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Epilepsy Center Bethel Bielefeld

location_on Bielefeld, Germany
9/10 from 23 Votes

Department of Adult and Pediatric Epileptology (303791)

Christian Bien

Prof. Dr. med.

Christian Bien

Specialized in: adult and pediatric epileptology

About the department

The Department of Adult and Pediatric Epileptology at the Epilepsy Center Bethel Bielefeld offers the full range of modern diagnostics and treatment for all types of epilepsy. The department has the reputation of one of the largest specialized medical facilities of this kind in Germany. It provides the comprehensive medical programs, including both diagnostics and correction of drug treatment regimens, as well as state-of-the-art surgical techniques for epilepsy treatment. The department also has the Section of Rehabilitation, which offers various activities in the field of medical and occupational rehabilitation.

The department is headed by Prof. Dr. med. Christian Bien. The specialist has tremendous experience and is professional in the diagnostics and treatment of epilepsy. According to the prestigious Focus magazine, he ranks among the top German experts specializing in epileptology!

The department's medical team consists of highly qualified epileptologists, psychologists, social workers, physiotherapists, specialists in occupational therapy, curative education and other employees.

The department's outpatient programs include a detailed study of patient's medical history, differential diagnostics by means of EEG, imaging examinations (MRI), drug treatment, counseling on all issues related to epilepsy, including epilepsy in pregnant women, and psychotherapeutic care. Within the outpatient admission, both adults and young patients can be treated.

A key focus of ​​the department's work is preoperative intensive diagnostics and surgical treatment of epilepsy. The treatment is provided for both children and adults with treatment-resistant epileptic seizures, seizures caused by damage to a certain part of the brain (focal epilepsy), unclear seizures (differential diagnostics), as well as for patients who are indicated vagus nerve stimulation.

In case of the surgical treatment of epilepsy, the surgeon's primary task is to eliminate the epileptogenic focus in the brain. The subsequent postoperative treatment in the specialized Section of Rehabilitation can be provided for patients over 16 years, while children and adolescents should go to other rehabilitation clinics. As a rule, the preoperative diagnostics includes imaging-guided EEG examination with special provocative tests, MRI, PET, SPECT, neuropsychological examinations and tests for detection of psychosocial stress. All diagnostic measures are used for the accurate planning of surgical treatment.

The priority focus of the department is pediatric epileptology. This field is responsible for the diagnostics and treatment of epilepsy in children and adolescents under the age of 18 years. The department's specialists mostly have to deal with such clinical cases as recurrent seizures in uncontrolled epilepsy, new epilepsy seizures, seizures of unclear origin (for example, psychogenic non-epileptic seizures), side effects from antiepileptic drugs, seizures due to concomitant pathology, developmental disorders caused by epilepsy or drug treatment. The doctors hold consultations for parents, support young patients and their relatives at all stages of the therapeutic process. For the most comfortable stay of children in the clinic, it provides the spacious playrooms.

The department has in its arsenal many effective treatment methods. In the field of drug treatment, the preference is given to monotherapy with a gradual increase in the dosage of antiepileptic drug until the seizures are completely stopped or the maximum age-specific dosage of the drug is reached. As a rule, monotherapy is better tolerated than combination treatment. The experience of the department's specialists shows that in timely competent medical treatment, the chances for epilepsy compensation are quite high.

The department's competency also includes surgical treatment. It annually performs more than 100 surgical interventions to treat this disease. A prerequisite for epileptic surgery is preoperative diagnostics, which allows the doctor to accurately determine the goals and sequence of manipulations during the surgical intervention. When performing surgery, the doctors remove brain tissues, which are the source of epileptic activity. In most cases, surgical treatment allows the doctor to get rid of seizures. At the same time, the operations are performed using the most sparing techniques, which avoids damage to brain areas responsible for speech, memory, etc. In the treatment of young children, the surgeons can also perform extensive interventions, which cover several areas of the brain.

The diagnostic and therapeutic options of the department include:

  • Diagnostics
    • Electroencephalography (EEG) for recording electrical activity of the brain
      • Standard EEG
      • Whole-night sleep EEG
      • Long-term video-EEG monitoring
      • Mobile daily EEG recording (also video EEG)
      • Preoperative video electroencephalography using invasive and intraoperative methods, including in children and infants
    • Magnetic resonance imaging of the brain
    • Brain SPECT and PET imaging
    • Examinations of the level of antiepileptic drugs in the blood
    • Neuropsychological diagnostics
    • Social history taking
  • Therapy
    • Drug treatment (monotherapy with dosage correction is preferred)
    • Surgical treatment of epilepsy
    • Vagus nerve stimulation
    • Ketogenic diet
    • Psychotherapeutic treatment
    • Ergotherapy
    • Physiotherapy
  • Other medical services

Curriculum vitae

Since January 2011, Prof. Dr. med. Christian Bien has been the Head of the Epilepsy Center Bethel Bielefeld. Prior to that, he held the position of Lead Senior Physician in the Department of Adult and Pediatric Epileptology at the University Hospital Bonn. Also, the doctor worked at the University of Bonn as PD. In 2012, Christian Bien received the title of Professor at the Rhenish Friedrich-Wilhelm University of Bonn, thanks to scientific activities in the field of preoperative diagnostics and surgical treatment of epilepsy.

Photo of the doctor: (c) v. Bodelschwinghsche Stiftungen Bethel

Department of Adult and Pediatric Epileptology.
Epilepsy Center Bethel Bielefeld:

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