Facts and Challenges of Epilepsy Centers in Japan

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  • Iwasaki Masaki
    Comprehensive Epilepsy Center, National Center Hospital, National Center of Neurology and Psychiatry (NCNP) Department of Neurosurgery, National Center Hospital, NCNP
  • Nakagawa Eiji
    Comprehensive Epilepsy Center, National Center Hospital, National Center of Neurology and Psychiatry (NCNP) Department of Epileptology, National Center Hospital, NCNP Executive Officer, Japan Epilepsy Center Association (JEPICA)
  • Tohyama Jun
    Executive Officer, Japan Epilepsy Center Association (JEPICA) Epilepsy Center, National Hospital Organization (NHO) Nishiniigata Chuo Hospital
  • Iida Koji
    Executive Officer, Japan Epilepsy Center Association (JEPICA) Epilepsy Center, Hiroshima University Hospital
  • Takahashi Yukitoshi
    Executive Officer, Japan Epilepsy Center Association (JEPICA) National Epilepsy Center, NHO Shizuoka Institute of Epilepsy and Neurological Disorders
  • Nakasato Nobukazu
    Executive Officer, Japan Epilepsy Center Association (JEPICA) Department of Epileptology, Tohoku University Graduate School of Medicine
  • Shimotake Akihiro
    Executive Officer, Japan Epilepsy Center Association (JEPICA) Epilepsy Care and Support Center, Kyoto University Hospital
  • Toda Keisuke
    Executive Officer, Japan Epilepsy Center Association (JEPICA) Nagasaki Epilepsy Group

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  • わが国におけるてんかんセンターの実情と課題

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<p>Although interest in epilepsy care in Japan is growing, the current performance of epilepsy centers is unclear. To clarify the task required to improve epilepsy care in our country, we analyzed the annual reports of the Japan Epilepsy Center Association (JEPICA) from 2014 to 2020. The number of long-term video electroencephalogram (VEEG) monitoring per epilepsy center showed significant increasing trend. The number of epilepsy surgeries ranged from 900 to 1,100 per year, with a median of 19 to 26 per center, which shows no increasing trend. Compared to the figures reported by the National Association of Epilepsy Centers in the United States, the number of epilepsy centers per population in Japan is less than half, the number of VEEG cases is low, and the number of epilepsy surgeries is estimated to be about 40%. Specialized epilepsy care in Japan is inadequate in terms of the number of epilepsy centers, the number of VEEGs performed, and the number of epilepsy surgeries performed. There are calls to facilitate the referral of patients to specialized facilities.</p>

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