is very through and concerned about your situation. Victoria was very pleasant and she will be a wonderful asset to the medical profession..

September 15, 2025

5

And Dr. Holmes had a sense of humor. He was quite informed about my illness and he would listen and he would allow me an opportunity to express myself when I attempted to. I would recommend Dr. Holmes to any person who was in the position that I was that needed a neurologist. I think he's top drawer. As a matter of fact, if he was in the National Football League draft, he would be our number one draft choice. Thank you.

September 17, 2025

5

Dr Holmes is one of the best! So thankful he is our doctor!

September 13, 2025

5

From start to finish it was a great experience

September 12, 2025

5

Dr Holmes is awesome !!? He doesn't rush and always answers my questions! Victoria , his assistant, is always happy to see me !! I like her very much ! Always professional ! I'm super happy with this practice !!

September 13, 2025

5

Dr. Holmes is so very compassionate. He listens, cares, remembers who you are like an old friend. He is brilliant. He embodies all that Wellstar stands for. A true asset to the Wellstar system. Side note: my appointment was 815. The receptionist across the hall registered me early at 801, seen by person who roomed me at 803. Saw MD and even got labs drawn... walking out of the building at 818 (appointment was for 815!!!). What an exceptional experience. This office sets the bar for teamwork and efficiency. Speechless!

September 11, 2025

5

Love Dr Holmes and his assistant

September 10, 2025

5

Dr. Holmes spent plenty of time with us. My daughter came with me to the appointment, he took time and answered all of her questions and concerns. We both really like Dr. Holmes.

September 7, 2025

5

Dr. Thomas Holmes really listens and explains; very easy to talk to as well.

September 6, 2025

5

As a patient of Dr. Holmes for the past 13 years, he has my stroke issues at the forefront of my recovery. He is always looking at what he can do to make my stoke life better.

September 4, 2025

5

Prompt friendly courteous from staff to the doctor

August 31, 2025

5

The professional staff is very cordial and accommodating- Dr Thomas Holmes always answers all my questions

August 30, 2025

5

Very good.

August 30, 2025

5

good visit as always!!!!

August 30, 2025

5

They have no appts left when the dr wants a follow up so I had to make a appointment at a office quite a bit farther away from my home to get one as the dr wants one scheduled.

September 29, 2025

5

Dr. Holmes and staff do a great job taking care of their patients.

September 28, 2025

5

Dr. Holmes was excellent. He listened attentively to concerns and addressed each one thoughtfully and carefully.

September 28, 2025

5

Dr Holmes is a super Doctor. Helped me greatly after a stroke several years ago. I was lucky to have him as a Doctor.

September 27, 2025

5

I have used Dr Holmes for years and I am pleased with the service I receive from him and his staff.

September 27, 2025

5

My healthcare provider is an extremely excellent knowledgeable, caring, compassionate physician. He listens, he shares his professional knowledge and has definitely helped me to learn and understand the physical illness I am being confronted with. He is absolutely the GREATEST and I am truly grateful and blessed to have him as my physician.

September 25, 2025

5

Everything went very well.

September 24, 2025

5

Always great to see Dr Holmes!

September 22, 2025

5

Ist time seeing Dr Holmes and I liked him very much. He had previously gone over all medical history in Mychart and it was apparent. He listened to me and took notes. Was extremely impressed and am looking forward to having him help me treat my headaches. Highly recommend him!

September 22, 2025

5

Dr. Holmes is very kind and caring.

September 21, 2025

5

Friendly staff, great service. Thank you so much

September 25, 2025

5

Just love that Dr. Holmes always smiles.

September 21, 2025

5

Staff always friendly and respectful. Doctor listen 's and explain's.

September 19, 2025

5

I have been going to Dr. Holmes for many years, and I fully trust my health to his care.

September 19, 2025

5

It was a very pleasant experience, and they actually got me in almost a month early due to their cancellation list policy. So they were really good about moving me up when I asked them to be put on that cancellation list. So they called me. They actually called me one time, did not get me. They called me a second time for a second cancellation that was available, and I was able to take that. And the office staff is wonderful. I love the doctor. He was full of information and it was just a very good experience.

September 20, 2025

5

Dr. Holmes is very through and concerned about your situation. Victoria was very pleasant and she will be a wonderful asset to the medical profession..

September 15, 2025

5

And Dr. Holmes had a sense of humor. He was quite informed about my illness and he would listen and he would allow me an opportunity to express myself when I attempted to. I would recommend Dr. Holmes to any person who was in the position that I was that needed a neurologist. I think he's top drawer. As a matter of fact, if he was in the National Football League draft, he would be our number one draft choice. Thank you.

September 17, 2025

5

Dr Holmes is one of the best! So thankful he is our doctor!

September 13, 2025

5

From start to finish it was a great experience

September 12, 2025

5

Dr Holmes is awesome !!? He doesn't rush and always answers my questions! Victoria , his assistant, is always happy to see me !! I like her very much ! Always professional ! I'm super happy with this practice !!

September 13, 2025

5

Dr. Holmes is so very compassionate. He listens, cares, remembers who you are like an old friend. He is brilliant. He embodies all that Wellstar stands for. A true asset to the Wellstar system. Side note: my appointment was 815. The receptionist across the hall registered me early at 801, seen by person who roomed me at 803. Saw MD and even got labs drawn... walking out of the building at 818 (appointment was for 815!!!). What an exceptional experience. This office sets the bar for teamwork and efficiency. Speechless!

September 11, 2025

5

Love Dr Holmes and his assistant

September 10, 2025

5

Dr. Holmes spent plenty of time with us. My daughter came with me to the appointment, he took time and answered all of her questions and concerns. We both really like Dr. Holmes.

September 7, 2025

5

Dr. Thomas Holmes really listens and explains; very easy to talk to as well.

September 6, 2025

5

As a patient of Dr. Holmes for the past 13 years, he has my stroke issues at the forefront of my recovery. He is always looking at what he can do to make my stoke life better.

September 4, 2025

5

Prompt friendly courteous from staff to the doctor

August 31, 2025

5

The professional staff is very cordial and accommodating- Dr Thomas Holmes always answers all my questions

August 30, 2025

5

Very good.

August 30, 2025

5

good visit as always!!!!

August 30, 2025

4

Very rushed. Didn't get to ask/discuss an issue I wanted to discuss.

September 26, 2025

4

Very rushed. Didn't get to ask/discuss an issue I wanted to discuss.

September 26, 2025

5

They have no appts left when the dr wants a follow up so I had to make a appointment at a office quite a bit farther away from my home to get one as the dr wants one scheduled.

September 29, 2025

5

Dr. Holmes and staff do a great job taking care of their patients.

September 28, 2025

5

Dr. Holmes was excellent. He listened attentively to concerns and addressed each one thoughtfully and carefully.

September 28, 2025

5

Dr Holmes is a super Doctor. Helped me greatly after a stroke several years ago. I was lucky to have him as a Doctor.

September 27, 2025

5

I have used Dr Holmes for years and I am pleased with the service I receive from him and his staff.

September 27, 2025

5

My healthcare provider is an extremely excellent knowledgeable, caring, compassionate physician. He listens, he shares his professional knowledge and has definitely helped me to learn and understand the physical illness I am being confronted with. He is absolutely the GREATEST and I am truly grateful and blessed to have him as my physician.

September 25, 2025

5

Everything went very well.

September 24, 2025

5

Always great to see Dr Holmes!

September 22, 2025

5

Ist time seeing Dr Holmes and I liked him very much. He had previously gone over all medical history in Mychart and it was apparent. He listened to me and took notes. Was extremely impressed and am looking forward to having him help me treat my headaches. Highly recommend him!

September 22, 2025

5

Dr. Holmes is very kind and caring.

September 21, 2025

5

Friendly staff, great service. Thank you so much

September 25, 2025

5

Just love that Dr. Holmes always smiles.

September 21, 2025

5

Staff always friendly and respectful. Doctor listen 's and explain's.

September 19, 2025

5

I have been going to Dr. Holmes for many years, and I fully trust my health to his care.

September 19, 2025

5

It was a very pleasant experience, and they actually got me in almost a month early due to their cancellation list policy. So they were really good about moving me up when I asked them to be put on that cancellation list. So they called me. They actually called me one time, did not get me. They called me a second time for a second cancellation that was available, and I was able to take that. And the office staff is wonderful. I love the doctor. He was full of information and it was just a very good experience.

September 20, 2025

5

Dr. Holmes is very through and concerned about your situation. Victoria was very pleasant and she will be a wonderful asset to the medical profession..

September 15, 2025

5

And Dr. Holmes had a sense of humor. He was quite informed about my illness and he would listen and he would allow me an opportunity to express myself when I attempted to. I would recommend Dr. Holmes to any person who was in the position that I was that needed a neurologist. I think he's top drawer. As a matter of fact, if he was in the National Football League draft, he would be our number one draft choice. Thank you.

September 17, 2025

5

Dr Holmes is one of the best! So thankful he is our doctor!

September 13, 2025

5

From start to finish it was a great experience

September 12, 2025

5

Dr Holmes is awesome !!? He doesn't rush and always answers my questions! Victoria , his assistant, is always happy to see me !! I like her very much ! Always professional ! I'm super happy with this practice !!

September 13, 2025

5

Dr. Holmes is so very compassionate. He listens, cares, remembers who you are like an old friend. He is brilliant. He embodies all that Wellstar stands for. A true asset to the Wellstar system. Side note: my appointment was 815. The receptionist across the hall registered me early at 801, seen by person who roomed me at 803. Saw MD and even got labs drawn... walking out of the building at 818 (appointment was for 815!!!). What an exceptional experience. This office sets the bar for teamwork and efficiency. Speechless!

September 11, 2025

5

Love Dr Holmes and his assistant

September 10, 2025

5

Dr. Holmes spent plenty of time with us. My daughter came with me to the appointment, he took time and answered all of her questions and concerns. We both really like Dr. Holmes.

September 7, 2025

5

Dr. Thomas Holmes really listens and explains; very easy to talk to as well.

September 6, 2025

5

As a patient of Dr. Holmes for the past 13 years, he has my stroke issues at the forefront of my recovery. He is always looking at what he can do to make my stoke life better.

September 4, 2025

5

Prompt friendly courteous from staff to the doctor

August 31, 2025

5

The professional staff is very cordial and accommodating- Dr Thomas Holmes always answers all my questions

August 30, 2025

5

Very good.

August 30, 2025

5

good visit as always!!!!

August 30, 2025

5

They have no appts left when the dr wants a follow up so I had to make a appointment at a office quite a bit farther away from my home to get one as the dr wants one scheduled.

September 29, 2025

5

Dr. Holmes and staff do a great job taking care of their patients.

September 28, 2025

5

Dr. Holmes was excellent. He listened attentively to concerns and addressed each one thoughtfully and carefully.

September 28, 2025

5

I have used Dr Holmes for years and I am pleased with the service I receive from him and his staff.

September 27, 2025

5

Dr Holmes is a super Doctor. Helped me greatly after a stroke several years ago. I was lucky to have him as a Doctor.

September 27, 2025

4

Very rushed. Didn't get to ask/discuss an issue I wanted to discuss.

September 26, 2025

5

Friendly staff, great service. Thank you so much

September 25, 2025

5

My healthcare provider is an extremely excellent knowledgeable, caring, compassionate physician. He listens, he shares his professional knowledge and has definitely helped me to learn and understand the physical illness I am being confronted with. He is absolutely the GREATEST and I am truly grateful and blessed to have him as my physician.

September 25, 2025

5

Everything went very well.

September 24, 2025

5

Always great to see Dr Holmes!

September 22, 2025

5

Ist time seeing Dr Holmes and I liked him very much. He had previously gone over all medical history in Mychart and it was apparent. He listened to me and took notes. Was extremely impressed and am looking forward to having him help me treat my headaches. Highly recommend him!

September 22, 2025

5

Just love that Dr. Holmes always smiles.

September 21, 2025

5

Dr. Holmes is very kind and caring.

September 21, 2025

5

It was a very pleasant experience, and they actually got me in almost a month early due to their cancellation list policy. So they were really good about moving me up when I asked them to be put on that cancellation list. So they called me. They actually called me one time, did not get me. They called me a second time for a second cancellation that was available, and I was able to take that. And the office staff is wonderful. I love the doctor. He was full of information and it was just a very good experience.

September 20, 2025

5

Staff always friendly and respectful. Doctor listen 's and explain's.

September 19, 2025

5

I have been going to Dr. Holmes for many years, and I fully trust my health to his care.

September 19, 2025

5

And Dr. Holmes had a sense of humor. He was quite informed about my illness and he would listen and he would allow me an opportunity to express myself when I attempted to. I would recommend Dr. Holmes to any person who was in the position that I was that needed a neurologist. I think he's top drawer. As a matter of fact, if he was in the National Football League draft, he would be our number one draft choice. Thank you.

September 17, 2025

5

Dr. Holmes is very through and concerned about your situation. Victoria was very pleasant and she will be a wonderful asset to the medical profession..

September 15, 2025

5

Dr Holmes is awesome !!? He doesn't rush and always answers my questions! Victoria , his assistant, is always happy to see me !! I like her very much ! Always professional ! I'm super happy with this practice !!

September 13, 2025

5

Dr Holmes is one of the best! So thankful he is our doctor!

September 13, 2025

5

From start to finish it was a great experience

September 12, 2025

5

Dr. Holmes is so very compassionate. He listens, cares, remembers who you are like an old friend. He is brilliant. He embodies all that Wellstar stands for. A true asset to the Wellstar system. Side note: my appointment was 815. The receptionist across the hall registered me early at 801, seen by person who roomed me at 803. Saw MD and even got labs drawn... walking out of the building at 818 (appointment was for 815!!!). What an exceptional experience. This office sets the bar for teamwork and efficiency. Speechless!

September 11, 2025

5

Love Dr Holmes and his assistant

September 10, 2025

5

Dr. Holmes spent plenty of time with us. My daughter came with me to the appointment, he took time and answered all of her questions and concerns. We both really like Dr. Holmes.

September 7, 2025

5

Dr. Thomas Holmes really listens and explains; very easy to talk to as well.

September 6, 2025

5

As a patient of Dr. Holmes for the past 13 years, he has my stroke issues at the forefront of my recovery. He is always looking at what he can do to make my stoke life better.

September 4, 2025

5

Prompt friendly courteous from staff to the doctor

August 31, 2025

5

good visit as always!!!!

August 30, 2025

5

The professional staff is very cordial and accommodating- Dr Thomas Holmes always answers all my questions

August 30, 2025

5

Very good.

August 30, 2025

5

Very good.

August 30, 2025

5

The professional staff is very cordial and accommodating- Dr Thomas Holmes always answers all my questions

August 30, 2025

5

good visit as always!!!!

August 30, 2025

5

Prompt friendly courteous from staff to the doctor

August 31, 2025

5

As a patient of Dr. Holmes for the past 13 years, he has my stroke issues at the forefront of my recovery. He is always looking at what he can do to make my stoke life better.

September 4, 2025

5

Dr. Thomas Holmes really listens and explains; very easy to talk to as well.

September 6, 2025

5

Dr. Holmes spent plenty of time with us. My daughter came with me to the appointment, he took time and answered all of her questions and concerns. We both really like Dr. Holmes.

September 7, 2025

5

Love Dr Holmes and his assistant

September 10, 2025

5

Dr. Holmes is so very compassionate. He listens, cares, remembers who you are like an old friend. He is brilliant. He embodies all that Wellstar stands for. A true asset to the Wellstar system. Side note: my appointment was 815. The receptionist across the hall registered me early at 801, seen by person who roomed me at 803. Saw MD and even got labs drawn... walking out of the building at 818 (appointment was for 815!!!). What an exceptional experience. This office sets the bar for teamwork and efficiency. Speechless!

September 11, 2025

5

From start to finish it was a great experience

September 12, 2025

5

Dr Holmes is one of the best! So thankful he is our doctor!

September 13, 2025

5

Dr Holmes is awesome !!? He doesn't rush and always answers my questions! Victoria , his assistant, is always happy to see me !! I like her very much ! Always professional ! I'm super happy with this practice !!

September 13, 2025

5

Dr. Holmes is very through and concerned about your situation. Victoria was very pleasant and she will be a wonderful asset to the medical profession..

September 15, 2025

5

And Dr. Holmes had a sense of humor. He was quite informed about my illness and he would listen and he would allow me an opportunity to express myself when I attempted to. I would recommend Dr. Holmes to any person who was in the position that I was that needed a neurologist. I think he's top drawer. As a matter of fact, if he was in the National Football League draft, he would be our number one draft choice. Thank you.

September 17, 2025

5

I have been going to Dr. Holmes for many years, and I fully trust my health to his care.

September 19, 2025

5

Staff always friendly and respectful. Doctor listen 's and explain's.

September 19, 2025

5

It was a very pleasant experience, and they actually got me in almost a month early due to their cancellation list policy. So they were really good about moving me up when I asked them to be put on that cancellation list. So they called me. They actually called me one time, did not get me. They called me a second time for a second cancellation that was available, and I was able to take that. And the office staff is wonderful. I love the doctor. He was full of information and it was just a very good experience.

September 20, 2025

5

Dr. Holmes is very kind and caring.

September 21, 2025

5

Just love that Dr. Holmes always smiles.

September 21, 2025

5

Ist time seeing Dr Holmes and I liked him very much. He had previously gone over all medical history in Mychart and it was apparent. He listened to me and took notes. Was extremely impressed and am looking forward to having him help me treat my headaches. Highly recommend him!

September 22, 2025

5

Always great to see Dr Holmes!

September 22, 2025

5

Everything went very well.

September 24, 2025

5

My healthcare provider is an extremely excellent knowledgeable, caring, compassionate physician. He listens, he shares his professional knowledge and has definitely helped me to learn and understand the physical illness I am being confronted with. He is absolutely the GREATEST and I am truly grateful and blessed to have him as my physician.

September 25, 2025

5

Friendly staff, great service. Thank you so much

September 25, 2025

4

Very rushed. Didn't get to ask/discuss an issue I wanted to discuss.

September 26, 2025

5

Dr Holmes is a super Doctor. Helped me greatly after a stroke several years ago. I was lucky to have him as a Doctor.

September 27, 2025

5

I have used Dr Holmes for years and I am pleased with the service I receive from him and his staff.

September 27, 2025

5

Dr. Holmes was excellent. He listened attentively to concerns and addressed each one thoughtfully and carefully.

September 28, 2025

5

Dr. Holmes and staff do a great job taking care of their patients.

September 28, 2025

5

They have no appts left when the dr wants a follow up so I had to make a appointment at a office quite a bit farther away from my home to get one as the dr wants one scheduled.

September 29, 2025

Publications and Articles

John Elliot smiles after getting control of Parkinson’s symptoms with the Wellstar Parkinson’s and Tremors Program and a procedure called deep brain stimulation (DBS).

JohnElliottCare

John Elliott was a builder who enjoyed meeting with clients and planning their future homes. But the effects of Parkinson’s disease made it hard for him to meet with clients and live his life. Then he found a new sense of hope thanks to the Wellstar Parkinson’s and Tremors Program and a procedure called deep brain stimulation (DBS). His experience is a powerful testament to the value of comprehensive care and how his neurologists, functional neurosurgeon and nurse navigator helped him rebuild his life. 

Symptoms that were hard to shake

 

John has been building custom homes in Marietta for 45 years—a career defined by personal relationships with his clients. He loves spending time with his family, hunting, fishing and bushhogging the multi-generational family farm.

But in 2015, John’s hands began to shake. A former client and friend who was a retired neurologist recommended he see Dr. Thomas Holmes, a Wellstar neurologist. 

A DaTscan, a type of nuclear imaging test that takes images of the brain, helped Dr. Holmes see a loss in John’s dopamine-producing neurons, which indicates Parkinson’s disease. The progressive neurological disorder affects a person’s motor functions and movements. 

At first, medication helped. But years after his diagnosis, John’s medications were barely effective.

“A big part of custom home building is your interaction with your client,” John said. “Meeting with the customer became somewhat of a problem.”

His tremors and involuntary mouth movements left him feeling embarrassed.

“I kind of went into a shell and didn't want to see people because they would make comments, particularly about the mouth movement,” he said. “You want to hide.”

Continue reading this article
A healthcare provider shows a brain scan to their patient

Epilepsy Expert Explains Diagnosis and Treatment

The Weekly Check-up Atlanta


Having or witnessing a seizure can be frightening. But clinicians have made remarkable advances in diagnosing the causes and preventing future seizures with medications and surgery.

“Seizures often seem scarier to bystanders than to patients,” said Dr. Thomas Holmes, a Wellstar neurologist. “Most patients don’t even remember them.”

Epilepsy is more common than many realize—about 1 in 26 people will be diagnosed in their lifetime. On WSB’s The Weekly Check-Up, Dr. Holmes explained how epilepsy is diagnosed, why not all seizures mean epilepsy and what treatments are available.

As director of neurodiagnostics at Wellstar, Dr. Holmes helped Wellstar Kennestone Regional Medical Center earn Level 3 Adult Epilepsy Center accreditation, recognizing its advanced care for patients with hard-to-treat seizures.

Diagnosing epilepsy

According to Dr. Holmes, a seizure happens when there's an “abnormal firing of neurons in the brain.” This electrical disturbance can cause a range of symptoms—some more visible than others. A person having a seizure may briefly lose consciousness, and other signs can include:

  • Trouble breathing or temporarily stopping breathing
  • Sudden falls without warning
  • Jerking movements or a sudden loss of muscle control
  • Loss of bladder or bowel control
  • Not responding to sounds or voices for a few moments
  • Staring spells, sometimes with rapid blinking

It’s important to know that not all seizures are caused by epilepsy. Other conditions like stroke, brain injuries, infections or tumors can also trigger them. That’s why gathering details from someone who witnessed the seizure—like a family member—can be helpful for doctors trying to make an accurate diagnosis.

When someone experiences a seizure, the first step is usually brain imaging. An MRI is often ordered to look for structural causes, and an EEG, which records the brain’s electrical activity, can help detect abnormal patterns. In some cases, patients may be asked to wear a portable EEG at home for several days to capture activity that doesn’t happen regularly. Both MRIs and EEGs are safe and painless.

For more advanced monitoring, Wellstar offers inpatient epilepsy monitoring units (EMUs) at Wellstar Kennestone, Wellstar MCG Health and Wellstar North Fulton Medical Centers. These specialized units provide around-the-clock observation and are among the few in Georgia offering this level of epilepsy care.

Medications and surgery for seizures and epilepsy

For most people with epilepsy, medication is the first and most effective treatment option. How long someone needs to stay on medication depends on several factors, including what’s causing the seizures and what clinicians find during ongoing monitoring.

Sometimes a seizure is triggered by a specific event, like a head injury. In those cases, Dr. Holmes explained, long-term medication may not be necessary. But if tests reveal a structural issue in the brain—like an area of damage—it usually means a higher risk of future seizures and longer-term treatment is often recommended.

“You don’t necessarily need to be on medication for life, even if you have epilepsy,” said Dr. Holmes. Patients are regularly monitored, treatment plans are highly personalized and care plans are revisited to ensure the best outcomes possible.

“If someone has been seizure-free for two to three years, has a normal EEG and no visible brain lesion, we’ll often discuss tapering off medication if the patient is open to it,” he said.

Some people may struggle with seizure control despite medication. About 10% of patients don’t respond well to drugs—but there are additional treatments available.

Wellstar’s EMUs can help determine where in the brain seizures are starting. In some cases, surgery to remove a small area of brain tissue can significantly reduce or even stop seizures. According to Dr. Holmes, this approach is successful in nearly 70% of cases.

Other advanced options include laser surgery or a responsive neurostimulation—when a small device is implanted in the brain to detect abnormal activity and deliver a pulse to stop a seizure before it starts.

Looking ahead, Dr. Holmes is optimistic. “There are going to be many options that are not drug-related,” he said. “Less invasive procedures are on the rise, and we’re learning more about the genetic causes of epilepsy—especially in children. Research and clinical trials may even lead us to gene therapies in the near future.”

Epilepsy care is evolving rapidly, and for many patients, that means more control, fewer side effects, and real hope for the future.

Epilepsy and Seizures Program at Wellstar

Our Epilepsy and Seizures Program is one of only a few such programs in Georgia. It provides comprehensive care to help children and adults manage seizures. The program also offers a streamlined pathway to determine if a patient is a candidate for advanced treatments, including minimally invasive surgery and deep brain stimulation.

Wellstar Children's Hospital of Georgia and Wellstar MCG Health in Augusta are Level 4 Comprehensive Epilepsy Centers, the highest designation by the National Association of Epilepsy Centers. Wellstar Kennestone is a Level 3 Adult Epilepsy Center.

Learn more about the Epilepsy and Seizures Program and Wellstar providers.

Continue reading this article
Thomas Holmes, MD
Neurologist with Wellstar since 2006
Rating
4.9
Specialties
Neurology
Education
Doctor of Medicine
Medical School
Duke University School of Medicine
Residency
Brigham and Women's Hospital
Fellowship
Emory University School of Medicine
Certifications
American Board of Psych/Neurology - Neuro
Spoken Languages
English
Hospital Affiliations
Wellstar Kennestone Hospital
Wellstar Windy Hill Hospital
Wellstar Cobb Hospital
Wellstar Douglas Hospital
Wellstar Paulding Medical Center
Wellstar North Fulton Hospital
Wellstar Spalding Regional Hospital
Wellstar Sylvan Grove Hospital
Wellstar West Georgia Medical Center
Office Locations
www.wellstar.org/physicians/thomas-holmes-md
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For Job Seekers & Team
Careers Diversity Equity Inclusion and Belonging Onboarding
For Students
Students Portal

Graduate Medical Education
Medical Residency Pharmacy Residency
For Business
Corporate Purchasing
For the Media
Media Room Community Health Needs Assessment
Help
Contact Us Pay Your Bill Policy & Privacy Information Hospital Transparency Information Price Transparency

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