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Diagnostic and treatment of Epilepsy

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Best hospitals and doctors for epilepsy treatment abroad

The selection of doctors and clinics is carried out on the basis of annual qualification reports. The main selection criterion is the number of operations or procedures performed. It takes into account experience, reputation in the medical society, the availability of quality certificates and high specialization in a certain field.

Cost for treatment

Epilepsy diagnosis
 from  3596
Epilepsy treatment with MRI-guided laser ablation of epileptic foci
 from  52782
Deep brain stimulation (DBS) and implantation of neurostimulator by epilepsy
 from  29586

University Hospital Bonn

9.5/10
location_onGermany, Bonn

Department of Adult and Pediatric Epileptology

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
Epilepsy diagnosis
5000
Deep brain stimulation (DBS) and implantation of neurostimulator by epilepsy
66655

Beta Klinik Bonn

9.7/10
location_onGermany, Bonn

Department of Neurology and Epileptology

Beta Klinik 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 of the ho
Epilepsy diagnosis
4957
Epilepsy treatment with MRI-guided laser ablation of epileptic foci
62282 help52782
Deep brain stimulation (DBS) and implantation of neurostimulator by epilepsy
66724

Bundeswehr Academic Hospital Berlin

10/10
location_onGermany, Berlin

Department of Neurology

The Bundeswehr Academic Hospital Berlin is a modern medical facility that offers first-class medical care in the field of emergency care, traumatology, urology, internal medicine, surgery, neurosurgery, neurology, nuclear medicine and other focuses. The hospital has 15 specialized departments, medical teams of which guarantee th
Epilepsy diagnosis
4600 help3900
Epilepsy treatment with MRI-guided laser ablation of epileptic foci
56804
Deep brain stimulation (DBS) and implantation of neurostimulator by epilepsy
46802

Tel Aviv Sourasky Medical Center

9.9/10
location_onIsrael, Tel Aviv

Department of Neurology

The Tel Aviv Sourasky Medical Center (Ichilov) is the second largest and one of the most advanced healthcare and research institutions in Israel. Founded in 1961, it still enjoys popularity among the local population and draws thousands of international patients.  Today the Tel Aviv Sourasky Medical Center is a huge multid
Epilepsy diagnosis
5419
Deep brain stimulation (DBS) and implantation of neurostimulator by epilepsy
57329
Diagnosis and 24-hour video EEG by epilepsy
11089

Bodelschwingh Foundation Bethel Bielefeld

9/10
location_onGermany, Bielefeld

Department of Epileptology

Since its foundation in 1867, the goal of the v. Bodelschwingh's Foundation Bethel was to facilitate the lives of people with an epilepsy. With 955 beds and seats in various facilities, services, counseling centers and hospitals and more than 25 years of experience in epilepsy surgery, v. Bodelschwingh Foundation Bethel prov
Epilepsy diagnosis
5423
Diagnosis and 24-hour video EEG by epilepsy
11034
Diagnosis and conservative treatment of epilepsy
9412

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Neurology

Being the medical school for both Humboldt University and Free University of Berlin and having a long experience, the Charite Hospital in Germany has gained wide recognition. It is regarded as one of the most research-intensive medical facilities in Germany and the largest university medical center in Europe. With more than
Epilepsy diagnosis
5500
Deep brain stimulation (DBS) and implantation of neurostimulator by epilepsy
91808
Diagnosis and 24-hour video EEG by epilepsy
14329

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
Epilepsy diagnosis
5495
Deep brain stimulation (DBS) and implantation of neurostimulator by epilepsy
57286
Diagnosis and 24-hour video EEG by epilepsy
10983

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Neurology

According to the Focus magazine, the University Hospital Erlangen ranks among the top German medical facilities! The hospital is one of the leading medical facilities in Bavaria and offers the highest level of medical care, which is characterized by the close intertwining of clinical activities with research and training of medi
Epilepsy diagnosis
5239
Diagnosis and 24-hour video EEG by epilepsy
10459
Diagnosis and conservative treatment of epilepsy
8936

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
Epilepsy diagnosis
5195
Deep brain stimulation (DBS) and implantation of neurostimulator by epilepsy
53932
Diagnosis and 24-hour video EEG by epilepsy
10301

University Hospital Cologne

9.5/10
location_onGermany, Cologne

Department of Neurology

According to the reputable Focus magazine, the University Hospital Cologne ranks among the top German hospitals! The hospital positions itself as state-of-the-art maximum care medical facility. The hospital has 1,500 beds for inpatient medical care. It annually treats about 307,000 outpatients and 63,000 inpatients, including th
Epilepsy diagnosis
5100
Deep brain stimulation (DBS) and implantation of neurostimulator by epilepsy
58397
Diagnosis and 24-hour video EEG by epilepsy
9958

University Hospital Saarland Homburg

9.8/10
location_onGermany, Homburg

Department of Neurology

The University Hospital Saarland 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 the Saarland University. The hospital plays a leading role in medi
Epilepsy diagnosis
4764
Deep brain stimulation (DBS) and implantation of neurostimulator by epilepsy
54496
Diagnosis and 24-hour video EEG by epilepsy
9142

HELIOS Clinic Krefeld

9.7/10
location_onGermany, Krefeld

Department of Neurology

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently. Having crossed the threshold
Epilepsy diagnosis
0.00
Deep brain stimulation (DBS) and implantation of neurostimulator by epilepsy
54618
Diagnosis and 24-hour video EEG by epilepsy
9101

Academic Hospital Asklepios Barmbek Hamburg

9.5/10
location_onGermany, Hamburg

Department of Neurology

As an Academic Hospital of the University of Hamburg, the Asklepios Barmbek Hospital offers a wide range of medical services in the field of conservative and surgical treatment. The hospital was opened in 2005 and today it is one of the best and modern medical centers in Europe. The main areas of specialization of the healt
Epilepsy diagnosis
4991
Diagnosis and 24-hour video EEG by epilepsy
9867

Samitivej Hospital Bangkok

9.6/10
location_onThailand, Bangkok

Department of Neurology

Samitivej offers international-standard healthcare services in several hospital locations in the greater Bangkok area. The main hospital Samitivej Sukhumvit in Bangkok (Thailand) provides international-standard healthcare with JCI accreditation. Built in 1979, the hospital’s commitment to quality care and innovation has ke
Epilepsy diagnosis
3884.2 help3596
Deep brain stimulation (DBS) and implantation of neurostimulator by epilepsy
38860.4 help33935
Diagnosis and 24-hour video EEG by epilepsy
6836.2 help6307

Vivantes Humboldt Hospital Berlin

9.7/10
location_onGermany, Berlin

Department of Neurology with a Treatment Center of Acute Disorders of Cerebral Circulation and Epilepsy

An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin. The hospital is famous for its impeccable reputation in the field of traumatology, orthopedics, urology and gynecology, as well as treatment of oncological diseases
Epilepsy diagnosis
5000
Diagnosis and 24-hour video EEG by epilepsy
10476
Diagnosis and conservative treatment of epilepsy
8669

Sana Hospital Duisburg

9.5/10
location_onGermany, Duisburg

Department of Neurology and Early Neurological Rehabilitation

The Sana Hospital Duisburg is a maximum care medical center with 678 beds and 17 specialized departments. With the very latest innovations and high quality patient care, the clinic works for the benefit of a person and their health. The hospital ranks among the leading clinics in the region. In 2013, the hospital
Epilepsy diagnosis
5040
Diagnosis and 24-hour video EEG by epilepsy
9677
Neurological rehabilitation Phase C
754

About the disease

Epileptic attacks are caused by abnormal electrical impulses in the brain and temporary disturbance of sensory, autonomic or mental functions against this background. Epileptic seizure begins when electrical impulses in the brain become too intense. By normalizing impulses formation, modern antiepileptic drugs can help the patients to get rid of the attacks in 65% of cases. These same drugs can significantly reduce the number of attacks by 20%. Thus, the basic epilepsy treatment is the prolonged consumption of medicine with regular medical examinations.

The epilepsy is generally classified as a "symptomatic" disease. The biggest risk factor of epilepsy is a genetic predisposition, when there are significant structural changes in the brain. Some other causes are brain injury or brain tumor.

Other trigger factors include:

  • Stressful situations
  • Alcoholism
  • Tobacco consumption
  • Sleepless nights
  • Hormonal disbalance during the menstruation
  • Premature failure of the special treatment, if any has been assigned

Symptoms

If there are pathological loci in two hemispheres of the brain, the patient may experience numbness in the certain parts of his body (face, legs, hands). Also, the epilepsy symptoms may manifest themselves in the short bouts of visual, olfactory, auditory or smell hallucinations. The patient does not lose his consciousness during such seizures. On the contrary, the patient may retell in detail his feelings in the particular moment he lost control. Partial attacks usually last not more than 25 seconds.

The most frightening seizure is the generalized seizure. There are convulsive and non-convulsive (absences) types of generalized seizure. At the beginning of the attack (the tonic phase) the person experiences tension of muscles and shortness of breath. He usually can not withhold a piercing scream, which in most cases results in biting his tongue. After 9-15 seconds clonic phase comes with the muscle contractions, until they finally relax. Such attacks usually disappear spontaneously after a few minutes (3-6 minutes). Then the person feels drowsiness, perplexion, confusion, headache, sluggishness and wants to go to sleep immediately.

Seizures without convulsions can happen only during the childhood and early adolescent years of the patient. During such seizures the child suddenly stops doing any previous activities and starts staring at one point without blinking. There may be trembling of the eyelids and light throwing of the head back. Attacks last only few seconds (6-21 seconds) and often go by unnoticed.

Diagnosis

There are about 35 different forms of epilepsy and different types of attacks. In addition, each epilepsy case requires individual treatment. The main diagnostic methods are

  • Neurological examination. A doctor estimates speech, concentrating, eye movements, and trembling of arms. Also he will check reflexes and ask to complete few mental functions tests.
  • Electroencephalography (EEG). EEG provides a doctor with the information about the brain electrical activity. Abnormal impulses will be perfectly seen during the examination. More advanced type of EEG is the video EEG monitoring that lasts for 24 hours.
  • Computed or magnetic resonance imaging (CT / MRI) show the brain tissue in a great detail and visualize possible epileptogenic loci.

Treatment

  • Medicamentous treatment includes lifelong intake of antiepileptic drugs. It is necessary to keep a diary of attacks to control the treatment. The patients should also maintain the day regimen and eliminate the risk factors that trigger seizures: alcohol, lack of sleep, long stay in front of a computer (especially for photosensitive epilepsy). Antiepileptic drugs are selected depending on the type and nature of seizures. The drug is usually administered in a small initial dose, with a gradual increase until the optimal clinical effect arises. If the medicine is ineffective, the doctor prescribes another one, until he finds the drug that improves the health condition of the patient.
  • Surgical treatment. When it is proven that epilepsy arises due to pathological activity of one specific brain locus, it may be possible to remove this locus and forget about seizures for good. Neurosurgical interventions must be extremely precise, as each millimeter of the brain tissue has its own important function. In modern clinics epilepsy surgery is performed with the help of Visualase neurosurgical system.
  • Deep brain stimulation (DBS) is a kind of surgical intervention. It is performed when epilepsy is not controlled well by drugs intake. During the procedure surgeon places under the collar bone neurostimulator. It is a battery-powered device that via electrodes sends impulses to the brain and thus prevents seizures. The individual rhythm of brain stimulation is determined by the doctor, who programs the stimulator with the help computer.



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