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Diagnostic and treatment of Amyotrophic lateral sclerosis (ALS)

Cost for treatment

Amyotrophic Lateral Sclerosis (ALS) Diagnostics
2030.58
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
3909.78
Neurological rehabilitation Phase C
563.76

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Neurology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
9678.02
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
17951.04

Beta Clinic Bonn

9.7/10
location_onGermany, Bonn

Department of Neurology and Epileptology

The Beta Clinic Bonn is a modern hospital which consists of 30 specialized departments. The hospital is equipped with the state-of-the-art equipment of the university level. The operating rooms, an intensive care unit and the rehabilitation center correspond to the highest standards. It also concerns highly qualified physicians
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
6991.81
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
12998.31

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Neurology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
7465.78
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
13376.24

Bundeswehr Hospital Berlin

10/10
location_onGermany, Berlin

Department of Neurology and Epileptology

The Bundeswehr Hospital Berlin enjoys a reputation as one of the leading medical facilities in Germany, where patients receive top-class medical care corresponding to the high standards of European university medicine. The medical center is an academic hospital of the Charite University Hospital Berlin – the largest and th
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
7038.56 help5538.56
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
11395.62 help10395.62

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Neurology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
7621.34
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
14185.34

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Neurology and Epileptology

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
8665.34
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
16137.62

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General Neurology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
7056.54
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
13034.85

University Hospital Frankfurt am Main

10/10

Department of Neurology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
7083.68
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
12791.6

University Hospital RWTH Aachen

9.1/10
location_onGermany, Aachen

Department of Neurology

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
7748.71
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
14161.32

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Neurology

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
0
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
0

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Neurology

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
7065.93
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
12827.09

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Neurology and Epileptology

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
7396.88
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
13672.73

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Neurology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
8867.88
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
16284.82

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Neurology

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
6794.49
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
12236.19

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Neurology

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
7330.06
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
13772.96

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Neurology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Amyotrophic Lateral Sclerosis (ALS) Diagnostics
7766.46
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
14154.02
| from Booking Health GmbH

About the disease

Amyotrophic lateral sclerosis, also known as ALS, is a dysfunction of nervous system, when muscles become weak and physical function gets impaired. Lou Gehrig was a famous basketball player and he was the first public person who was diagnosed with this disease. During amyotrophic lateral sclerosis nerve cells gradually weaken or die. Usually disease manifests itself after a person is 22-25 years old. Unfortunately the cure was still not invented for this disease and patients eventually die from bulbar disorders. According to ALS Association there are two types of ALS - sporadic and familial. The first one can affect anyone and the second one is inherited. The first one is more common. 

Causes of this condition are:

  • Genetic predisposition of the patient
  • Gene mutations
  • Chemical disbalance
  • Smoking
  • Excessive alcohol consumption

Some studies show that men working in the military service are more susceptible to this disease than others. The reasons for that are not known. It may be due to constant exposure to cold weapons of may happen because of the injuries that were accumulated during fightings.     

Symptoms

  • Weakness
  • Atrophy
  • Fasciculations
  • Cramps
  • Muscular atrophy
  • Sleep disorder
  • Problems with eating
  • Fatigue
  • Constipation
  • Dementia

Diagnosis

The diagnosis for ALS is based on different tests of nervous system. They are:

  • Blood tests
  • Chest X-Ray
  • Electromyogram, which is also known as EMG. Electromyogram can evaluate the electrical activity of person muscles through the special needle electrode. It shows the contraction of the muscles and also the time when they rest

Treatment

As it was mentioned before, there is no effective and final cure for this disease, which would alleviate all symptoms and stop the process of muscle weakening. The only possible therapy is conservative therapy.

  • Riluzole, which is the first and the only well-known drug, is approved for the treatment of amyotrophic lateral sclerosis in the USA and Europe. This drug is not an actual cure for this disease, but it has an impact on the life expectancy of people with lateral sclerosis of amyotrophic system. Riluzole also helps reduce the amount of glutamate, which is a chemical mediator in the central nervous system, that is released during neurotransmission. Excessive amount of glutamate can be damaging to the neurons of the brain and spinal cord.
  • Conservative therapy may help to make daily life more convenient for people with lateral sclerosis. It is mostly believed that relaxation helps reduce stress and anxiety. The treatment also aims to reduce the problems with breathing, which can arise after the disease progressed to some point. If breathing becomes too difficult, a doctor can insert a tube in the neck. This kind of respiratory therapy is called mechanical ventilation. If breathing problems are moderate, a doctor can also use oxygen masks to give the patient a sufficient and needed amount of oxygen.
  • Physical and motor therapy is also a vital part of alleviating the symptoms. It was proved that when a person exercises on a regular basis, his muscles become more strengthened and the process of weakening does not develop as rapidly as for people who lead sedentary lifestyle.
  • Occupational therapy helps patients with problems that involve dressing, grooming, eating and other daily chores. 

Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko

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Cost of Amyotrophic lateral sclerosis (ALS) treatment varies from 3909.78 to 17951.04



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