Our Comprehensive Epilepsy Program (CEP@RMH) provides state-of-the-art diagnostic technologies and treatments for people with epilepsy.

The CEP@RMH offers a full range of inpatient and outpatient services for the treatment of epilepsy and related disorders by a multidisciplinary team. A comprehensive range of investigation tools are available, including high resolution volumetric MRI, SPECT, PET, fMRI, diffusion and perfusion MRI, EEG source analysis, neuropsychology and neuropsychiatry evaluation. Both pharmacological and non-pharmacological treatments are offered, the latter include resective surgery, vagus nerve stimulation, deep brain stimulation, and dietary therapies.

Outpatient services are provided at both the RMH City Campus and the Royal Park Campus. Referrals are accepted from general practitioners, specialist clinics, and hospital wards across Melbourne and Victoria. Patients are also regularly referred from other parts of Australia as well as from overseas.

The CEP@RMH has developed into an internationally recognised epilepsy centre in both clinical service and research.

A comprehensive range of investigation tools are available including:

  • High resolution volumetric MRI
  • SPECT
  • PET
  • fMRI
  • Diffusion and perfusion MRI
  • EEG source analysis
  • Neuropsychology
  • Neuropsychiatry evaluation.

Both pharmacological and non-pharmacological treatments are offered, the latter include resective surgery, vagus nerve stimulation, deep brain stimulation, and dietary therapies.

Outpatient services

There are two outpatient clinics:

  • The First Seizure Clinic is dedicated to the prompt assessment of people who have new onset seizures, as well as those for whom the diagnosis is less certain.
  • The Epilepsy Assessment Clinic is for patients with established diagnosis of epilepsy who require long-term treatment and follow up.

The First Seizure Clinics are held twice per week at the RMH City Campus. These clinics are dedicated to the prompt assessment of people who have new onset seizures, as well as those for whom the diagnosis is less certain.

The Epilepsy Assessment Clinics are held once per week at the RMH City Campus and twice per week at the RMH Royal Park Campus. Patients with established diagnosis of epilepsy requiring long-term treatment are followed up.

Education and training

In conjunction with the University of Melbourne, the CEP@RMH provides a broad range of education and training programs in both clinical service and research at undergraduate and postgraduate levels. These programs attract medical professionals and researchers from across Australia and internationally.

Clinical programs

Epilepsy Fellowship: 1- to 2-year fellowship for clinicians who have completed postgraduate training in neurology. The Fellow will be exposed to the broad range of topics in epileptology with opportunities to pursue specific areas of interest in depth. Enrolment in a higher research degree (MD or PhD) is strongly encouraged and supported.

Neuropsychiatry Fellowship: joint fellowship with the RMH Neuropsychiatry Unit with emphasis in the evaluation and management of the psychiatric comorbidities of epilepsy.

Neurophysiology Fellowship: joint fellowship with the RMH neurophysiology team with emphasis in video-EEG reporting.

Neurology Training: each neurology trainee in RMH spends a significant portion of their training at the CEP as the Epilepsy Registra, providing front-line care to patients admitted to the video-EEG monitoring unit and attending the First Seizure and Epilepsy Clinics.

Visiting Scholars and Medical Students from around the world are welcome to spend an elective period with us.

Research programs

The breadth of research at the CEP@RMH offers students the opportunities to pursue University of Melbourne degrees at all levels in a remarkable range of clinical and basic science subjects, including:

  • Honours projects of Bachelor of Science
  • Master of Science
  • Doctor of Medicine (MD)
  • Doctor of Philosophy (PhD)

The communal environment enables students from different nationalities and diverse backgrounds, ranging from life and biomedical sciences to statistics, mathematics and engineering, to learn to conduct scientific research independently and collaboratively, under the supervision of researchers with international standing. Scholarships at Federal, State and University levels are available, with special schemes for international students from selected countries/regions such as China, India, and Southeast Asia.

Inpatient services

Inpatient services are provided in the purpose-built 4-bedded video-EEG monitoring (VEM) unit housed within the clinical neuroscience ward at RMH City Campus for long-term scalp and intracranial recording.

Over 200 patients are monitored each year for clarification of diagnosis, classification of seizure type and epilepsy syndromes, as well as seizure localization as an essential part of presurgical evaluation.

Eligibility

Referrals are accepted from general practitioners, specialist clinics, and hospital wards across Melbourne and Victoria. Patients are also regularly referred from other parts of Australia as well as from overseas.