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The Department of Gynaecology recently inaugurated a new fully equipped unit dedicated to outpatient hysteroscopy at the Erasmus Hospital. The H.U.B is the third French-speaking centre in Belgium to propose this operative procedure during consultations for patients with abnormal uterine bleeding due to an intracavitary pathology. Dr. Ludovica Imperiale, gynaecologist specialised in minimally invasive surgery and head of the H.U.B Bleeding Clinic, discusses the benefits of offering such an integrated approach to hysteroscopy. Interview with Dr. Ludovica Imperiale What is the nature of the treatment pathway of a patient who is to undergo a hysteroscopy?Normally we propose a hysteroscopy to patients with a potential pathology of the uterine cavity, such as fibriols, polyps or endometrial cancer. It can also be proposed to patients who have given birth or had a miscarriage and who have retained placenta. The point in common between all these pathologies is that they cause abnormal uterine bleeding  in the patients. That is why a hysteroscopy is a procedure carried out at the H.U.B’s Bleeding ClinicThe treatment pathway first involves an appointment with a gynaecologist who carries out a full examination and an ultrasound so as to view the uterus in its entirety. If necessary, a diagnostic hysteroscopy can be carried out during the  consultation to confirm the pathology. If the diagnostic hysteroscopy identifies an intracavitary pathology the patient returns for a second consultation for an operative hysteroscopy to treat the lesions in the uterusMost hospitals perform an operative hysteroscopy in the operating room as the procedure requires dilation of the uterus, a painful procedure that must be done under an anaesthetic. The H.U.B is the third hospital in French-speaking Belgium to propose an operative hysteroscopy during a consultation and to have acquired TruClear®, a leading edge technology developed by the Medtronic company that, thanks to its small size, makes it possible to remove polyps or any other intracavitary pathology, in most cases without pain or bleeding and without anaesthetic. This is a truly major innovation for patients who, after this painless and rapid procedure, are rapidly able to resume their day’s activities without the least side effect.  It should be stressed that an outpatient hysteroscopy is recommended in particular for “minor” pathologies. It is not a procedure that can be proposed to all patients. Operative hysteroscopy will be proposed to patients for whom the diagnostic hysteroscopy was painless and with a benign intracavitary pathology. Of course if these patients prefer a procedure under anaesthetic this solution remains accessible.  This outpatient approach is also interesting for the hospital in the sense that not using the operating rooms for hysteroscopies frees them for other procedures at the Day Hospital, thereby reducing waiting times for patients.  How do the new unit and new equipment facilitate the treatment pathway?Everything is done at a single location, at a consultation. In the new unit we have equipped for this we have a 3D ultrasound machine and instruments to carry out diagnostic hysteroscopies and, if necessary, biopsies.  We also have a TruClear® system  that is available for outpatient operative hysteroscopies as well as virtual reality headsets for hypnosis during the procedure. Also, this unit is adjacent to the Day Hospital which means, in the case of any complication, we have rapid access to the operating room. A specialised nurse, Mme Émilie Chasseriaud, is also on hand to accompany the doctors and patients during the procedure.    What expertise does the H.U.B have in this field?The H.U.B has real expertise in this field with a team of 6 gynaecologists from the Gynaecology Clinic (myself, Dr. Soria, Dr. Vanneste and Dr. Zingarelli) and from the Fertility Clinic (Dr. Moutard and Dr. Rabattu). We are all specialised in  minimally invasive surgery and trained in the procedure. Together, we carry out 500 diagnostic hysteroscopies and 200 operative hysteroscopies a year.MAR is another field in which hysteroscopy certainly has a place as patients who go to the Fertility Clinic often need an examination that includes an examination of their intrauterine cavity before commencing their MAR treatment.The Department of Haematology  is also integrated in the Bleeding Clinic treatment pathway so as to rule out coagulation disorders as being the cause of abnormal uterine bleeding  in a patient or to treat iron deficiency anaemia caused by abundant bleeding.  What message would you like to give to gynaecologists and GPs?  The H.U.B now proposes a consultation that is completely integrated in outpatient hysteroscopy at the Erasmus Hospital every day with short waiting times. We can act rapidly in treating patients with:•    Abnormal uterine bleeding during or between periods;•    Abnormal uterine bleeding in menopausal women;•    Iron deficiency anaemia with no evident cause identified in a blood test;For any urgent request for an appointment or opinion for a patient, the gynaecology consultation can be contacted directly  by mail to Cons [dot] Gyn-Obs [dot] erasme [at] hubruxelles [dot] be (Cons[dot]Gyn-Obs[dot]erasme[at]hubruxelles[dot]be)   Contact and information Dr. Ludovica ImperialeHead of the H.U.B Bleeding Clinicludovica [dot] imperiale [at] hubruxelles [dot] be (ludovica[dot]imperiale[at]hubruxelles[dot]be) 

Contact the Fertility Clinic Are you a doctor and wish to obtain the medical results of your patients, refer a patient, or request a (second) opinion?Contact our clinic by phone at +32 (0)2 555 36 89 (weekdays between 8:30 am and 12:30 pm) or by email at secmed [dot] FIV [at] hubruxelles [dot] be.Would you like to schedule an appointment with one of our specialists for yourself or a loved one?Contact us by phone at +32 (0)2 555 48 57 or by email at cons [dot] PMA [at] hubruxelles [dot] be.Opening hours on weekdays: 8:00 am – 12:30 pm and 1:00 pm – 4:30 pm.Outside opening hours, or if you prefer to avoid waiting, our virtual AI assistant is available 24/7, both in writing and by voice. It answers your questions and forwards your request to our teams. Click here to start the conversation.Do you have an administrative request?Contact our medical administration by phone at +32 (0)2 555 36 89 or by email at secmed [dot] FIV [at] hubruxelles [dot] be.The Secretariat of the Fertility Clinic is open on weekdays from 8:00 am to 1:00 pm and 1:30 pm to 4:30 pm. For a Multidisciplinary Approach to Fertility Issues Our clinic is committed to addressing fertility issues using a multidisciplinary approach, aligned with scientific society recommendations. Because these difficulties often occur in a broader health context, including the psychological dimension, we offer comprehensive support, both medical and human. Our team accompanies you throughout your journey toward parenthood.Integrated into an academic hospital, our clinic also contributes to medical advancements through numerous research projects, continuously improving fertility care. Image Image Image A Clinic Dedicated to Supporting Infertile Couples Our fertility clinic is dedicated to supporting infertile couples on their path to parenthood. We offer personalized care, focused on solutions tailored to each situation. After a complete evaluation, we provide options such as intrauterine insemination, in vitro fertilization, and alternative parenthood options, including sperm and egg donation. Solutions to Preserve Fertility and Prevent Genetic Disease Transmission We provide preimplantation genetic diagnostics for couples who wish to avoid passing on genetic disorders to their children. Our team is fully committed to fertility preservation, whether due to cancer, endometriosis, or age-related infertility. We also manage various menstrual cycle disorders, such as polycystic ovary syndrome (PCOS) and premature ovarian insufficiency, including Turner syndrome.Our multidisciplinary approach combines rigor, humanity, and expertise, ensuring comprehensive and compassionate follow-up. Our Fertility Care Services Preimplantation Genetic Diagnosis (PGD/PGT)Preimplantation genetic testing is a technique to detect genetic abnormalities in an embryo created in vitro before uterine implantation. It is earlier and less invasive than genetic tests performed during pregnancy and allows couples carrying serious genetic disorders to significantly increase the chances of having a healthy child.Sperm DonationDonor sperm may be recommended in cases of total or near-total absence of sperm, or to prevent passing a genetic disorder from a male carrier to offspring. It is also a solution for female couples or single women wishing to conceive via medically assisted reproduction (MAR).Egg DonationEgg donation has been offered since 1984 at Erasme and has helped thousands of women worldwide become mothers. It is offered when infertility is due to very low egg quality despite ongoing menstrual cycles, or when the ovaries no longer contain follicles and are nonfunctional. Some patients also use it to prevent passing on a genetic disorder to their child.Fertility Preservation for Medical ReasonsFertility preservation is recommended when a disease or its treatment may impair fertility. Treatments such as ovarian or testicular surgery, chemotherapy, radiotherapy, or certain genetic conditions can damage ovaries or testes. This is particularly relevant in cancer treatment. Fertility preservation should ideally be considered before treatment begins. The discipline assessing these risks and providing solutions is called oncofertility.Fertility Preservation for Age (Age-Banking)Unlike men, who remain fertile at older ages, women are born with a limited egg reserve that decreases over time. Egg quality also declines, reducing pregnancy chances from age 30, with a sharper decline after 35. At Erasme Hospital, we offer egg vitrification, a rapid freezing technique preserving mature eggs for future use. We also provide sperm cryopreservation, a simple method to preserve male fertility long-term, for example, before a vasectomy.Fertility ImagingWe perform medical exams using ultrasound or X-ray to investigate infertility or conduct a fertility assessment.Intrauterine Insemination (IUI)IUI is a simple assisted reproduction technique in which prepared sperm is introduced into the uterine cavity using a fine catheter. The goal is to facilitate the meeting of gametes (eggs and sperm) in the female reproductive system. Using partner sperm is called homologous insemination (IAC), and donor sperm is called donor insemination (IAD). Dr. Catherine Houba, Director of the Fertility Clinic Obstetrician–Gynecologist specialized in Reproductive Medicine.Dr. Houba is deeply committed to the prevention of infertility. Her work addresses a wide range of topics, from reverse family planning to oocyte self-preservation.“As Clinic Director, I firmly believe that developing collective intelligence—both within my team and in our interactions with patients—is key to success. It allows us to foster an environment of collaboration, innovation, and personalized care, all of which are essential to medical excellence.” Make an appointment A Team of Specialists Guiding You Step by Step Our clinic brings together a team of experts dedicated to your project:Fertility-specialized gynecologistsReproductive biologistsPsychologists and emotional support counselorsNurses and care coordinatorsAndrology and endocrinology specialistsWe work together to ensure comprehensive and personalized care. Our Doctors Dr. Soraya AMIRGHOLAMISpecialties: All MAR requests; egg donation; anonymous egg donors; infertility and endometriosis.Languages: French, EnglishDr. Elisabeth ANAGNOSTOUSpecialties: All MAR requests; MAR cycle management in Tournai.Languages: French, Greek, EnglishDr. Margherita CONDORELLISpecialties: All MAR requests; oncofertility; fertility preservation for medical reasons; fertility evaluation and counseling; fertility imaging (SIS, HyCoSy).Languages: French, Italian, EnglishDr. Serge DE LATHOUWERSpecialties: All MAR requests; fertility preservation; cycle monitoring (Duke Center, Woluwe).Language: FrenchPr. Anne DELBAERESpecialties: All MAR requests; genetic disorders and reproduction; preimplantation genetic diagnosis; reproductive endocrinology; premature ovarian insufficiency; Turner syndrome (Turner platform); egg donation; fertility preservation; recurrent miscarriage assessment.Languages: French, Dutch, EnglishDr. Isabelle DEMEESTERESpecialties: Oncofertility; fertility preservation for medical reasons.Languages: French, EnglishDr. Fabienne DEVREKERSpecialties: All MAR requests; preimplantation diagnosis; andrology.Languages: French, EnglishDr. Michel DIKETESpecialties: All MAR requests; general gynecology and obstetrics.Language: FrenchDr. Isabelle DUPONDSpecialties: All MAR requests; fertility preservation; preimplantation diagnosis; anonymous sperm donors; follow-up monitoring (Souverain Center).Languages: French, English, GermanDr. Ornite GOLDRATSpecialties: Onco-sexology.Language: French Dr. Catherine HOUBASpecialties: All MAR requests; fertility evaluation and counseling; fertility preservation; recurrent miscarriage assessment; anonymous sperm donors.Languages: French, EnglishDr. Christian KAMTO FOTSOSpecialties: All MAR requests; MAR cycle management in Ath.Languages: French, Italian, EnglishDr. Caroline LECOCQSpecialties: All MAR requests; anonymous egg donors; egg donation; cycle monitoring (Lecocq practice).Language: FrenchDr. Noé MOUTARDSpecialties: All MAR requests; infertility imaging (SIS, HyCoSy, receptivity assessment); fertility surgery, endometriosis.Languages: French, EnglishDr. David PENINGSpecialties: All MAR requests; andrology; infertility imaging (SIS, HyCoSy, receptivity assessment); oncofertility.Languages: French, Dutch, EnglishDr. Agathe RABATTUSpecialties: All MAR requests; fertility surgery; infertility and endometriosis.Languages: French, EnglishDr. Asma SASSISpecialties: All MAR requests; pediatric and adolescent gynecology; MAR requests in patients with viral risk (HIV); premature ovarian insufficiency; Turner syndrome (Turner platform); genetic disorders and reproduction.Languages: French, English, ArabicDr. Noémie VANCOPPENOLLESpecialties: All MAR requests; anonymous egg donors; egg donation.Languages: French, EnglishDr. Mélodie VANDER BORGHTSpecialties: All MAR requests; reproductive endocrinology; pediatric and adolescent gynecology; infertility imaging (SIS, HyCoSy, receptivity assessment).Languages: French, English Nurses and Midwives Faten ABI-LOTF Asmae BOUZAHZAH Mélanie GIESKESSamira IBRAHIMIChristina KOUROUTZIOUDI Margherite LEFEVRE Nancy LIMAGE   Meli LUKUBIKA Fabienne OOSTERS      Study nurses Lydia AIT AHCENEFrançoise HENRY Psychologists Chantal LARUELLEIsabelle PLACEDenis WALRAVENS Secretariat and Coordination Chantal DELEAUJeeny FARREEDUNLinda GOUINNawal KARROUMLaetitia VAN STICHELSonia XAMBRE CORDEIRO Biologists Director of MAR LaboratoryNecati FINDIKLILarissa BAUDUIN Jamila BIRAMANE Salomé BORNEMANN Penelope COUTURIER Anne DANNAUKhanssae EL HANCHIGiovanna FASANO Eric GONZALEZ Elodie HUON Danijel JANKOVICSandie JANSSENSGuillaume MBONGOLO MBELLAOzlem OKUTMAN Thi Mai UYEN NGUYEN Anne Sophie VANNIN     Research Laboratory Julie DECHENE   Géraldine VAN DEN STEEN       Services We Collaborate With to Provide Complete Care Clinic of Gynecological Surgery Clinic for Endometriosis Lien vers Clinic for Endometriosis Clinic of Gynecological Ultrasound Lien vers Clinic of Gynecological Ultrasound Clinic of Obstetrics Lien vers Clinic of Obstetrics We closely collaborate with other clinics in the Gynecology-Obstetrics department, including the gynecologic surgery clinic, the endometriosis clinic, the gynecologic ultrasound clinic, and the obstetrics clinic, which helps us prepare for sometimes challenging pregnancies. The Natus unit also supports more delicate situations.We are part of the transgender platform, which supports individuals in their gender transition journey.We work closely with the genetics department for the preimplantation genetic testing program and gamete donor selection. They help inform patients about specific genetic risks.We collaborate with the children’s hospital (HUDERF) for fertility preservation in children with cancer and for gynecologic consultations for children and adolescents.Finally, our oncofertility team works in close synergy with the various services at the Jules Bordet Institute, ensuring complete and personalized care. Resources and Useful Links on Fertility and Medically Assisted Reproduction We provide a series of content (produced by doctors, researchers, patient associations, and public health actors) that helps you better understand and manage your fertility and identify support groups for exchange. Informed patients are empowered to make well-informed decisions about their health. Our teams are available to answer any questions. [APP] App for communication with patients during the cycle [WEBSITE] Information site on fertility and educational tools for youth [WEBSITE] WHO – General information on infertility worldwide FAQ on Fertility and Medically Assisted Reproduction 1. What is infertility? Infertility is defined as the inability to achieve a pregnancy after 12 menstrual cycles, despite regular sexual intercourse during ovulation. It affects about 20% of couples. Humans, with roughly a 15% chance of conceiving per cycle, are among the least fertile species, alongside pandas. 2. What are the main symptoms of infertility? Difficulty conceiving is often the only noticeable sign of infertility. However, some symptoms may serve as warning signs. In women, irregular menstrual cycles, pelvic pain, or menstrual disorders can be indicative. In men, erectile difficulties, reduced libido, or changes in sperm appearance can be signals to consider. If you experience these symptoms and wish to conceive, it is recommended to consult a fertility specialist to identify the causes and explore appropriate solutions. 3. What are the causes of infertility in men and women? In women, common causes include ovulation disorders (such as polycystic ovary syndrome), blocked fallopian tubes, endometriosis, or hormonal problems. In men, abnormal sperm production or ejaculation problems are the main causes of infertility. 4. Is infertility only a female problem? No, infertility affects both men and women. About one-third of cases are due to female factors, one-third to male factors, and the remaining third results from combined or unexplained factors. That is why it is essential that both partners are evaluated to best identify the causes and possible solutions. Infertility is an issue that concerns the couple as a whole. 5. How long should one wait before consulting for infertility? It is recommended to see a doctor after one year of unsuccessful attempts for patients under 35. Beyond this age, a consultation is advised after six months, as fertility decreases over time. The doctor can then carry out various tests to evaluate the couple’s fertility, including sperm analysis, gynecological ultrasounds, hormone measurements, and other tests tailored to each situation. 6. What is MAR (Medically Assisted Reproduction)? Medically Assisted Reproduction (MAR) encompasses a range of techniques designed to help couples who have difficulty conceiving naturally. These methods include intrauterine insemination (IUI), in vitro fertilization (IVF), sperm or egg donation, gamete cryopreservation (eggs and sperm), and preimplantation genetic testing. 7. Are infertility treatments effective? Infertility treatments can be very effective, but success varies depending on several factors, such as age and cause of infertility. Treatments like IVF tend to have higher success rates in younger couples. A personalized evaluation by a specialist helps guide the most appropriate strategy for each situation. 8. How does In Vitro Fertilization (IVF) work? An IVF cycle usually lasts about four weeks and follows a defined protocol. First, ovarian stimulation for around 10 days is performed to promote the maturation of multiple eggs. Once ovulation is triggered, the eggs are retrieved via a vaginal puncture and fertilized in the lab with the partner’s or donor’s sperm. After five days of embryonic development, one embryo is transferred into the uterus. About 10 days after the transfer, a pregnancy test checks whether implantation has succeeded. 9. What are the chances of success with MAR? Success rates for MAR depend on several factors, including the woman’s age, the quality of eggs and sperm, and the technique used. On average, IVF has a success rate of 30–40% per embryo transfer for women under 35. This rate gradually decreases with age. Multiple attempts are often needed to achieve pregnancy. 10. Who can access MAR in Belgium? MAR is available to heterosexual couples, same-sex couples, and single women, regardless of marital status. Belgian law also allows sperm or egg donation. IVF is legal up to 45 years of age and partially reimbursed by social security up to 42 years. 11. Are the treatments painful? Each treatment journey is different, but we do everything possible to make the procedures as comfortable as possible. 12. Can I undergo MAR as a transgender person? Yes, we support all individuals wishing to become parents, regardless of their gender identity or personal situation.

Contact the Multiple Sclerosis Clinic Would you like to ask a question, request an opinion, refer a patient or make an appointment?Contact our medical secretariatBy telephone on +32 (0)2 555 33 57By email at SecMed [dot] Neuro [dot] erasme [at] hubruxelles [dot] be (SecMed[dot]Neuro[dot]erasme[at]hubruxelles[dot]be)   Image The mission of the Multiple Sclerosis Clinic The Multiple Sclerosis (MS) Clinic at Brussels University Hospital (H.U.B) is dedicated to supporting patients with MS throughout their lives. Our aim: to provide personalised care based on a high level of expertise, cutting-edge technologies and a strong commitment to research.We are committed to:Ensuring rapid and accurate diagnosisOffering the most innovative treatments availableCoordinating comprehensive, compassionate follow-up care tailored to each patient’s specific needsSupporting families and informal carersActively contributing to awareness-raising, training and the advancement of knowledge about MS Image Our healthcare services We provide comprehensive care structured around the patient’s needs:Early and accurate diagnosisHigh-resolution MRI imagingUse of specific biomarkersMultidisciplinary consultations for a comprehensive assessmentInnovative treatmentsAccess to the latest disease-modifying treatments (biological therapies, DMTs)Close monitoring to adapt treatments according to disease progressionParticipation in national and international clinical trialsPersonalised careDevelopment of individualised care plansFollow-up in collaboration with physiotherapists, occupational therapists, psychologists, urologists, ophthalmologists, etc.Psychological support for patients and their loved onesLong-term follow-upRegular and proactive monitoring of the diseaseCentralised medical records for seamless follow-upSupport through the major stages of life: adolescence, maternity, retirement... Paediatric care For patients under 18, specialised paediatric care is provided at the Queen Fabiola Children’s University Hospital (HUDERF). This care takes into account the specific features of the condition, particularly from a clinical perspective, as well as therapeutic aspects and follow-up. We also address the specific needs of a developing child, with particular attention paid to schooling, sports and extracurricular activities, as well as emotional and psychological aspects. This care, unique in French-speaking Belgium, helps us to better respect the child’s pace, their maturity in relation to care, and the expectations of children and their families. A multidisciplinary paediatric team is established around the child, including neuropsychologists, physiotherapists and occupational therapists, as well as the physical medicine and rehabilitation, dermatology, radiology, cardiology and ophthalmology teams.We offer a smooth transition to adult medicine, respecting the child’s pace, with joint follow-up by the paediatric and adult teams. This allows the child and their family to become familiar with this new stage of their care. This transition enables the young person and their family to discover a new medical environment with complete peace of mind, while ensuring continuity of care and treatment. Our specialists at HUDERFDr Audrey Van Hecke – Paediatric neurologist (coordinating physician)Simon Baijot – NeuropsychologistDr Lhoir – OphthalmologistDr Slegers – CardiologistDr El Nemnom – DermatologistDr Preziosi – RadiologistDr Lombardo – Physical medicineMs El Khaldi – Hospitalisation reference nurseContact the Neuropaediatrics Department at HUDERFBy telephone: +32 (0)2 477 31 44By email: neuro [dot] huderf [at] hubruxelles [dot] be (neuro[dot]huderf[at]hubruxelles[dot]be)  Image Image Our team of specialists The Multiple Sclerosis Clinic is affiliated with the H.U.B. Neurology Department. It brings together a highly specialised multidisciplinary team, coordinated around neurologists who are MS experts (“MS” stands for “Multiple Sclerosis”):Neurologists specialising in Multiple Sclerosis (MS Experts)Dr Sophie ELANDS (FR, NL, EN)Dr Serena BORRELLI (FR, EN, IT)Dr Antonia CECCARELLIRehabilitation physiciansDr Pierre CABARAUXDr Johanne GARBUSINSKIDedicated MS nursesPaulina MARQUES SA OLIVEIRAPhysiotherapists and occupational therapistsMs Francesca LOSURDO – PhysiotherapistClinical psychologistsSocial workersResearch teamMs Fabienne DEVEYLDER – Research coordinatorMs Christiane KITOKO – Research coordinatorMs Sarah EL HAJJ – Research coordinatorAs well as other healthcare professionals specialising in associated disordersThey all share the same philosophy: listening, expertise and personalised support. The departments we work with To ensure comprehensive care, we work closely with:The Functional Rehabilitation DepartmentThe Psychology and Psychiatry DepartmentSpecialist departments in Urology, Ophthalmology, Rheumatology, Gynaecology, etc.Neuroimaging and clinical biology unitsClinical research centresThis synergy enables a smooth and coherent care pathway throughout the illness. In addition, thanks to the complementarity of the hospital institutions that make up H.U.B, the teams at HUDERF and Erasme Hospital facilitate patients’ transition from paediatric to adult care. Useful resources for patients with Multiple Sclerosis (MS) and their loved ones Whether you have already been diagnosed or suspect that you may have Multiple Sclerose, we are here to support you and provide information every step of the way. That is why we offer a series of resources (produced by doctors, researchers, patient associations and public health stakeholders) that will, on the one hand, help you better understand and manage the disease and, on the other, enable you to identify support groups with which you can share experiences. [PATIENT ASSOCIATION] Belgian Multiple Sclerosis League [FOUNDATION] Charcot Foundation [ASSOCIATION] European Multiple Sclerosis Platform – Representation and advocac… [H.U.B HEALTH SHEET] How is Multiple Sclerosis treated? FAQ on Multiple Sclerosis 1. What is multiple sclerosis? Multiple sclerosis (MS) is a chronic disease of the central nervous system (brain and spinal cord). It occurs when the immune system mistakenly attacks myelin, a substance that surrounds and protects nerve fibres. This damage disrupts the transmission of nerve signals, causing various neurological symptoms.  2. Is Multiple Sclerosis a serious disease? Multiple sclerosis can progress unpredictably, but many people live with this disease for many years. Thanks to modern treatments, relapses can now be better controlled and progression slowed. 3. How is Multiple Sclerosis diagnosed? The diagnosis is based on several elements: a neurological examination, an MRI scan of the brain and spinal cord, and sometimes a lumbar puncture. At the clinic, we use state-of-the-art tools to establish a rapid and reliable diagnosis. 4. What are the most common symptoms of Multiple Sclerosis? The most common symptoms of Multiple Sclerosis are: fatigue, vision problems, numbness, balance or coordination problems, and urinary problems. These symptoms may occur in episodes (relapses) or more continuously. 5. Is there a treatment for Multiple Sclerosis? Multiple Sclerosis (MS) cannot yet be cured, but highly effective disease-modifying treatments are available to reduce relapses and slow the progression of the disease. The choice of treatment depends on the type of MS and your personal situation. 6. Can I continue working and lead a normal life with Multiple Sclerosis? Yes, in many cases. Adjustments can be considered with your employer. An active social and professional life remains possible with appropriate follow-up. 7. Can I have a child if I have Multiple Sclerosis? Yes. Pregnancy is possible and is often well tolerated. We provide specialised follow-up to support patients before, during and after pregnancy. 8. What are the types of Multiple Sclerosis? There are mainly three types:Relapsing-remitting: relapses followed by periods of recoverySecondary progressive: a more continuous course after an initial relapsing phasePrimary progressive: progression from the outset, without clear relapsesYour neurologist will explain which type of Multiple Sclerose (MS) applies to you and the appropriate management options. 9. Can I receive psychological support in case of multiple sclerosis? Absolutely. Multiple Sclerose (MS) can have a significant emotional impact (stress, anxiety, and feelings of isolation). Our team offers psychological support for patients and their loved ones. 10. What are my rights as a patient with Multiple Sclerose (MS)? In Belgium, most care related to Multiple Sclerosis is covered by compulsory health insurance (INAMI) through your mutual health insurance fund. This includes:Medical consultations and examinations (MRI scans, blood tests, etc.)Disease-modifying treatments (subject to conditions, but often partially or fully reimbursed)Physiotherapy, speech therapy and occupational therapy sessionsMobility aids (subject to certain conditions)Support with applications for disability benefits or workplace adaptationsYou may also be entitled to:Increased reimbursement if you are in a financially precarious situationA home care plan through home assistance and care servicesSpecific allowances for people who are unable to work or have a disabilityOur social worker will help you understand your options and complete the necessary formalities.

À l’occasion de la Journée mondiale de lutte contre la drépanocytose, le service d’hématologie de l'H.U.B. vous accueille dans le hall de l’hôpital Erasme pour un dépistage pré-conceptionnel gratuit, sans rendez-vous. Image Et si connaître votre statut changeait votre avenir – et celui de vos enfants ? Journée de dépistage drépanocytose – 19 juin 2025Informez-vous, faites-vous dépister, posez vos questionsÀ l’occasion de la Journée mondiale de la drépanocytose, les équipes de l’Hôpital Erasme et de l’Hôpital des Enfants Reine Fabiola (HUDERF) vous accueillent pour une journée d’information et de dépistage gratuite et ouverte à tous.Au programme de cette journée :Un stand d’information– Pour mieux comprendre la drépanocytose, une maladie génétique encore peu connue– Pour découvrir pourquoi le dépistage avant de fonder une famille peut faire toute la différencePrésentation du parcours de soins au sein du H.U.B– Comment les patients atteints de drépanocytose sont suivis et accompagnés au quotidien– Quels sont les services et spécialistes impliqués dans la prise en chargeAccompagnement des futurs parents atteints de drépanocytose– Vous souhaitez avoir un enfant ? Une information spécifique est proposée sur les options et les conseils disponibles pour les patients porteurs ou atteints de la maladieSensibilisation au don de sang, en collaboration avec la Croix-Rouge– Le don de sang est essentiel pour soigner les personnes atteintes de drépanocytoseDépistage sans rendez-vous (uniquement à Erasme)Test rapide et gratuit– Une simple goutte de sang prélevée au bout du doigt– Résultat rapide, accompagné d’une explication claire et adaptée à votre situation– Possibilité de rencontrer un médecin le jour même (ou plus tard sur rendez-vous) pour en discuterEntretiens individuels et confidentiels– Avec un médecin hématologue spécialisé et une conseillère en génétique– Pour poser vos questions, discuter de votre situation personnelle ou recevoir un conseil pré-conceptionnelPourquoi se faire dépister ?La drépanocytose est une maladie héréditaire du sang.Le dépistage permet de savoir si vous êtes porteur du gène responsable.Si les deux futurs parents sont porteurs, il existe un risque pour l’enfant à naître.Connaître son statut, c’est pouvoir faire des choix éclairés et protéger la prochaine génération.Informations pratiques :Où ?– Hôpital Erasme – H.U.B – Route de Lennik 808, 1070 Anderlecht (hall principal, rez-de-chaussée)– Hôpital des Enfants Reine Fabiola – HUDERF – Avenue J.J. Crocq 15, 1020 Bruxelles (hall principal, rez-de-chaussée): (seul un stand d'information est prévu à l’HUDERF. Pour bénéficier du test de dépistage gratuit, rendez-vous à l’Hôpital Erasme.)Quand ?– Jeudi 19 juin 2025, de 9h à 16hEntrée libre et gratuite

Image Contact the Inflammatory Bowel Disease (IBD) Clinic. Would you like to make an appointment for a consultation with an IBD clinic specialist for yourself or for one of your relatives?Contact us by phone at +32 (0)2 555 35 04 or by email at: ibd [dot] erasme [at] hubruxelles [dot] beWould you like to make an appointment for an endoscopy with an IBD clinic specialist for yourself or for one of your relatives?Contact us by phone at +32 (0)2 555 3292 or by email at: ibd [dot] erasme [at] hubruxelles [dot] beAre you a patient and do you have an administrative request (prescriptions, reimbursements, certificates, insurance documents, or copies of medical records)?Contact our medical administration by phone at +32 (0)2 555 5422 or by email at: ibd [dot] erasme [at] hubruxelles [dot] beAre you a doctor and would you like to obtain medical results for your patients, refer a patient, or request a (second) opinion?Contact our clinic by phone at +32 (0)2 555 54 22 or by email at: ibd [dot] erasme [at] hubruxelles [dot] be Do you suffer from an Inflammatory Bowel Disease (IBD)? The Inflammatory Bowel Diseases (IBD) Clinic provides care for all patients with Crohn’s disease, ulcerative colitis, unclassified colitis, lymphocytic/collagenous colitis, as well as celiac disease and intestinal autoimmune diseases or vasculitis Image Image Image Comprehensive care Several specialized consultations are developed for the management of adolescents, pregnant or breastfeeding women, screening for primary immunodeficiency syndromes in adults, and patients with celiac disease or autoimmune enteritis. Multidisciplinary approach There is strong multidisciplinary collaboration in the care of patients with inflammatory bowel disease, particularly during a weekly meeting (“round table”) with colorectal surgeons, radiologists, pathologists, rheumatologists, and dermatologists (as well as ophthalmologists or other specialists involved in immunodeficiency-related conditions).  Discover the Inflammatory Bowel Disease (IBD) Clinic of Hôpital Erasme H.U.B. Image Prof. Denis Franchimont, Director of the Inflammatory Bowel Diseases Clinic SpecialtiesInflammatory bowel diseases.Colon cancer screening and genetic screening for hereditary colorectal cancer syndromes.Diagnostic and therapeutic gastroscopy and colonoscopy.Upper digestive and anorectal endoscopic ultrasound.Resection of superficial colorectal tumors.  Prendre rendez-vous avec le Prof. Franchimont A team of specialists by your side DoctorsProf. Claire LiefferinckxProf. Anneline CremerProf. Leila AmininejadDr. Cagla GulkilikDr. Clémence VukovicProf. Denis FranchimontClinical studies and trials coordinationCharlotte Minsart, PhD in Biomedical SciencesEmma DescampsChloé HelmanClinic coordinating nurseValérie WambacqDietitianPauline Van OuytselConsultantsDr. Vincent BouillonDr. Haydeh Vafa ZanjaniMedical secretaryGeorgiana Vilcinschi A clinic committed to research The clinic is actively involved in pharmaceutical clinical research (we have access to new molecules within international clinical trials), as well as translational and genetic research, particularly in collaboration with the BIRD (Belgium IBD Research Disease Group), the ECCO (European Crohn’s and Colitis Organisation), and the IIBDGC (International IBD Genetics Consortium)BIRD (Belgium IBD Research Disease Group), l’ECCO (European Crohn and Colitis Organisation) et le IIBDGC (International IBD Genetics Consortium).  In 2022, the clinic opened its translational research laboratory on the microbiota — the H.U.B Center for the Study of Inflammatory Bowel Disease (IBD) and Microbiota — where 3 physicians, a technician, two PhD students, and an artificial intelligence engineer work Our scientific publications In-depth study of monogenic primary immunodeficiency genes identifies rare XIAP variants in Crohn’s disease patients. Amininejad L, Charloteaux B, Theatre E, Dmitrieva J, Hayard P, Muls V, Maisin J-M, Schapira M, Ghislain J-M, Closset P, Talib M, Abramowicz M, Momozawa Y, Deffontaine V, Crins F, Mni M, Karim L, Cambisano N, Deviere J, Hugot J-P, De vos M, Louis E, Vermeire S, Van Gossum A, Coppieters W, Twizere J-C, Georges M, Franchimont D.  Gastroenterology 2018 Jun;154(8):2165-2177 (I.F. 33) 01 June 2018 Lien vers https://pubmed.ncbi.nlm.nih.gov/31202983/ Risk of Development of More-advanced Lesions in Patients With Inflammatory Bowel Diseases and Dysplasia Cremer A, Demetter P, De Vos M, Rahier JF, Baert F, Moreels T, Macken E, Louis E, Ferdinande L, Fervaille C, Dedeurwaerdere F, Bletard N, Driessen A, De Hertogh G, Vermeire S, Franchimont D.  Clin Gastroenterol Hepatol. 2019 Jun 13. pii: S1542-3565(19)30645-7 13 June 2019 Lien vers https://www.researchgate.net/publication/350498118_Collecting_New_Peak_and_Inte… Collecting New Peak and Intermediate Infliximab Levels to Predict Remission in Inflammatory Bowel Diseases Liefferinckx C, Bottieau J, Toubeau JF, Thomas D, Rahier JF, Louis E, Baert F, Dewint P, Pouillon L, Lambrecht G, Vallée F, Vermeire S, Bossuyt P, Franchimont D.  Inflamm Bowel Dis. 2022 Feb 1;28(2):208-217.  01 February 2022 Lien vers https://www.nature.com/articles/s41588-022-01156-2 Large-scale sequencing identifies multiple genes and rare variants associated with Crohn's disease susceptibility . Sazonovs A, Stevens CR, Venkataraman GR, Yuan K, Avila B, Abreu MT, Ahmad T, Allez M, Ananthakrishnan AN, Atzmon G, Baras A, Barrett JC, Barzilai N, Beaugerie L, Beecham A, Bernstein CN, Bitton A, Bokemeyer B, Chan A, Chung D, Cleynen I, Cosnes J, Cutler DJ, Daly A, Damas OM, Datta LW, Dawany N, Devoto M, Dodge S, Ellinghaus E, Fachal L, Farkkila M, Faubion W, Ferreira M, Franchimont D, Gabriel SB, Ge T, Georges M, Gettler K, Giri M, Glaser B, Goerg S, Goyette P, Graham D, Hämäläinen E, Haritunians T, Heap GA, Hiltunen M, Hoeppner M, Horowitz JE, Irving P, Iyer V, Jalas C, Kelsen J, Khalili H, Kirschner BS, Kontula K, Koskela JT, Kugathasan S, Kupcinskas J, Lamb CA, Laudes M, Lévesque C, Levine AP, Lewis JD, Liefferinckx C, Loescher BS, Louis E, Mansfield J, May S, McCauley JL, Mengesha E, Mni M, Moayyedi P, Moran CJ, Newberry RD, O'Charoen S, Okou DT, Oldenburg B, Ostrer H, Palotie A, Paquette J, Pekow J, Peter I, Pierik MJ, Ponsioen CY, Pontikos N, Prescott N, Pulver AE, Rahmouni S, Rice DL, Saavalainen P, Sands B, Sartor RB, Schiff ER, Schreiber S, Schumm LP, Segal AW, Seksik P, Shawky R, Sheikh SZ, Silverberg MS, Simmons A, Skeiceviciene J, Sokol H, Solomonson M, Somineni H, Sun D, Targan S, Turner D, Uhlig HH, van der Meulen AE, Vermeire S, Verstockt S, Voskuil MD, Winter HS, Young J; Belgium IBD Consortium; Cedars- Sinai IBD; International IBD Genetics Consortium; NIDDK IBD Genetics Consortium; NIHR IBD BioResource; Regeneron Genetics Center; SHARE Consortium; SPARC IBD Network; UK IBD Genetics Consortium; Duerr RH, Franke A, Brant SR, Cho J, Weersma RK, Parkes M, Xavier RJ, Rivas MA, Rioux JD, McGovern DPB, Huang H, Anderson CA, Daly MJ.  Nat Genet. 2022 Sep;54(9):1275-1283.  29 August 2022 Resources and Useful Links for Patients with Crohn’s Disease, Colitis, and Inflammatory Bowel Diseases (IBD) Whether you have already been diagnosed or suspect you may have an inflammatory bowel disease (IBD), we are here to support and guide you step by step. That is why we offer a series of content (produced by doctors, researchers, patient associations, and public health stakeholders) to help you better understand your disease, manage it, and identify support groups with which to connect. ASSOCIATION - L’association Crohn-RCUH asbl tente de répondre aux besoins socia… ASSOCIATION - Société Belgique de la Coeliaquie PODCAST - MICI Today Le podcast dédié aux affections inflammatoires du tube dig… FONDATION - BRIDGE - Brussels IBD Effort, a Network of ULB Hospitals FAQ on Crohn's disease and Colites 1. What is Crohn’s disease? Crohn’s disease is a chronic inflammatory bowel disease (IBD) that can affect any part of the digestive tract, from the mouth to the anus. It is characterized by segmental inflammation and can lead to complications such as strictures or fistulas. 2. 2. What are the differences between Crohn’s disease and other types of colitis? Crohn’s disease can affect the entire digestive tract, with discontinuous lesions.Ulcerative colitis (UC) affects only the colon and rectum, with continuous lesions.Infectious colitis is caused by bacteria, viruses, or parasites and is usually temporary.Ischemic colitis results from reduced blood flow to the colon.Microscopic colitis (lymphocytic and collagenous) is only visible under a microscope and causes chronic diarrhea. 3. What are the main symptoms of Crohn’s disease? Symptoms include abdominal pain, diarrhea (sometimes with blood), weight loss, fatigue, and sometimes fever. Extra-intestinal manifestations may also occur, such as joint pain, skin rashes, or eye problems. 4. Is Crohn’s disease hereditary? There is a genetic predisposition: about 10 to 20% of patients have a family member with an inflammatory bowel disease (IBD). However, environmental and immunological factors are also required for the disease to develop.  5. How is Crohn’s disease distinguished from infectious colitis? Infectious colitis is usually acute and caused by an identifiable infection (bacteria, viruses, parasites). Stool tests can confirm the infectious origin. Crohn’s disease, on the other hand, is chronic, with recurrent flare-ups and periods of remission. 6. What treatments are available for Crohn’s disease? Treatments include:Anti-inflammatory drugs (such as mesalazine or corticosteroids).Immunosuppressants (azathioprine, methotrexate).Biologic therapies targeting specific molecules (anti-TNF, anti-IL12/23, etc.).In case of complications, surgery may be required to remove affected segments of the intestine. 7. Can Crohn’s disease cause serious complications? Yes, it can lead to:Stenoses (narrowing of the intestine that may cause obstructions).Fistulas (abnormal connections between organs or with the skin).Abscesses.Increased risk of colorectal cancer (in cases of long-term inflammation). 8. Which factors worsen colitis and Crohn’s disease? Stress and anxiety can worsen symptoms.Smoking particularly aggravates Crohn’s disease.An unbalanced or irritating diet can intensify flare-ups. 9. Can diet prevent or cure colitis and Crohn’s disease? There is no diet that can cure the disease, but certain dietary choices may help relieve symptoms. Low-residue or low-FODMAP diets are often used during flare-ups. A balanced diet is essential to avoid deficiencies. 10. How do people live with a chronic disease like Crohn’s disease or colitis? With appropriate treatment, many patients can achieve remission and lead a normal life.Regular follow-up with a gastroenterologist is important.Participation in support groups or patient associations can help cope with the psychological impact of the disease. Supported by

Image The ZELIG CenterZELIG is an outpatient service designed for young people aged 12 to 21 living in the Brussels-Capital Region*, who are facing recent psychological and functional difficulties that have emerged within the past six months.The center’s mission is to identify early signs of psychological distress before they worsen. By ensuring timely access to care, ZELIG aims to prevent complications and the progression of mental health disorders.Our approach prioritizes swift responses to initial requests and thorough, systematic evaluations of each situation. We offer a tailored care pathway focused on addressing symptoms related to psychiatric conditions through early detection and relapse prevention.*An appropriate solution will be offered in the event of language or communication difficulties between the patient and the healthcare professional. If necessary, the patient may be referred to another specialised centre to ensure optimal understanding, which is essential for the quality and safety of care. We kindly ask you to contact us by email before making an appointment.%20%20zelig [dot] pij [at] hubruxelles [dot] be (Envoyer un message) Image The ZELIG ProjectThe program is built on evaluation, feedback, and targeted support. This support is structured around group workshops and individual follow-ups, both of which are therapeutic and psychoeducational in nature.At ZELIG, we ensure that every young person receives comprehensive and personalized support throughout their care journey.Initial information is gathered via phone or email. Following an analysis of the request, a consultation may be offered to conduct a deeper evaluation. After this preliminary meeting, a multidisciplinary team discussion is organized to determine the best course of action: either providing support at the center or referring the young person elsewhere. Evaluation scales may also be employed to enhance the assessment process.This approach is based on three key dimensions: individual, group-based, and network-focused. Individual follow-up allows for care tailored to the young person’s specific needs, while group sessions foster peer interaction and reduce isolation. Engaging key figures and external networks ensures continuity of care outside the center. Finally, psychoeducational sessions can also be offered to families and close contacts. Docteur Simone Marchini Lead Physician at ZELIGChild and Adolescent PsychiatristSpecialist in early detection and intervention for adolescents and young adultsDr. Marchini is pursuing a doctorate in science at the Faculty of Medicine, ULB. Her research focuses on developing a dimensional approach to psychiatric disorders in adolescents and young adults. Image An expert team by your side Dr. Simone Marchini: Child and Adolescent Psychiatrist, Medical DirectorDr. Edeline Clin: Child and Adolescent Psychiatrist in TrainingClinical Psychologist:Lina Regragui: Specializing in Cognitive Behavioral Therapy (CBT)Neuropsychologist: Ella Ben-ShaoolTwo Specialized Nurses:Natalia Polozova DelaitreDéborah MorchoisneSpecialized Educator: Steven Nicaise “Peer Support” Intern: A patient partner trained for two years through the Brussels Platform for Mental HealthPrendre Rendez-vous  Early Detection of Psychiatric DisordersEarly detection of psychiatric conditions is not solely the responsibility of the ZELIG Center. It also relies on the young person's daily network: parents, relatives, teachers, sports coaches, general practitioners, and others. These key figures are often the first to notice signs of distress and alert ZELIG, enabling prompt and effective intervention.Additionally, we work closely with mental health professionals already involved in the young person’s care. This collaboration ensures continuity and consistency in the support provided.Brochure ZELIG Partner Sites of ZELIGPlateforme Bruxelloise pour la Santé mentaleBru-Stars - Réseau Bruxellois en Santé Mentale pour les Enfants et AdolescentsSimiles - association pour les familles & amis Équipes liégeoises - EcoToneLe P.A.A.T.  (Pôle Ambulatoire - Age de Transition à Liège)Equipe de VRINT à LouvainEquipe mobile âge de transition à ANVERSUZ VUB à Jette  The Prodromal Questionnaire (QP-16)The QP-16 is a screening tool designed to identify young individuals who may require a more in-depth evaluation.Recommended UseThis questionnaire is intended for frontline professionals (general practitioners, psychologists, etc.) who encounter young people displaying concerning signs. They can ask the individual to complete the QP-16.Interpreting ResultsA score of 6 or more true items serves as a strong indicator to consider referring the individual to the ZELIG program.This tool supports the early detection of prodromal signs and facilitates appropriate intervention.The goal of this screening is to enable the early identification of young people in distress and promote rapid, targeted support.Questionnaire Prodromique FAQ What criteria do you use to refer a young person to your program? ZELIG is a program designed for young people aged 12 to 21 residing in the Brussels-Capital Region who are experiencing recent psychological and functional difficulties, emerging within the last six months. The goal of ZELIG is to detect the early signs of psychiatric disorders before they escalate.These signs may include, for instance, a recent withdrawal from daily life, behavioral changes, a distorted perception of reality (feeling of strangeness), the onset of psychological distress, a breakdown in peer relationships, or disturbances in sensory perceptions—such as hearing whispers, seeing objects move, or experiencing unusual bodily sensations.In some cases, these symptoms may signal the onset of an emerging psychiatric condition, requiring timely and tailored intervention. Who can refer a young person to us? Young people can make requests themselves, as can their parents and/or close contacts. Any professional can also reach out to us, provided the young person is informed and gives their consent. How can I request an evaluation? You can send us an email at ZELIG [dot] PIJ [at] hubruxelles [dot] be.We will respond as quickly as possible to gather the initial necessary information and, if appropriate, schedule an appointment. What steps are involved in the evaluation process? To ensure a prompt response, the process begins with an initial interview involving two team members. This is followed by a medical appointment with a child and adolescent psychiatrist. Additionally, other appointments may be scheduled for administering standardized assessment tools. Medical tests might also be prescribed to rule out any underlying physical conditions.At the end of this process, a feedback session is held with the involved team members to discuss the results and propose potential courses of action. What evaluation tools do you use? Our evaluations are comprehensive. They may include physical health assessments, semi-structured interviews, and standardized scales, all aimed at enriching and refining the care process. Are the services free of charge? The fees are regulated by INAMI rates. It is necessary to have valid health insurance coverage. Is there a similar program in the Flemish and Walloon regions? Walloon region(Liège) :Équipes liégeoises - EcoToneLe P.A.A.T.  (Pôle Ambulatoire - Age de Transition à Liège)Flemish Region:Equipe de VRINT à LOUVAINEquipe mobile âge de transition à ANVERS What should I do if my child or friend isolates themselves and no longer leaves their home? You can reach out to mobile teams. The appropriate mobile team to contact will depend on the young person’s age and place of residence.For example: Bru-Stars - Réseau Bruxellois en Santé Mentale pour les Enfants et Adolescents Does your center provide support for families? Yes, we offer family support. The "BREF" module (sessions focused on family psychoeducation) is an intervention designed for the caregivers of young people supported by the ZELIG program.For additional support, you can also reach out to caregiver associations:Similes - association pour les familles & amis Plateforme Bruxelloise pour la Santé mentale The evaluation… what happens next? The feedback from the assessments provides a range of tools that can benefit both the young person and their family or close contacts. Supported follow-up through individual sessions (medical, psychological, and case management) helps prevent or even avoid future deterioration.The tools include:Establishing a care network if none exists and if it is relevant for the young person.Psychoeducational and psychotherapeutic group workshops.Support for the young person’s family/close contacts (psychoeducation).Most importantly, reactivating the young person’s network to help them build a life project focused on personal growth, self-affirmation, maintaining and creating connections, and ultimately achieving self-realization.  +32(0)2 555 80 04  ZELIG.PIJ@hubruxelles.be Erasme Medical Center (EMC) Route de Lennik 900 − 1070 Bruxelles Standard +32 (0)2 555 31 11 Image

Image Are you a physician wishing to refer a patient or obtain the medical results of one of your patients? Please SecMed [dot] Cardio [dot] erasme [at] hubruxelles [dot] be (contact our medical secretariat). The Clinic where cutting-edge technology meets a human touch The Cardiovascular Prevention Clinic of the Brussels University Hospital is committed to promoting optimal cardiovascular health through a multidisciplinary and personalized approach. Image Image Image A comprehensive evaluation thanks to modern diagnostic tools Our mission is to prevent cardiovascular diseases by identifying the specific risk factors of each patient and offering tailored solutions. We combine specialized consultations, state-of-the-art diagnostic tools, and educational programs to encourage a healthy and sustainable lifestyle. A holistic approach for comprehensive care Our strengths rest on a dedicated team of experts, latest-generation technologies, and close collaboration between medical disciplines. We distinguish ourselves through a comprehensive approach to care that integrates not only medical follow-up, but also nutritional, physical, and psychological support. As a reference center, we place prevention at the very heart of our priorities, helping everyone reduce their risks and preserve their quality of life. Our Range of Care The Cardiovascular Prevention Clinic of the Brussels University Hospital offers a comprehensive and personalized range of care to reduce the risk of cardiovascular disease and improve quality of life.Each prevention program is tailor-made, taking into account the medical history, lifestyle, and specific needs of each patient. This individualized approach promotes better adherence to recommendations and helps establish sustainable lifestyle changes, effectively reducing long-term cardiovascular risks.Our services include:Risk assessment: A detailed evaluation of cardiovascular risk factors (hypertension, cholesterol, diabetes, smoking, etc.).Personalized advice: A prevention plan tailored to your profile, including nutrition, physical activity, and stress management.Specialized follow-up: Regular consultations with cardiologists and other specialists.Educational programs: Workshops to better understand and manage your cardiovascular health.Advanced technologies: State-of-the-art imaging and diagnostic tests for early detection.By combining advice on nutrition, physical activity, stress management, and health education, the clinic is committed to treating not only physical factors but also the emotional and psychological dimensions that influence cardiovascular health. This comprehensive support builds a true therapeutic alliance, boosting patient motivation and well-being. Focus on Sports Cardiology and Cardiovascular Rehabilitation Sports Cardiology is a discipline focused on prevention and medical follow-up for the cardiovascular health of active individuals, including both amateur and high-level athletes, as well as patients with a cardiovascular pathology.Cardiovascular rehabilitation, when combined with Sports Cardiology, helps improve the quality of life for patients who have experienced a cardiovascular medical or surgical event, aligning with their personal goals. It also plays an essential role in patient therapeutic education, encouraging them to take an active role in managing their condition. Contact us Prof. Philippe van de Borne, Director of the Cardiovascular Prevention Clinic Director of the Cardiology Department (Research and Education), Erasmus Hospital, ULB, Brussels, Belgium.Director of Cardiovascular Prevention and Rehabilitation, Erasmus Hospital, ULB, Brussels, Belgium.Professor of Cardiovascular Pathology, Faculty of Medicine and Faculty of Motor Sciences, ULB, Brussels, Belgium. Book an appointment with Prof. van de Borne Professor van de Borne conducts extensive research focusing on cardiovascular variability, arterial hypertension, and the interactions between sleep and the cardiovascular system. He has contributed to more than 250 scientific publications and is frequently cited in medical literature. He plays an active role in promoting cardiovascular health in Belgium.In 2023, he co-proposed the adoption of a national plan to combat cardiovascular diseases, emphasizing the importance of prevention and the tailored management of risk factors. Professor van de Borne is a member of the Advisory Board of the European Society of Hypertension, an ex-officio member of the Board of the European Society of Hypertension, and a scientific advisor to the French Society of Hypertension. He has previously served as a member of the "Hypertension and the Heart" working group of the European Society of Cardiology, president of the Belgian Hypertension Committee, and president of the Belgian Working Group on Cardiovascular Prevention and Rehabilitation.His dedication to education, research, and prevention makes him a central figure in the field of cardiovascular prevention in Belgium. Dr. Gabriela Flores Vivian, Interventional and Sports Cardiologist Dr. Flores Vivian is a cardiologist with over 20 years of experience. She played a key role in the inception of interventional cardiology in Mons in 2016. Trained in Interventional Cardiology, she is deeply committed to preventive cardiology and is a member of the European Association of Preventive Cardiology (EAPC). She completed her training in Sports Cardiology at Sorbonne University in Paris and has practiced at the Sports Medicine Center in collaboration with ADEPS in Mons since 2019. She is also a member of the Club des Cardiologues du Sport (Sports Cardiologists Club).She joined the Interventional Cardiology, Prevention, and Rehabilitation team at Erasmus Hospital on December 1, 2023. She is currently further expanding her training in cardiovascular rehabilitation. Dr. Flores Vivian is originally from Mexico and is fluent in four languages. Book an appointement with Dr. Flores Vivian A team of specialists dedicated to your cardiovascular health PhysiciansProf. Philippe van de Borne – CardiologistDr. Gabriela Flores Vivian – University Hospital Practitioner, CardiologyDr. Caroline Carpentier – University Hospital Practitioner, Cardiology, Internal MedicineDr. Nina Leduc – CardiologistDr. Sonia Velez-Roa – CardiologistProf. Jean-Michel Hougardy – Chief Medical Officer of the H.U.B, Nephrology-Dialysis-Renal TransplantationProf. Marc Leeman – CardiologistFor sports cardiology and cardiovascular rehabilitation, we also collaborate with Dr. Axel Marlaire – Physical Medicine, Sports Medicine Consultation Book an appointment with one of our specialists Healthcare & Support TeamLucille Blaise – PhysiotherapistStéphanie Catelin – PhysiotherapistGwennaelle Demoulin – Social WorkerNathalie Egee – PsychologistAlexis Gillet – PhysiotherapistChantal Godefroid – PhysiotherapistMichel Lamotte – PhysiotherapistCorentin Scoubeau – PhysiotherapistJonathan Strapart – PhysiotherapistSophie Vanden Eynde – PsychologistElodie Van Lil – PhysiotherapistMarie-Eve Velghe – Dietitian  The departments we work with Cardiology Lien vers Cardiology Diabetology Lien vers Diabetology Nutrition Physiotherapy and Physical Medicine Lien vers Physiotherapy and Physical Medicine Psychology Lien vers Psychology Neurology Lien vers Neurology Pneumology Lien vers Pneumology Tabacology Internal Medicine Lien vers Internal Medicine Useful Resources and Links on Cardiovascular Prevention These resources offer valuable information on the prevention, diagnosis, and management of cardiovascular diseases in Belgium, in connection with the activities of the H.U.B Cardiovascular Prevention Clinic. PRESENTATION – 5 benefits of physical activity on cardiovascular health. PATIENT ASSOCIATION – Belgian Cardiological League (Ligue Cardiologique Belge) PATIENT ASSOCIATION – League of Healthcare Users (Ligue des Usagers de Soins de… WORKING GROUP – Belgian Hypertension Committee WORKING GROUP – Belgian Working Group on Preventive Cardiology (BWGPC) WORKING GROUP – French Society of Arterial Hypertension (Société Française d’Hy… WORKING GROUP – The Belgian Lipid Club / Belgian Atherosclerosis Society WORKING GROUP – Belgian Working Group on Heart Failure (BWGHF) WORKING GROUP – Belgian Working Group on Cardiovascular Nursing (BWGCVN) ARTICLE – Turn to patient associations (LUSS) WEBSITE – List of patient associations (Health Belgium) PODCAST – "Straight from the heart" (« Ça vient du cœur » - Belgian Cardiologic… ARTICLE – The heart and sports activities: The 10 golden rules VIDEO – Lifelong prevention: The red line at EAPC (in English) ARTICLE – Diet: A precious asset in stroke prevention FAQ on cardiovascular health 1. What are the main cardiovascular risk factors? Smoking, hypertension, high cholesterol, diabetes, being overweight, a sedentary lifestyle, stress, and family history are the main risk factors. 2. Is my current diet suitable for protecting my heart? A diet rich in vegetables, fruits, and fiber, and low in saturated fats is recommended. We evaluate your habits to offer personalized advice. 3. What tests are necessary to assess my cardiovascular risk? A blood test, blood pressure measurement, an electrocardiogram (ECG), an echocardiogram, or a stress test can be performed depending on your needs. 4. What is the best physical activity for my cardiovascular health? Endurance activities such as brisk walking, cycling, or swimming, practiced for 30 minutes a day, are ideal. 5. How can I lower my cholesterol without medication? Adopt a diet rich in fiber and healthy fats (omega-3s), increase physical activity, and limit saturated and trans fats. 6. Should I monitor my blood pressure every day? It depends on your situation. Regular, but not necessarily daily, monitoring may be sufficient unless medically advised otherwise. 7. What are the warning signs of a heart attack? Chest pain, shortness of breath, sweating, nausea, or feelings of pressure in the left arm require urgent medical attention. 8. Can sleep apnea affect my heart? Yes, it increases the risk of hypertension, arrhythmia, and other cardiovascular complications.   9. How can I stop smoking to reduce cardiovascular risks? Medical support, behavioral therapies, and nicotine substitutes significantly increase the chances of success. 10. Does my daily stress impact my cardiovascular health? Yes, chronic stress can raise blood pressure and worsen cardiovascular risks.

Symposium – Organized by the Neurosurgery, Pediatrics, Neuropediatrics, and Intensive Care departments of the H.U.B November 7, 2025 Registration for the Pediatric Traumatic Brain Injury Symposium – November 7, 2025 Registration  Inscriptions ICIProgram The full programPractical InformationDate: November 7, 2025Time: 8:30 AM - 5:30 PMVenue: Museum of Medicine, ULB-HUB, Erasme Hospital808 Route de Lennik, 1070 BrusselsRegistrationRegistration link coming soon✔ Accreditation requested for ethics and economics.This symposium is organized by the Neurosurgery, Pediatrics, Neuropediatrics, and Intensive Care departments of H.U.BFees:Medical Professionals: €60Paramedical Professionals and Students: €20ContactFor any inquiries, please contact us at: Symposium [dot] Paeds [dot] Neurosurgery [at] hubruxelles [dot] be (Symposium[dot]Paeds[dot]Neurosurgery[at]hubruxelles[dot]be)Prof. Olivier De WitteDr. Viviana Minichini

In the course of the week, more than 20 researchers are scheduled to present their work and answer questions.  The seminars will be held at the Children’s Hospital on the Laeken campus, and at the Jules Bordet Institute and Erasme Hospital on the Anderlecht campus. At some seminars the scientist and illustrator Adeline Deward will be making illustrations live. Sandwiches will be served at each session. Stands will also be erected in the entrance halls of the three H.U.B hospitals (Jules Bordet Institute, Erasme Hospital and Children’s Hospital) to enable visitors to the hospitals to meet researchers and obtain information.   Do you want to know more? You will find the full programme by clicking here.  Would you like to participate? Register now by completing this form. If you have any questions please send us an email to communication [at] hubruxelles [dot] be (communication[at]hubruxelles[dot]be).  

On the occasion of the inauguration of the new road and reception infrastructures for Emergencies,  Adeline Higuet, Head of Department, presents her vision of the department, the renovation project and the next stages in the works. In the Emergency Department renovation project, the architecture makes the function and the function is supported by the architecture in the sense that the configuration of the infrastructures is adapted to the way emergency medicine is to be practiced.  Central to this approach is the “Moving Forward” concept that is used by the most modern Emergency Services.The “Moving Forward” concept places the patient at the centre of a continuous flow.  The  patient consequently progresses through dedicated care zones in which the hospital architecture and the duo of  emergency nurse and doctor both play a role in ensuring an attentive and fluid global care from admission through to discharge. This approach permits a more rapid care and treatment for emergency patients. Our aim is of course to be as efficient as possible while remaining person-centred and attentive to the needs and circumstances of the individual patientWithin this concept, the first care zone consists of the reception area and waiting room for adults and for paediatric emergencies. The central zone is occupied by 3 triage areas that are essential to the mechanisms of the “Moving Forward” concept.  “We have also developed a specificity for the medical triage (triage 3) with the creation of what we call an “Ultra Ultra Short” triage that is for managing “non-urgent” emergencies that can be quickly dealt with and do not require the patient to enter the care zone  reserved for more serious cases. This zone has a dedicated waiting room.”  It is these three areas, as well as a rest room to ensure the well-being of staff, that occupy the new Emergency Department space that is scheduled to open in May.  The rest of the renovation concerns the present Emergency Department that is currently being “updated” including structural modifications to enable us to work per care zone. Specifically:  Triage zone 4, dedicated to (minor) medical pathologies that do not require hospitalisation.Treatment zones 1, 2 and 3 where patients are sorted depending on the seriousness of their condition and importance of receiving treatment.The most urgent (i.e. serious) cases are directed to the shock lab.“We also have a new integrated Surveillance Unit  (SU) that equips the Emergency Department with 6 to 8 provisional hospitalisation beds.”  The SU is designed for:Patients who need to be kept under surveillance for 3 to 6 hours before returning home (in the case of a concussion, for example, or pain management);Patients who need to be kept under surveillance for 12 to 24 hours before returning home;Patients who have to be hospitalised while waiting for a bed to become free in the department to which they will be subsequently transferred.Respect for the patient remains throughout, starting with patient reception and extending to consideration for accompanying family members. Trauma care is a well defined zone for treating surgical and orthopaedic pathologies.  Its strategic location next to emergency radiology also ensures better care. The SU and trauma care (yellow and pink zones respectively) were renovated in 2024.  The next stages in this project The next stages in this project are the most complex with the renovation of the isolation room and psychiatry consulting rooms, renovation of the medical examination rooms and of the entire medico-nursing work space. This phase of the works is more complex as it will be carried out without interrupting activity and thus in zones where patients are present.  Fortunately we have the support of the Department of Infrastructures (DIHJ) that will manage this phase by playing musical chairs with the areas where patients are present and those where they are not. Our aim is to complete all the works by the end of this year.  “The changes we are making at the Emergency Department are inspired by values of respect, caring, and listening to the patient and care teams. The patient is at the centre of all we do.”  In terms of functioning, we are fortunate in having emergency nurses and doctors of the highest quality.  “We are in the process of creating a model that is unique in Belgium, a multidisciplinary emergency team consisting of accident and emergency doctors as well as internal specialists (who watch out for rarer pathologies: you find what you look for), anaesthetists, surgeons and senior paediatricians. It is this panel of cumulated skills that makes our department so effective in-patient care while at the same time functioning as a teaching class for trainee doctors. Another specificity of our department is that, from the moment of arrival, the patient is followed up by a doctor-nurse duo, this clearly improving the quality of care, a fact that has been proved scientifically. *”With these changes we want to create a more fluid, positive, human and caring patient experience. Our mission is based on three essential notions:“Care”, meaning caring for the patient with respect;“Cure”, meaning treating the patient;“Counsel”, which is based on our obligation to ensure the patient’s medical follow-up.“No patient leaves us without understanding what is wrong with them. All follow-up appointments are made before discharge. All the information, all the documents and all the prescriptions the patient needs are provided systematically.”  Special attention is paid to bilingualism at our department. There are still a lot of things to be put into place, of course, but we are doing everything possible with the nurses, doctors and SAMU and SMUR ambulance drivers to ensure optimal care and treatment.*Source : The impact of senior doctor assessment at triage on emergency department performance measures: systematic review and meta-analysis of comparative studies, Maysam Ali Abdulwahid 1, Andrew Booth 1, Maxine Kuczawski 1, Suzanne M Mason 1 , Emerg Med J, 2016 Jul;33(7):504-13.doi: 10.1136/emermed-2014-204388. Epub 2015 Jul 16. Dr. Adeline HIGUETHead of the Emergency Departement of the H.U.B

A technical error occurred in our billing system in March, but it is not fraud. Dear patient,A technical error occurred in our billing system in March.You may have received an invoice from Hôpital Erasme with a transfer slip showing the address of our Polyclinique du Lothier. Rest assured, this is not a case of fraud.Your bill can be paid on the account number given. Only the name and address of the beneficiary are incorrect.We apologise for any inconvenience caused.Kind regards,The H.U.B Billing Department

Carlos, an intern with the team at the ZELIG Child and Adolescent Psychiatry Center, supports adolescents and young adults through his own recovery journey Interview with Carlos, a peer support intern at the ZELIG Child and Adolescent Psychiatry Center of the Brussels University Hospital (H.U.B). Peer support, still a developing approach in the field of mental health, is gradually becoming a valuable complement to traditional care. From January to April 2025, Carlos completed his internship as a peer support worker at the ZELIG center (Erasme Medical Center). Here, he shares his enriching experience as part of the team. Young patients, as well as their families, often find it reassuring to speak with someone who has gone through similar experiences Carlos Peer support intern at the ZELIG Child and Adolescent Psychiatry Center Peer Support: A Human and Complementary Approach For those unfamiliar with the concept, can you explain what peer support means in mental health care?To me, peer support is a way of sharing one's own lived experience to support people going through a difficult time with their mental health. The idea is to show that recovery is possible and to offer hope by sharing my journey. In this role, personal experience becomes a valuable therapeutic tool.I discovered ZELIG during my mental health training at the "Plateforme Bruxelloise pour la Santé Mentale" (PBSM), where I am currently completing a peer support training program.The first year of the program focuses on developing insight into one’s lived experience. The second year is more practice-oriented, introducing the role of peer support worker and exploring various topics such as psychiatric conditions, ethics, professional conduct, and active listening.The Challenges and Training of Peer Support WorkersWhat are the main challenges peer support workers face in their daily work?One of the biggest challenges is finding the right place within the team. It’s important to value lived experience alongside the theoretical knowledge of healthcare professionals.This requires a kind of inner work — reminding myself that my journey, as a peer support worker, complements academic knowledge. It’s a shift in perspective that has already taken place at ZELIG, where there is real openness to the value of lived experience.Another challenge is understanding the specific terminology used in mental health care and child and adolescent psychiatry. It can be quite complex and full of acronyms.What kind of training or support is available to address these challenges?Peer support training begins with developing your own recovery narrative. Then, as part of my professional development with PBSM, we receive theoretical courses and take part in intervision sessions — group discussions with other peer support workers and trainers, where we reflect on practical difficulties.These intervisions, along with the support from the ZELIG team, help me adapt and gain a better understanding of the specificities of working in child and adolescent psychiatry.Benefits for Patients and Care TeamsIn your view, what impact does peer support have on the care of adolescents and young adults with early psychotic symptoms, particularly in a setting like ZELIG?The presence of a peer support worker at ZELIG brings a more human dimension to the care process. It adds a complementary approach to traditional medical care, creating space for listening and mutual understanding.Young patients — and their families — often feel reassured when they can talk to someone who has been through similar experiences. It builds a sense of trust, which is essential for recovery.How do young people and their families respond to peer support?The feedback is generally very positive. During interviews and psychoeducation sessions, my presence is often requested, especially when it comes to questions about hope and recovery.Families seem to appreciate hearing a personal story. It helps them better understand what their child or loved one is going through.Do you have any stories you'd like to share?One moment that stands out is a conversation I had with a patient’s father. He asked me how I had changed, and what had made a difference in my recovery.I told him that there was a turning point when I realized that getting better would depend on my own willingness to change certain habits in my life.It’s a powerful message — that personal awareness can mark a key shift in the healing process.Peer Support at the Erasme HospitalIs the Brussels health system well prepared to integrate peer support into care pathways? What would you like to see to encourage this approach?ZELIG is one of the pioneering institutions in Belgium to integrate peer support into its therapeutic model.There is a real willingness from both H.U.B. and ZELIG to promote this practice. But more work is needed to raise awareness across all levels of the institution.Creating informal opportunities for dialogue between healthcare professionals and peer support workers could help build mutual understanding and make it easier to integrate peers into care teams.What changes would help strengthen the role of peer support within H.U.B.?It would be essential to establish an official status for peer support workers within healthcare institutions, especially in the H.U.B. network. This would help recognize the role and ensure its long-term sustainability.In addition, continued awareness efforts targeting decision-makers are important — to demonstrate the benefits of this approach beyond simple budget considerations.Peer support adds real value to the care process, especially from a human perspective.The Future of Peer Support in Mental HealthHow do you see the role of peer support evolving in the future?The development of this role will likely be gradual. Peer support is still emerging, but more and more healthcare professionals are beginning to recognize its potential.That said, some may still have reservations — especially around ethical concerns, such as access to patient medical data.This is a long-term process that will require a change in mindset and in institutional practices, but I remain optimistic about the future.How can people get involved or learn more about peer support?There are training programs available through PBSM and other organizations in Belgium. You can also find information online, including on the PBSM website.And the example of ZELIG shows that it’s possible to get involved in a meaningful way.Peer support should not be seen as an added cost, but as an investment in patient well-being and the quality of care.