Services
Neuropsychology and Speech Therapy
Our role Image The H.U.B’s Department of Neuropsychology and Speech Therapy is staffed by neuropsychologists, speech therapists, psychologists ad neurolinguists from the Erasmus Hospital, the Jules Bordet Institute and the Queen Fabiola Children’s University Hospital (HUDERF). The department assesses babies, children, adolescents and adults with neuropsychological and speech disorders and provides rehabilitation/readaptation in the case of deficiencies. Our staff work in various medical units to assist patients with problems in diverse areas, including: attention, language, memory, reasoning, deglutition perception, speech and voice. The department consists of three sectors: baby-child-adolescent cognition, adult-elderly person cognition; deglutition-voice-speech.    Our specialities Our activities in hospitalisation are of two kinds:  assessment or evaluation of difficulties and rehabilitation/readaptation in the case of speech and neuropsychological deficiencies following a lesion (injury, trauma), a brain dysfunction or a neurodevelopmental disorder.  Our staff are present in neurology, physical medicine and readaptation, neuropaediatrics, geriatrics, child psychiatry, E.N.T. and neurosurgery, etc  Outpatients are seen for their neuropsychological or speech disorders at the Geriatric Day Hospital, the Outpatient Centre for Neurological Functional Readaptation for Adults (C.R.F.N.A.), the Centre for Neurological Functional Readaptation for Children  (C.R.F.N.I.) or at the Learning, Growing and Becoming Centre. The neuropsychologist treats cognitive, behavioural and emotional aspects. He or she informs the patient and those close to the patient of the link between cognitive and behavioural dysfunctions as evaluated and present or future consequences for daily and professional life. The neuropsychologist takes into account the psycho-affective, social and environmental context so as to arrive at the best possible understanding of the importance of incapacities and handicaps and proposes individualised treatment indications.      The speech therapist carries out assessments and re-education in the case of language (language development, dyslexia, aphasias), voice (dysphonia) and deglutition (dysphagia) disorders  as well as facial muscle (paresis, paralysis) problems in brain-damaged patients or patients presenting neurological and neurodevelopmental pathologies.   Our team Image Our specialists Research The H.U.B’s Department of Neuropsychology and Speech Therapy encourages the development of research activity as well as cooperation with faculty structures of the ULB and VUB. The department  also participates in national and international research projects. Several of its members pursue research related to neuropsychology and speech therapy and publish in international journals.    Image Teaching Several members of the department teach at the university or training college. Every year many students undertake a clinical internship at the department as part of their studies in neuropsychology or speech therapy.     Publications COVCOG: Immediate and long-term cognitive improvement after cognitive versus emotion management psychoeducation programs - a randomized trial in covid patients with neuropsychological difficulties. Authors : Willems S, Didone V, Cabello Fernandez C, Delrue G, Slama H, Fery P, Goin J, Della Libera C, COVCOG Group, Collette FJournal: BMC Neurology, 2023  15 January 2024 Acoustic Analysis of Voluntary Coughs, Throat Clearings, and Induced Reflexive Coughs in a Healthy Population Authors : Mootassim-Billah S, Schoentgen J, De Bodt M, Roper N, Digonnet A, Le Tensorer M, Van Nuffelen G, Van Gestel DJournal: Dysphagia, 2021 15 January 2024 Unraveling the Cognitive-Motor Interaction in Individuals With Amnestic Mild Cognitive Impairment Authors : Gaillardin F, Bier JC, De Breucker S, Baudry SJournal: J Neurol Phys Ther, 2022 15 January 2024 Resting-state functional brain connectivity is related to subsequent procedural learning skills in school-aged children Authors : Van Dyck D, Deconinck N, Aeby A, Baijot S, Coquelet N, Trotta N, Rovai A, Goldman S, Urbain C, Wens V, De Tiège X.Journal: Neuroimage, 2021
Neuropsychologie et logopédie
Services
Interventional neuroradiology
Our role Interventional neuroradiology (INR) is a radiological subspeciality. INR diagnoses and treats diseases of the brain, the spinal cord and the head with access via blood vessels (endovascular route) or through direct puncture (percutaneously).  INR specialists work closely with neurologists from the Stroke Unit where their adult patients are hospitalised.    Image  "At present, we are the only fully fledged department of this kind in Belgium. Our high degree of expertise attracts patients from throughout Belgium and beyond." Our specialities The Erasmus Hospital's INR Department is active across 3 pathologies or clinics:Malformation pathologies such as brain aneurysms, arteriovenous malformations and fistulas, etc.  Thromboembolic pathologies such as ischemic stroke (caused by a blood clot), chronic subdural hematoma, cervical or intracranial artery stenosis, etc. Within the INR Neonatal and Paediatric Clinic that treats newborns showing a malformation pathology (see Focus), in cooperation with the HUDERF.  There are several INR approaches and methods. The most frequent are: Angiography that consists of introducing a catheter via the wrist artery or the femoral vein (endovascular route) into which a contrast agent is injected and a series of X-rays are then taken. The images thereby obtained make it possible to map the blood vessels and identify anomalies. Embolisation, a procedure by which a small catheter is introduced  endovascularly or percutaneously. This makes it possible to gain access to the brain damage or spinal cord and to provide treatment without recourse to more major surgery. Mechanical thrombectomy that consists of "unblocking" blood vessels by "suctioning out" the blood clot via a catheter. It is one of the treatments for an ischemic stroke. Our team Image our specialists Focus The Erasmus Hospital is home to one of the few Interventional Neuroradiology Neonatal and Paediatric Clinics in the world. Vein of Galen aneurysmal malformation is the pathology most frequently treated. This is an abnormal communication between certain arteries and the vein of Galen. These malformations can cause serious cardiac problems   in utero or at birth and subsequently a risk of haemorrhages and brain developmental problems. If operated on in time, most babies can survive and develop normally.  Publications Endovascular treatment of intracranial vascular malformations in children. Auteurs : Lubicz B, Christiaens F.Journal : Dev Med Child Neurol 2020;62: 1124-1130 16 August 2023 Firs-pass Effect Predicts Clinical Outcome and Infarct Growth after Thrombectomy for DMVO Auteurs : Farouki Y, et alJournal : Neurosurgery 2022 16 August 2023 WEB device for EVT of wide-necked bifurcation aneurysms. Auteurs : Lubicz B, Mine B, Collignon L, Brisbois D, Duckwiler G, Strother CJournal : Am J of Neuroradiol AJNR 2013;34: 1209-1214 Flow-diverter stent for endovascular treatment of intracranial aneurysms: a prospective study in 29 patients with 34 aneurysms. Auteurs : Lubicz B, Collignon L, Raphaeli G, Pruvo JP, Bruneau M, De Witte O, Leclerc XJournal : Stroke 2010;41: 2247-53 16 August 2023
Neuroradiologie interventionnelle - Erasme
Article
New measure in breast cancer treatment
A measure applied from 1 August From 1 August, certain stages of breast cancer treatment will be reimbursed only if the treatment was carried out in approved breast clinics, including the Erasmus Hospital and the Jules Bordet Institute. This decision was taken following a study carried out by the Federal Centre for Expertise in Health Care (KCE), which revealed that women treated in a non-accredited clinic were 30% more likely to die of breast cancer than patients treated in an accredited clinic.Find out more in the RTBF report.
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Health issues
Obesity
What is obesity? Being overweight or obese is defined as having an abnormal or excessive accumulation of fat that is harmful to health. The World Health Organisation (WHO) considers that a person is overweight when their body mass index (BMI) is above 25 and is obese when it is equal to or above 30.  In Belgium, 49.3% of the adult population is overweight and 16% of the population is obese. The risk of being overweight or obese increases with age as it applies to one third and one fifth of the population respectively after the age of 35.  It is a public health problem associated with the development of numerous diseases such as high blood pressure and diabetes.     Care The Erasmus Hospital Integrated Obesity Centre (CIO)  proposes three care modules for persons who are overweight or obese: intensive coaching, medical interventions (including intergastric balloon or gastric pication) and surgery. Each module is personalised for each patient. As a patient at the CIO you are at the heart of a multidisciplinary team of experts in which you are the key actor in your own care. At each stage you will be accompanied by a team of dieticians, psychologists, endocrinologists, nutritionist doctors, gastroenterologists, surgeons and physiotherapists.    The Integrated Obesity Centre is associated with the Multidisciplinary Obesity Centre for Children located on the HUDERF Campus  that is dedicated to caring for children and adolescents.  These young people receive, on the basis of a medical convention,  multidisciplinary and structured care that is adapted to their needs.    Image Research The treatment of obesity, for adults and children, is constantly evolving.    There are numerous research projects in this area, ranging from theses on dietetics (including in children), physiotherapy, psychology and medicine to drug studies and academic studies. The Integrated Obesity Centre and Multidisciplinary Obesity Centre for Children aim to be at the forefront of research and teaching.   
Obesity