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Epilepsy Center _ZEE_

VIEWS: 266 PAGES: 12

									Epilepsy Center
(ZEE)
Head: Prof. Dr. med. Hermann Stefan




                     Universitatsklinikum
                     Erlangen
With its 42 clinics, depar tments and
institutes, the University of Erlangen
covers a broad spectrum of modern
medicine. The university hospital of
Erlangen provides a total of 1400 beds.
Most depar tments are located near the
garden of Erlangen Castle.
Teaching, research and medical care are
all interlinked with modern technology.
Our patients benefit from state-of-the-ar t
diagnostic modalities and most recent
therapy strategies. Comprehensive quality
assurance systems guarantee optimal
medical care from admittance to patient
discharge. 6,000 employees, including
many interdisciplinar y teams, are all
committed to one common goal:
alleviating pain and healing diseases.
                         Head: Prof. Dr. med. Hermann Stefan




The foremost goal of modern epilepsy
therapy is seizure freedom
              Epileptic seizures range among the most
              common illnesses of the central ner vous
              system. In Germany about 1% of the
              population is af fected. The Epilepsy Center
              of the University Hospital in Erlangen is a
              leading center of highest degree of medical
              care in the treatment and research of
              intractable epilepsies. The diagnostics and
              therapy employ all current scientifically
              recognized procedures. Our par ticular
              focus is the pre-surgical diagnosis for
              patients with epilepsies which cannot
              adequately be controlled by medications.
              The most modern neurosurgical operating
              rooms in Europe are available for planning
              and implementing epileptic surger y.
                 Each year more than 2,000 outpatients
              are cared for in our Epilepsy Center and up
              to 300 in-patients are hospitalized in our
              ward. The foremost goal of epilepsy
              treatment is seizure reduction or seizure
              freedom.
Basic Diagnostics
Comprehensive examinations ser ve
as a basis for optimum therapy

              Patients who may possibly be considered
              for epileptic surgical therapy are admitted
              as in-patients and thoroughly examined
              within a few days. This includes imaging
              diagnostic procedures (MRI, PET and
              SPECT) as well as neuropsychological and
              functional tests.
                 If the first results are promising, video
              EEG monitoring is carried out. Here patient
              behavior is recorded by a video camera.
              At the same time the brain waves are
              measured externally by EEG electrodes
              positioned on the scalp. In dif ficult cases
              a MEG (Magnetoencephalography) is
              carried out.
                 At the end of the diagnosis an inter-
              disciplinar y conference consisting of
              medical specialists in all relevant areas
              and psychologists determine the optimum
              therapy method for each patient.
Intensive Monitoring
Make secure and comfor table diagnoses
with modern digital technology

              An intensive monitoring unit is a vital
              component of a pre-operative epilepsy
              center. This is where long term video EEG
              monitoring is per formed. Patient behavior
              is recorded simultaneously by video cameras
              and brain waves by EEG, day and night.
              This provides the treatment team with
              impor tant information concerning seizure
              behavior. The aim of this dual image
              recordings is to produce the most exact
              localization possible of the brain regions
              where the epileptic seizures originate from.
                  A special feature of the Erlangen video
              EEG system is that patients can move
              around freely between group and bedrooms
              during the diagnostic procedures.
                  Moreover, the most modern digital
              technology is available at the Erlangen
              Epilepsy Center. The high accuracy of data
              preparation and the possibility of feeding
              fur ther imaging examination results into
              the system leads to a par ticularly high
              degree of security in diagnosis.
Magnetoencephalography (MEG)
Localize regions in the brain
where seizures originate

             Magnetoencephalography (MEG) is an
             imaging technique used to measure magnetic
             signals produced by the activity of ner ve
             cells in the brain. Similar to the brain wave
             cur ves in the EEG, cur ves are produced that
             represent this activity in the brain.
             The cur ves from measured electrical and
             magnetic signals from the brain display
             characteristic forms in epilepsy patients.
                 The MEG like the EEG is a purely
             diagnostic procedure without any side
             effects. It is used to clarify questions which
             brain region produces seizures or is
             involved in seizures.
                 Owing to the great technical complexity in
             the implementation and evaluation of such
             examination methods only a few clinics have
             had MEG systems available to them up to
             now.
                 The Epilepsy Center Erlangen has had a
             multichanal MEG since 1990 and was
             instrumentally involved in the research and
             fur ther development of this examination
             procedure, which has minimal discomfor t
             for the patient.




             Red: focal epileptic activity




        L                R
Neuropsychology
Maintain intellectual and
mental capabilities

               Neuropsychological examinations play an
               impor tant role in the Erlangen Epilepsy
               Center. Cognitive functions especially
               memor y per formance and language
               functions are examined in the presurgical
               diagnostic process.
                  These examination methods help
               contribute to answer various questions:
               In which brain area the focus is located?
               Which consequences are to be expected for
               intellectual per formance after surgical
               removal of the seizure focus?
                  Neuropsychological examinations can
               also be useful in the evaluation of drug
               therapy by recognizing unfavorable side
               effects of antiepileptic drugs on cognitive
               per formance and finding an individual
               optimal therapy for the patient.
                  The aim along with the control of
               seizures is to maintain the patient's
               intellectual and mental capabilities.
Office Hours


               Epilepsy outpatient department
               Mon – Fri, 9 – 11.30 am
               Cer tified neurologist: Dr. Frank Kerling
               Appointments:
               Marion Audenrieth, Renate Abbadi
               Tel.: ++49 (9131) 85-32025



               Office hours - Private patients
               Prof. Dr. Hermann Stefan
               Appointments: Claudia Saint-Lot
               Tel.: ++49 (9131) 85-39116



               Office hours – Epilepsies in the elderly
               Prof. Dr. H. Stefan, Dr. F. Kerling
               Appointments: Claudia Saint-Lot
               Tel.: ++49 (9131) 85-39116



               Inpatient hospitalization
               Coordination: Johanna Will
               Tel.: ++49 (9131) 85-34547



               Children
               Children's and Young People's Hospital
               Outpatient pediatric epilepsy
               Head: Prof. Dr. Dieter Wenzel,
               PD Dr. Regina Trollmann
               Loschgestraße 15
               91054 Erlangen
               Appointments:
               Claudia Günther, Tanja Deber tin
               Tel.: ++49 (9131) 85-33136
Fur ther information


                Social work
                Owing to their illness, people with epilepsy
                often have multiple and complex problems
                (family, profession, social environment).
                   The social work at the Epilepsy Center
                suppor ts patients before and after epileptic
                surgical operations.




                Emergency identity card
                The international emergency ID increases
                the safety of those suffering from seizures
                in ever yday life.
                   It contains the most impor tant
                information on the illness as well as the
                current therapy.
                Fur ther information:
                www.epilepsie-online.de




                Modular training program
                Epilepsy – MOSES
                MOSES is an interactive training program for
                those suffering from epilepsy, which takes
                up and works out different aspects of the
                illness in small groups together with specially
                qualified trainers.
                    Those interested can register under
                Tel. ++49(9131) 85-34547
                Fur ther information:
                www.moses.epilepsy-academy.org.
Association for helping those suffering from
epilepsy and suppor ting epilepsy research
(Verein zur Hilfe Epilepsiekranker und zur
Förderung der Epilepsieforschung e.V.)
               The non-profit association of the Epilepsy
               Center suppor ts projects that help those
               affected and their relatives in coping with
               life and thus contributes to reducing
               prejudices in the population.
                   Research and scientific exchange are
               also suppor ted. The aim is to provide help
               flexibly and unbureaucratically, where no or
               insufficient public financing is available.

                  We would be pleased to have your
               donation, regardless of the amount,
               to effectively suppor t our work.
               Donation Account No: 547 99 88 00
               Dresdner Bank Erlangen
               (sor t code 760 800 40)
               IBAN: DE 72 760 800 400 547 998 800
               SWIFT: DRESDEFF760.



               Association for helping those suffering
               from epilepsy and supporting epilepsy
               research
               c/o Epilepsy Center (ZEE)
               Schwabachanlage 6, D-91054 Erlangen
               Tel.: ++49 (9131) 85-39116
               Fax: ++49 (9131) 85-36469
               www.epilepsiezentrum-erlangen.de
                  How to find us:

                                                                                                            By car
                                                                                                            Leave the highway A 73 at exit
                                                                                                            »Erlangen-Nord« and follow the signs
                                                                                                            to »Uni-Kliniken« and later »Neurologie«.
                                                                                                            Unfor tunately the parking spaces near
                                                                                                            the Clinic are ver y limited.
                                                                                                            A long-term parking lot is located behind
                                                                                                            the Erlangen train station.

                                                                                                            By train
                                                                                                            Our Epilepsy Center is located
                                                                                                            approx. 1,000 m from the Erlangen train
                                                                                                            station (ICE connections). The next bus
                                   A 73                                                                     stop is the »Maximiliansplatz/Kliniken«.

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Emergencies

                                Patients may repor t emergencies
                                outside of fice hours under the
                                following telephone number:

                                ++49 (9131) 85-3 30 01




Epilepsy Center (ZEE)
Head: Prof. Dr. Hermann Stefan

Schwabachanlage 6, 91054 Erlangen
www.epilepsiezentrum-erlangen.de
Telefon: ++49 (91 31) 85-3 9116

Secretar y's of fice:
Claudia Saint-Lot
Tel.:     ++49 (91 31) 85-3 9116
Fax:      ++49 (91 31) 85-36469
E-mail: claudia.saint-lot@uk-erlangen.de
                                                                                     NL 524-506676 ZEE-Vers.03/08




Publisher: Universitätsklinikum Erlangen, Public Relations Office, 91012 Erlangen
Overall production: Jürgen Brendli, Layout und mehr, Erlangen, Tel. 0 9131/49 0732

								
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