Diagnosis of Parkinson's disease before deep brain stimulation (DBS) and implanted of neurostimulator in Catholic Clinic Koblenz-Montabaur
Catholic Clinic Koblenz-Montabaur
Koblenz, Germany
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Program id #
589809
Prof. Dr. med. Johannes Wöhrle
Department of Neurology and Epileptology
Specialized in: neurology, epileptology The program includes:
- Initial presentation in the clinic
- clinical history taking
- review of medical records
- physical examination
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- inflammation indicators (CRP, ESR)
- TSH, fT3, fT4
- L-Dopa-Test
- indicators blood coagulation
- neurological examination
- CT/MRI scan of the head
- neuropsychological tests (on indications):
- ENMG (electroneuromyography)
- EEG (electroencephalography)
- SEPs (somatosensory evoked potentials)
- VEPs (visually evoked potentials)
- BAEP tests (brainstem auditory evoked potential)
- stationary EEG monitoring
- spinal tap
- symptomatic treatment
- control examinations
- the cost of essential medicines and materials
- nursing services
- full hospital accommodation
- developing of further guidance
Required documents
- Medical records
- MRI/CT scan (if available)
Service
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About the department
The Department of Neurology and Epileptology at the Catholic Clinic Koblenz-Montabaur provides the full range of diagnostic and therapeutic services to patients with various diseases of the central and peripheral nervous systems. The attention of the department's doctors is focused on patients with stroke, Parkinson's disease, epilepsy, multiple sclerosis, chronic headaches, and peripheral paralysis. The department has a modern Stroke Unit with 14 beds. The department's Stroke Unit is certified according to the requirements of the German Stroke Society (DSG) and is the largest medical facility of this kind in Rhineland-Palatinate. Successful treatment for neurological disorders largely depends on high-quality diagnostics, so the department has state-of-the-art equipment for imaging, neurophysiological, and laboratory tests. During the therapeutic process, the department's neurologists resort to drug therapy, botulinum toxin injection therapy, deep brain stimulation, physiotherapy, occupational therapy, speech therapy, and other methods. The specialists at the medical facility prefer individualized treatment and are always open to personal communication with the patient. The Head Physician of the department is Prof. Dr. med. Johannes Wöhrle.
One of the department's priorities is stroke treatment. For this purpose, the department has a specialized Stroke Unit equipped with the latest technology. When a patient with a suspected stroke is admitted to the department, they urgently undergo a CT scan of the brain. In some cases, magnetic resonance imaging may also be performed. Ischemic stroke is the most common in the clinical practice of the department's doctors. The most effective treatment for such a stroke is thrombolytic therapy. The essence of this therapy is to perform an intravenous injection of medicines that dissolve a blood clot (thrombus) inside the blocked blood vessel. The goal of thrombolysis is to restore normal blood flow to the brain. After providing emergency care, neurologists immediately begin primary rehabilitation measures aimed at verticalizing the patient, restoring speech, eliminating swallowing disorders, etc. At this stage, experienced physiotherapists, occupational therapists, speech therapists, and psychologists are actively involved in the therapeutic process.
The department also offers excellent diagnostic and therapeutic options for patients suffering from epilepsy. Epileptic seizures, during which patients may experience motor and sensory disorders, psychiatric disorders, and thinking disorders, develop due to the impaired functioning of the brain due to excessive electrical activity of neurons. If left untreated, another epileptic seizure may lead to death. During the initial consultation, it is important for the department's neurologists to hear a comprehensive description of previous epileptic seizures, data on the frequency of their occurrence, and the treatment provided. Based on the clinical data, the specialist prescribes the necessary complex of diagnostic measures that may include electroencephalography, CT and/or MRI scans, PET scans, and blood tests. If the diagnosis is confirmed, the attending physician is faced with the task of selecting the optimal course of treatment. In most cases, therapy is based on the intake of an individually prescribed anticonvulsant drug. In some cases, the patient may be prescribed several of these drugs at once, but more often, monotherapy is still used. The second-line therapy for patients with severe forms of drug-resistant epilepsy (where there is no effect of antiepileptic drugs at all or it is unsatisfactory) is surgery, which is the responsibility of neurosurgeons.
The department's doctors have been successfully treating patients with Parkinson's disease for many years. Unfortunately, despite the tremendous progress of modern medicine, Parkinson's disease is still an incurable disease, but the department's specialists have many therapeutic methods in their arsenal to take the pathology under control and prevent its progression. The main method of combating Parkinson's disease is drug therapy. As a rule, patients are prescribed medicines that increase dopamine levels in the brain. Additionally, certain medications may be prescribed to relieve symptoms. Drug therapy should be supplemented with exercise therapy, physiotherapeutic procedures, and massage. A healthy diet also plays an important role. If the above-mentioned treatment methods do not allow for the desired therapeutic result, deep brain stimulation is the second-line treatment. The essence of this method is the implantation of a special device that will constantly act with weak electric currents on the subcortical brain structures, which will lead to the normalization of the electrical activity of the brain and alleviate the severity of symptoms.
The department specializes in the diagnostics and treatment of the following neurological disorders:
- Stroke
- Epilepsy
- Parkinson's disease
- Multiple sclerosis
- Movement disorders
- Inflammatory diseases of the brain and spinal cord
- Chronic headaches
- Dizziness
- Peripheral paralysis
- Muscular diseases (myopathies)
- Other neurological disorders
The department's range of medical services includes:
- Diagnostics
- Laboratory tests
- Electrophysiological studies
- Electroneuromyography
- Electromyography
- Evoked potential recording
- Electroencephalography
- Nystagmography, including a video test of head movements
- Autonomic nervous system function assessment
- Ultrasound scanning of the blood vessels of the brain
- Duplex sonography, including with contrast enhancement
- Extracranial continuous-wave Doppler sonography
- Intracranial pulsed Doppler sonography
- Ultrasound monitoring for the diagnosis of embolism
- Imaging tests
- Computed tomography, including CT angiography
- Magnetic resonance imaging, including MR angiography
- Digital subtraction angiography
- Treatment
- Drug therapy, including thrombolysis for strokes
- Physiotherapy, occupational therapy, and speech therapy
- Botulinum toxin injection therapy for movement disorders
- Percutaneous mechanical thrombectomy
- Transcranial magnetic stimulation
- Deep brain stimulation
- Other diagnostic and therapeutic options
Photo of the doctor: (c) Katholisches Klinikum Koblenz - Montabaur
About hospital
The Catholic Clinic Koblenz-Montabaur is a modern medical facility with an excellent reputation in Germany and abroad. The medical center is an academic clinic of the University Hospital Mainz, which gives patients the opportunity to take advantage of scientific advances and innovative treatments. The clinic has the widest possibilities for providing effective medical care to patients with both common and especially complex and rare pathologies. In December 2017, the clinic was certified in accordance with DIN EN ISO 9001:2015 standards, and in 2020, it was successfully recertified, which is a confirmation of the high quality of medical service. The clinic has 20 departments with 17 highly specialized centers integrated into them. The bed fund of the medical facility includes 657 beds. More than 32,000 inpatients and about 133,000 outpatients receive medical care here annually.
Many medical specialties are available at the clinic, including general and abdominal surgery, bariatric surgery, vascular surgery, thoracic surgery, cardiology, pulmonology, gynecology, urology, neurology, orthopedics, traumatology, radiology, nuclear medicine, and others. Each of the medical specialties is represented by an experienced team of doctors and nursing staff who do their best to restore the patient's health. Doctors of various medical fields work in close cooperation, which allows for an interdisciplinary approach to solving health problems.
The pride of the clinic is the advanced technical base, which plays an important role in accurate examinations and effective treatment. For example, the operating rooms at the clinic are equipped in accordance with the current requirements of European medicine, due to which most surgical interventions are performed using sparing techniques, including laser surgery, video-assisted thoracoscopic surgery, arthroscopy, endovascular and hybrid surgical techniques, etc.
Despite the clinic's high-tech infrastructure, there is an atmosphere of understanding, sympathy, and respect for the patient. The medical team shows a humane attitude towards patients and takes care of their comfort throughout the entire period of treatment. Doctors devote enough time to personal communication with patients, which makes it possible to take into account their individual needs and wishes during the therapeutic process.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the Catholic Clinic Koblenz-Montabaur live in comfortable single and double rooms with light colors and modern design. Each patient room has an ensuite bathroom with a shower and a toilet. The furnishings of a standard patient room include an automatically adjustable bed, a bedside table, a wardrobe, a table and chairs for receiving visitors, and a TV. The telephone is provided for a fee. Wi-Fi is available upon request.
The clinic also offers enhanced comfort rooms corresponding to the level of a five-star hotel. These patient rooms are more spacious and have a sophisticated design. The bathroom of the enhanced comfort rooms has a set of toiletries, changeable towels, and a bathrobe.
Meals and Menus
The patient and the accompanying person can choose meals from three menus daily. If, for some reason, you do not eat all the foods, you will be offered an individual menu. Please inform the nursing staff of your dietary preferences prior to treatment.
Patients living in enhanced comfort rooms are additionally offered free soft drinks, coffee, tea, desserts, and fresh fruits.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
A Catholic liturgy is held every Sunday morning in the church at the clinic. The divine liturgy is also broadcast on the clinic's internal TV channel.
Accompanying person
Your accompanying person may stay with you in your patient room or at the hotel of your choice during the inpatient program.
Hotel
You may stay at the hotel of your choice during the outpatient program. Our managers will support you for selecting the best option.
