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Academic Hospital Bogenhausen Munich

location_on Munich, Germany
7.8/10 from 43 Votes

Department of Neurosurgery (113809)

Jens Lehmberg

Prof. Dr. med.

Jens Lehmberg

Specialized in: neurosurgery

The Department of Neurosurgery at the Academic Hospital Bogenhausen offers the full range of services in this field. The main areas of the department’s specialization include diagnostics and surgical treatment of brain and spinal diseases. It annually performs about 2,500 interventions, due to the successful outcome of which the department ranks among the leading Neurosurgery Centers in Germany. The productive research activities, cooperation with the clinics of the Ludwig Maximilian University and the Technical University of Munich allow the specialists of the department to offer patients the very latest neurosurgical treatments. The department is headed by Prof. Dr. med. Jens Lehmberg.

For more than 30 years, surgical treatment of brain tumors has been one of the priorities of the department. When performing a surgical intervention, the specialists of the department try to remove the tumor completely and not to damage healthy adjacent tissues in order to preserve important brain functions. The doctors of the department perform surgeries using a computer with neuronavigation systems. Only with their help, it is possible to identify tumors to within a few millimeters and, if possible, remove them. It is possible to image the tumor during surgery by staining the tumor tissues with the help of a fluorescent substance, which the patient takes before the procedure. As a rule, intraoperative monitoring (neuromonitoring) is used to control patients’ condition. Thanks to neuromonitoring, the doctors of the department can operate even those tumors that are located near important centers of the brain or cranial nerves, since neurological functions are constantly monitored.

With a full clinical picture, within the framework of a tumor board, doctors approve an optimal treatment tactics aimed at the best possible tumor removal. The treatment of brain tumors often requires either radiation therapy or chemotherapy. It can be conducted when preparing for an operation or after an intervention to improve the success of treatment. The department closely cooperates with the Department of Radiation Therapy of the Academic Hospital Bogenhausen and the University Hospital Rechts der Isar to provide an optimal treatment of patients and their subsequent monitoring.

In addition, the specialists of the department have a unique clinical experience in the surgical treatment of all spinal diseases: degenerative, traumatic, inflammatory and oncological pathologies of the cervical, thoracic and lumbar spine. It is known that spinal surgery requires impeccable accuracy, so the doctors of the department widely use in their clinical practice advanced three-dimensional navigation systems and robot-assisted surgery, which serve as a means of positioning, and in combination with the professionalism of the doctors of the department guarantee the optimal result. These techniques are mostly used for stabilizing interventions on the spine.

The department has at its arsenal many sparing surgical techniques (minimally invasive interventions and microsurgical techniques) that can be used even for hernia and spinal stenosis treatment. When performing such operations, the surgeon makes a small incision (2-3 cm), which contributes to the absence of scars, minimal pain and quick recovery of patients.

The scope of the department’s tasks also includes the treatment of traumatic brain injuries. The patients with this clinical picture require a very careful monitoring, which is provided by the physicians of the department with the help of multimodal neuromonitoring (fixation of blood flow parameters, nerve functions, oxygen partial pressure and temperature of the brain). In especially severe cases, the patients with traumatic brain injuries undergo microsurgical interventions, the main purpose of which is to stabilize the patient's condition and prevent subsequent damage to the brain and other organs.

Of great interest is also the treatment of intracerebral hemorrhages and cerebral aneurysms. The innovative, sparing methods for treating these pathologies provide minimal risks to the patients' life and excellent therapeutic results.

The service range of the department includes the following diagnostic and therapeutic options:

  • Brain tumors (for example, glioma, meningioma, pituitary adenoma, acoustic neuroma, lymphoma, etc.)
    • Stereotactic brain tumor biopsy
    • Functional diagnostics for detecting the exact tumor localization (CT, MRI, PET, TMS)
    • Surgical removal of brain tumors
    • Chemotherapy
    • Radiation therapy
    • Other diagnostic and treatment methods
  • Spinal surgery (for example, in spinal stenosis, herniated intervertebral discs, etc.)
    • Navigation surgery
    • Robot-assisted surgery
    • Minimally invasive surgery
    • Microsurgical interventions
    • Intervertebral disc arthroplasty
    • Stabilizing interventions with the use of rigid and dynamic fixing structures
    • Other treatments
  • Traumatic brain injuries
    • Multimodal neuromonitoring
    • Microsurgical interventions to stop bleeding and control intracranial pressure
    • Intensive care (in appropriate indications)
    • Early rehabilitation (in collaboration with the Department of Neurology)
    • Other medical services
  • Brain hemorrhages
    • Intracerebral haemorrhage
    • Subarachnoid haemorrhage
    • Epidural hemorrhage
  • Cerebral aneurysms
    • Clipping
    • Endovascular treatment by implanting coils (coiling)
    • Intensive care (in appropriate indications)
    • Early rehabilitation (in collaboration with the Department of Neurology)
  • Diagnosis and treatment of other neurosurgical pathologies

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