
The Rare Neurology Charter
In Europe, 30 million people are directly affected by rare diseases.
The majority of rare diseases have neurological manifestations, involving central, peripheral nerve and muscle. Most rare diseases are associated with high unmet needs due to the lack of available and effective diagnosis and treatment measures. There is a relative lack of research to develop such measures, at least partly due to the low number of medical experts available for each condition and limited financial resources.
From a lack of available specialists to be able to give a timely and accurate diagnosis, to fragmented care pathways, there are too many gaps in healthcare systems for people living with a rare neurological disease to fall through.
For these reasons EFNA has led a multi-stakeholder group in developing the Rare Neurology Charter. The Charter outlines high-impact policy solutions with the potential to transform the lives of patients. Building multi-stakeholder support for the identified policy solutions creates a strong platform to address and engage European and national policymakers on an action plan to transform the lives of patients.
Please sign our Call to Action for Rare Neurology to show your support for the Charter and its recommendations. The Call to Action will be used to encourage engagement from policymakers ahead of Rare Disease Day 2025, through the MEP Interest Group on Brain Health and Neurological Conditions.
Click here to access the Rare Neurology Charter or read the Charter recommendations below.
Charter recommendations:
- More funding to support rare neurological disease research
- Promotion of the importance of natural history studies for those living with rare neurological conditions
- A multidisciplinary approach to rare neurological diseases
- A holistic appreciation of the impact on those living with a rare neurological disease, their caregivers, and their families
- The patient perspective and lived experience should be incorporated into decision-making, system design, treatment, and care delivery
- An empowered patient community – one voice for rare neurological disease
- Greater public awareness for rare neurology, and neurology more generally
- Health systems need to adopt European Reference Networks (ERNs) and new approaches to support HCPs in better managing rare neurological disease activity
- Recognise the value of precision medicine and precision care
- Orphan drug legislation to be optimised for rare neurological diseases
- Improving disability assessments
- Leverage the European Health Data Space
- Realise the potential of the revision of the EU pharmaceutical strategy

Call to Action:
Your support matters!
Sign below to show your support for the development of rare neurology action plans at EU-level which will aid the expanding policy change across the rare neurological disease area:
Signatories:
ORGANISATIONS
- ADHD-Europe
- Dystonia Europe
- European Alliance of Neuromuscular Disorders Associations (EAMDA)
- European Alliance for Restless Legs Syndrome (EARLS)
- European Charcot-Marie-Tooth Foundation (ECMTF)
- European Migraine and Headache Alliance (EMHA)
- European Patient Organisation for Dysimmune & Inflammatory Neuropathies (EPODIN)
- Euro-ataxia
- European Huntington Association
- European ME Alliance
- European Multiple Sclerosis Platform (EMSP)
- European Polio Union
- Parkinson’s Europe
- European Myasthenia Gravis Association (EuMGA)
- International Bureau for Epilepsy (IBE)
- International Brain Tumour Alliance (IBTA)
- Neurological Alliance of Ireland (NAI)
- The Neurological Alliance (England)
- Pain Alliance Europe
- Retina International
- Stroke Alliance for Europe (SAFE)
- Tics and Tourettes Across the Globe (TTAG)
- Cavernoma Ireland
- Werkgroep Hersentumoren vzw
- Brain & Spine Foundation
- Latvian Multiple Sclerosis Association
- Dansk Multipel Sclerose Center
- Polish Huntington’s Disease Association
- Axolotls
- MiGRA Portugal
- European Huntington Association
- Selcuk Uni
- Acovastta
- Dystonia Belgium
- The Lancet Neurology
- Neurological Alliance of Scotland
- EOPD.ie
- IGAP Awareness
- Auth (Greece)
- HARSO ry (Finland)
- Alexion Pharmaceuticals, Inc.
- European Brain Council
- Polio-France
- SCN2A Georgian Association
- European Reference Network for Rare Neurological Diseases (ERN-RND)
- University of Bari Aldo Moro
- Polio Survivors Ireland
- Action for Mal de Debarquement Syndrome UK
- Ligue Huntington Francophone Belge LHFB
- Persoana fizica (Romania)
- Vilnius University Hospital Santaros Klinikos (Lithuania)
- Institute of Psychiatry and Neurolog, Poland
- Dansk Dystoniforening (Denmark)
- University General Hospital of Alexandroupolis (Greece)
- KAUH (Saudi Arabia)
- RWTH Aache (Germany)
- Stopp hsp (austria)
- Ghent University Hospital (Belgium)
- EPE-Euskadiko Polio Elkartea (Spain)
- Federación Polio España (Spain)
- Mesa Afectados de Polio y Síndrome Post Polio España (MAPPE) (Spain)
- Asociación Cordobesa de Polio y Postpolio- ACOPYPOS (Spain)
- EPE-Euskadiko Polio Elkartea (Spain / Basque Country)
- San Martino Research Hospital (Italy)
- Narcolepsy Ireland
- Psynthyesys, Inc. (United States)
- Centro de Promoción del Desarrollo y la Educación CEPRODE (Peru)
- SFI FutureNeuro Research Centre (Ireland)
- Ligue Huntington Francophone Belge LHFB (Belgium)
- Acadia Pharmaceuticals (Switzerland)
- The Runnymede Trust (England)
- Neurological Alliance Australia (Australia)
- Instituto Mexicano del Seguro Social (Mexico)
- University Hospital Brno (Czech Republic)
- Arachnoiditis Nederland
INDIVIDUALS
- Lia Le Roy, Belgium
- Ingolf Pernice, Germany
- Anon, United Kingdom
- Marc Smith, United Kingdom
- Malinda Magyari, Denmark
- Gerry Dieleman, Belgium
- Danuta Lis, Poland
- Richard Ballerand, United Kingdom
- David Oliver, United Kingdom
- Filipa Júlio, Portugal
- Serefnur Ozturk, Turkey
- Roxana Antonia Apollonio Cabrera, Spain
- Elena Becker Barroso, United Kingdom
- Anja Minheere, Netherlands
- Saija Ristolainen-Kotimäki, Finland
- Mary Troup, Scotland
- Joe Condon, Ireland
- Patricia Moghames, Belgium
- Elizabeth Cunningham, Ireland
- Gresham Africa, South Africa
- Maria Gavriilaki, Greece
- Elisabeth Kasilingham, Belgium
- Irena Juruk, North Macedonia
- Adrian, Kielhorn, USA
- Katri Asikainen, Finland
- Libby Novle, Australia
- Paulina Piio, Switzerland
- Kirsi Asula, Finland
- Sonia Chatin, France
- Zhana Chokheli, Georgia
- Grace Marie Bricalli, Sweden
- Nathalie Chytiris, France
- Helen Meinild, Denmark
- Ricardo Zavala-Yoe, Mexico
- Holm Graessner, Germany
- Marianna Delussi, Italy
- Fran Brennan, Ireland
- Polly Moyer, UK
- Maya Uccheddu, Italy
- Albert Counet, Belgium
- Luisa Enculesei, Romania
- Birute Tumiene, Lithuania
- Swati Banerjee, France
- Pia Vejle, Denmark
- Maria Gogou, Greece
- Ana Maria Dobri, Romania
- Anas Alyazidi, Saudi Arabia
- Nelson Ribeiro Borges, Portugal
- Melena Kyriaco, France
- Louisa Enculesei, Romania
- Anna Sofia Costa, Germany
- Chrissie Granger, UK
- Dmitru Hemelsoet, Belgium
- Macrina Clancy, Ireland
- Mario Feijóo, Spain
- Concepción García-Antón, Spain
- Anabel Sánchez, Spain
- Ángel Algaba, Spain
- Chee Yean Wong, The Netherlands
- Michele Messmer, Italy
- Rachel McComiskey, Ireland
- Márcia Almeida, Spain
- Ana Niscoveanu, Romania
- Mika Martikainen, Finland
- Richard Erickson, United States
- Danielle Castle, United States
- Suzann Beaupark, Australia
- Oren Ge, Israel
- Manolis Drakakakis, Greece
- John Looney, Ireland
- Denise Roche, Ireland
- Bridget Doyle, Ireland
- Tom Pulles MD, Switzerland
- Effrosyni Sokli, Greece
- Honest Haynes-Williams, England
- Ava Westerman, England
- Millie Skill, United Kingdom
- Andrew Giles, Australia
- Eva Escalera, Spain
- Anna Revilla Bruñol, Spain
- Juan Roberto Escareño Espericueta, Mexico
- Martina Bekeova, Czech Republic
- Marion Roosen – de Haard, Netherlands
EFNA’s policy work is kindly supported in 2024 by:
