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What is Tuberous sclerosis? Tuberous sclerosis, also known as Bourneville disease,  is a rare genetic disease characterised by the development of benign tumours principally affecting the brain, skin, eyes, kidneys, heart and lungs. The consequences are of variable severity but are potentially serious. There is a high risk of epilepsy and also retarded development, intellectual disability and autism when the brain is affected. There can also be a significant impact on health and quality of life when other organs are affected.  Treatment This disease requires an early diagnosis, in early childhood or even before birth, and monitoring by a specialised multidisciplinary team. This is arranged at the Children’s Hospital in the form of regular and systematic consultations with the various specialists. For the comfort of the children and their families the consultations are held on the same day and take place once a year, although sometimes more frequently depending on the age and particularities of the child. The monitoring begins before birth and continues through the growth years of childhood and into adulthood.   As they reach adulthood a transition consultation can be arranged at the Erasmus Hospital. An early screening for epilepsy, before the appearance of the first symptoms, is proposed systematically so as to avert the consequences. Depending on their individual situation, patients can benefit from innovative treatment in line with international recommendations. Our team cooperates closely with other specialists and paramedical teams  at the Children’s Hospital and with specialist teams, for epilepsy surgery in particular, if the child’s situation requires it. We network with GPs and paediatricians, child therapists (physiotherapists, speech therapists, occupational therapists, psychologists etc.), support services, respite care services, associations and psycho-medico-social centres.    Specific care pathways Our team cooperates closely with national and international centres that care for persons with tuberous sclerosis as well as with parents’ associations to achieve a continuous improvement in patient care and to disseminate information on this rare disease and its treatment.  Our specialists Children's patients (Children's Hospital)The multidisciplinary consultation is organised by the Neuroaediatrics Department (Co-ordinating doctor: Dr Anne Monier; Co-ordinating secretary: Ms Daniela Wayllace).Coordinating doctor and neuropaediatrician: Dr Anne MonierDermatologist: Dr Pamela El NemnomOphthalmologist: Dr Sophie LhoirNephrologist: Dr Khalid IsmailiCardiologist : Dr Hugues DessyGeneticist: Dr Catheline VilainCoordinating secretary: Mme Daniela Wayllace (02 477 39 67)Adult patients (Erasme Hospital)The consultation is organised by the Neurology Department (Cons [dot] Neuro [dot] erasme [at] hubruxelles [dot] be (Cons[dot]Neuro[dot]erasme[at]hubruxelles[dot]be))Neurologist: Dr Chantal Depondt

Our role The H.U.B. Emergency Department operates across the three university hospitals (Erasmus, Bordet and the Children’s Hospital), providing the population with access to general and specialised medical care 24 hours a day, 7 days a week. The qualified team of  accident and emergency doctors and specialised nurses also follow up the complex pathologies already treated at the hospitals, permit the link  with specialists, and welcome all new patients irrespective of the actual or suspected degree of gravity.  Image Image Image Our specialties The Erasmus Hospital Emergency Department is structured into 5 main sectors: a medical sector, a surgical sector,  a paediatric sector, a psychiatry sector and a resuscitation room.    Administrative registration: On arrival at the Emergency Department, patients – or a loved one if they are unable to do it – first register at Reception. Pre-selection room: A nurse then comes to find out the reason for coming to the Emergency Department, notes the parameters and administers painkillers if necessary.   Medical treatment: Depending on the anamnesis, the patient will be directed to a particular care zone and circuit:  non-disabled, disabled, paediatric, psychiatric or emergency. The doctor will examine the patient and order additional examinations. If after the pre-selection no examination is needed, the patient will be seen by a qualified emergency doctor within the ultra-short circuit.  Hospitalisation discharge: Depending on the diagnosis and/or the condition of the person, he or she may:  either return home; the person may, however, be requested to consult their GP or hospital specialist. In the latter case an appointment is made;  or be hospitalised in a conventional or an acute care unit.    Our team Image Our medical specialists Focus 1 The Erasmus Hospital Emergency Department has a medical intervention vehicle (MIV). This is crewed by a driver, an emergency doctor and a nurse and in response to a 112 call can be in the field with all the resuscitation equipment needed to administer immediate medical care. The MIV carries out close to 2000 missions a year in the Brussels Region and in Flemish Brabant.  Focus 2 Since 2022, the Erasmus Hospital has been an accredited level 1 Trauma Centre. This particular care pathway is activated for severely injured persons with suspected serious internal injuries. They are treated by specialists in orthopaedics, neurosurgery, digestive surgery, etc. The Trauma Centre of course includes the Emergency Department, Intensive Care,  Blood Bank, Medical Imaging and the Operating Theatre.     Image Teaching Since 2020, future emergency doctors have to complete an internship at the SimLab, the ULB’s simulation laboratory. Working on a dummy connected to software they learn clinical procedures (intubation, catheter placing, etc.), how to respond  when faced with realistic clinical scenarios, and how to communicate with other care providers. 

Our role Image Urology is concerned with pathologies of the urinary tract (bladder, ureter, urethra, kidneys, etc.) in men and women and urogenital pathologies in men (prostate, penis, testicles). Our speciality is both medical and surgical. In addition to diagnosis and treatment, we are also concerned with any complications. Most follow up is in the medium and long term. Our specialities The Urology Department is structured according to a number of areas of expertise:The Oncological Urology Clinic straddles the Erasmus Hospital and the Jules Bordet Institute. It provides multidisciplinary treatment for cancers of the bladder, prostate, kidneys, testicles and penis (cf Focus).The Prostate Clinic is concerned with non-cancerous pathologies of the prostate (prostatic hypertrophy for example). The treatment proposed (laser, thermotherapy, etc.) aims to maintain a maximum of sexual and urinary functions. Functional urology is concerned with problems connected to functions of the urogenital system. In particular, the   Incontinence Clinic proposes urodynamic testing and assessment and a full range of treatment depending on the type of incontinence. At the Traumatology and Rehabilitation Centre (CTR), neuro-urology consultations are proposed for patients who develop a urological problem following a neurological pathology or accident.  The Sexual Problems Clinic (erection or ejaculation problems, painful penetration, vaginismus, etc.) proposes multidisciplinary treatment bringing together urologists, sexologists, physiotherapists, etc. Urinary stones or lithiasis are diagnosed, treated and prevented, in cooperation with the Nephrology Department. Our team Image Our medical specialists Image Focus The Urology Department at the Brussels University Hospital (H.U.B.) has developed particular expertise in treating cancers of the penis. These rare but serious cancers are treated by means of minimally invasive robotic surgery and using the sentinel lymph node procedure. The department proposes an approach that causes the least damage possible as well as reconstructions following partial or complete amputation of the penis.  Research In fundamental research, the Urology Department, within the Brussels University Hospital (H.U.B.) and the experimental Medicine Laboratory, studies the role of certain enzymes in prostatic pathologies.The department also participates in clinical studies. One project carried out in cooperation with the Medical Imaging Department is seeking to establish eligibility criteria to avoid unnecessary punctures in (suspected) cases of prostate cancer.