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Treatment of Amyotrophic lateral sclerosis (ALS) | Costs of Treatment and Diagnostics, Rate of hospitals and doctors, feedbacks | Booking Health

Diagnostic and treatment of Amyotrophic lateral sclerosis (ALS)

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Best hospitals and doctors for amyotrophic lateral sclerosis (als) treatment abroad

Leading hospitals

Cost for treatment

Amyotrophic Lateral Sclerosis (ALS) Diagnostics
3640
Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als)
6540.66
Neurological rehabilitation Phase C
2000
University Hospital Jena
University Hospital Jena
Overall rating8.9 / 10
According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
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According to the prestigious Focus magazine, the University Hospital Halle (Saale) is one of the best medical institutions in Germany! The history of the hospital goes back more than 300 years, and during this time it has managed to gain an excellent reputation not only in Germany, but also throughout the world. The hospital pos
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The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
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According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
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University Hospital Essen
University Hospital Essen
Overall rating9.6 / 10
According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals! With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 e
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According to the prestigious Focus magazine, the HELIOS University Hospital Wuppertal ranks among the top medical facilities in Germany! The hospital rightfully enjoys the status of the maximum care medical facility and provides its high-quality services in all modern fields of medicine. The hospital operates on the basis of the
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The University Hospital Saarland Homburg is the largest hospital in the city of Homburg and the most important medical facility in the region. The hospital, which currently has 30 specialized departments and 20 institutes, was founded in 1947 and operates on the basis of Saarland University. The hospital plays a leading role in
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The University Hospital Giessen UKGM positions itself as an ultramodern medical facility with outstanding quality of medical care. The hospital presents almost all areas of medicine, ranging from ophthalmology to traumatology and dentistry. The priorities of the hospital’s activities include surgery, neurosurgery, oncology
The Tel Aviv Sourasky Medical Center is the second largest and one of the most advanced healthcare and research facilities in Israel. It began its work in 1961, but it is still popular among the local population and attracts thousands of international patients. The multidisciplinary medical center covers an area of ​​150,000 m&s
The Marien Hospital Duesseldorf is a modern medical facility in the very center of Duesseldorf and a recognized Research Center. The foundation stone of the hospital was laid back in 1864 with the support of the Catholic Church. The Christian principles of helping and supporting patients have not changed at all over the years, b
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The Vivantes Neukölln Hospital is the maximum care hospital and one of the largest healthcare facilities in Berlin.  There are more than 20 specialized departments and centers, including pediatric departments. In total, the hospital has 1,200 beds. The hospital uses innovative technologies and the latest treatments, as
The Memorial Sisli Hospital Istanbul is the largest and leading medical complex in Turkey, which meets the highest standards of medical care when providing the advanced diagnostics and treatment using the very latest methods. The hospital is part of the Memorial Health Group – it was the first project of this provider of m
The Asklepios Hospital Barmbek Hamburg is an academic hospital of the University of Hamburg. The hospital was opened in 2005, and today it is one of the best and most modern medical centers in Europe. The priority areas of specialization of the medical facility are emergency medical care and comprehensive treatment of cancer, ur
The Primus Super Speciality Hospital New Delhi is a modern medical facility, which is distinguished by extremely high quality and standards of medical service. The hospital is located in the heart of New Delhi, in the capital of India. During its design and construction, the most advanced medical technologies from around the wor
According to the reputable Focus magazine, the Hospital Bogenhausen Munich ranks among the ten best medical centers in Bavaria and among the top 50 medical facilities in Germany! The medical facility is the Academic Hospital of Ludwig Maximilian University of Munich. The modern hospital with the highest level of services annuall
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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