The outcome of surgical management of subependymal giant cell astrocytoma in tuberous sclerosis complex.

Objectives: The indications for surgery and outcomes of patients who underwent surgical removal of subependymal giant cell astrocytomas (SEGAs) in our institution between 2000 and 2011 were reviewed.

Methods: We reviewed the clinical details of 16 patients with a diagnosis of Tuberous Sclerosis Complex (TSC) who underwent surgery for SEGA in Bristol since 2000. We collected information on age, sex, epilepsy history and cognitive status.

Meeting the needs of people with a learning disability in the emergency department.

Nurses in the emergency department will regularly encounter individuals with a learning disability in their day to day work. Admission to hospital and especially the emergency department can be very problematic for people with a learning disability. For a number of reasons the health, safety and welfare of this group of patients may be seriously compromised.