University Medicine

Department of Neurology

Head of Department:
Prof. Dr. med. Dr. h. c. Stefan Schwab

Epilepsy Centre

Spokesman: OA Prof. Dr. med. Hajo Hamer
 

Diagnosis and therapy at the Epilepsy Centre

At the Epilepsy Centre, we offer comprehensive outpatient and inpatient diagnosis, based on which we are able to apply specific treatment procedures adjusted to the requirements of the individual case. The most common questions and treatment requirements are:

  • Differential diagnosis to determine unclear seizure-like symptoms This includes confirming suspected epilepsy and ruling out non-epileptic seizures such as dissociative and cardiogenic seizures and other causes.
  • Epilepsy syndrome diagnosis to determine which kind of epilepsy a patient has ('focal' versus 'generalised')
  • Preoperative diagnosis: determining potential surgical treatments for the epilepsy. This kind of diagnosis is particularly important and promising for patients suffering from focal epilepsy and/or known structural brain lesions (e.g. hippocampal sclerosis, tumours, cavernous hemangioma, localised contusion). However, even if the MRI scan was normal, surgery may be very promising in some individual cases.
  • Therapy for difficult-to-treat patients. If seizures persist despite targeted therapy, patients can be referred to us to discuss further options and/or obtain a second opinion.
  • Aetiological diagnosis. We offer high-resolution imaging based on special MRI epilepsy reports using 1.5T and 3T scanners, under anaesthesia if required. Other procedures (PET, SPECT, fMRI, MEG) are used if indicated in the individual case.
  • Neuropsychological diagnosis and consultation. This is firmly integrated in inpatient diagnosis but may also be considered for outpatient treatment.
  • Special consultation. Consultation for pregnant patients, patients who want to have children, questions regarding the capacity to drive and social consultation.

We will be glad to help you with any concerns you might have.

 
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