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Treatment of Epilepsy

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Epilepsy diagnosis
 from  1596
Epilepsy treatment with MRI-guided laser ablation of epileptic foci
 from  57782
Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy
 from  20686

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 in epilepsy
60442

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
67282 help57782
Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy
60332

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
62000
Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy
49776

Epilepsy Center Bethel Bielefeld

9/10
location_onGermany, Bielefeld

Department of Adult and Pediatric Epileptology

The Epilepsy Center Bethel Bielefeld is a specialized medical facility for the treatment of all types of epilepsy in patients of all age groups, including children. The medical facility works under the patronage of the Bodelschwingh Foundation Bethel, whose main goal is to make life easier for people with epilepsy, special needs
Epilepsy diagnosis
5423
Diagnosis and 24-hour video EEG for epilepsy
11312
Diagnosis and conservative treatment of epilepsy
9812

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
Epilepsy diagnosis
5500
Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy
81221
Diagnosis and 24-hour video EEG for epilepsy
14879

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 in epilepsy
60569
Diagnosis and 24-hour video EEG for epilepsy
11573

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
Epilepsy diagnosis
5239
Diagnosis and 24-hour video EEG for epilepsy
10695
Diagnosis and conservative treatment of epilepsy
9336

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 in epilepsy
56742
Diagnosis and 24-hour video EEG for epilepsy
10871

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 in epilepsy
49687
Diagnosis and 24-hour video EEG for epilepsy
9808

Tel Aviv Sourasky Medical Center

9.9/10
location_onIsrael, Tel Aviv

Department of Neurology

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
Epilepsy diagnosis
5360
Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy
76024
Diagnosis and 24-hour video EEG for epilepsy
12670

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 in epilepsy
49978
Diagnosis and 24-hour video EEG for epilepsy
9528

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 for epilepsy
10428

Hospital Kassel

9.9/10
location_onGermany, Kassel

Department of Neurology and Epileptology

The Hospital Kassel is a progressive medical facility with a huge medical team, which provides high-quality medical services in all branches of modern medicine. The hospital is part of the regional medical Gesundheit Nordhessen Holding, which unites 5 top-class medical centers, including specialized rehabilitation clinics. With
Epilepsy diagnosis
5042
Diagnosis and 24-hour video EEG for epilepsy
10351
Diagnosis and conservative treatment of epilepsy
8714

Rambam Health Care Campus Haifa

9.8/10
location_onIsrael, Haifa

Department of Neurology

The Rambam Health Care Campus Haifa is the largest and the most progressive hospital in Northern Israel. The medical center was founded in 1938 and nowadays is proud of its long history, rich and successful experience in providing comprehensive medical services in all medical fields. The hospital serves more than 2 million local
Epilepsy diagnosis
5449
Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy
75992
Diagnosis and 24-hour video EEG for epilepsy
12735

Samitivej Hospital Bangkok

9.6/10
location_onThailand, Bangkok

Department of Neurology

The Samitivej Hospital Bangkok is a leading provider of medical services of the international level. The hospital has its campuses in various regions of Bangkok. The Samitivej Sukhuvmit Hospital has the status of the main and most respected medical facility. The accreditation of the Joint Commission International (JCI) is the ev
Epilepsy diagnosis
1596
Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy
20686
Diagnosis and 24-hour video EEG for epilepsy
3613

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 for epilepsy
10435
Neurological rehabilitation Phase C
786
| from Booking Health GmbH

The treatment for epilepsy is aimed at controlling seizures up to the achievement of remission, which is identified by the absence of seizures for 12 months or more. Proper epilepsy care can help to achieve stable remission in about 70% of people with epilepsy.

Content

  1. Specifics of seizures
  2. Treatment options for epilepsy
  3. Conservative therapy
  4. Surgery
  5. The vagus nerve stimulation
  6. Treatment of children with epilepsy
  7. Epilepsy treatment in European hospitals
  8. The cost of treatment
  9. How to start the treatment in European hospitals?

Specifics of seizures

 

The symptoms present in people diagnosed with epilepsy are extremely varied and depend on which part or parts of the brain are affected by epilepsy and what causes it. In the vast majority of cases, the manifestations of epilepsy are short-lived and may appear in the form of seizures affecting the person's motor system. At the same time, it may be uncontrollable movements of individual muscles or expanded seizures. In other cases, epilepsy may affect mental functions. During seizures, a person may experience unusual smells, or feel like the body changes its proportions, while before a seizure, a person may even get a feeling about its onset.

Certain manifestations of epilepsy are conditioned by the types of seizures, but it is not enough to determine which types of seizures are present, it is important to get information about what causes epilepsy.

One of the most common types of epilepsy in adults is symptomatic epilepsy. This term combines all epileptic seizures that have occurred after exposure of the brain to a specific factor. If seizures occurred after a brain injury or stroke, they are referred to as the symptomatic form of epilepsy. 

Epilepsy is a pathology of the central nervous system that is characterized by recurrent seizures.

Treatment includes ketogenic diet, anti-epileptic drugs, surgery and deep brain stimulation.

Cost of conservative treatment is from €2,807. You can find other prices on the Booking Health website.

The best hospitals in Europe are:

  1. University Hospital of Ludwig Maximilian University of Munich
  2. University Hospital Rechts der Isar Munich
  3. Helios Hospital Krefeld
  4. Clinic of Advanced Biological Medicine Frankfurt-am-Main
  5. University Hospital Frankfurt-am-Main

Tonic clonic seizures represent the type of epilepsy that people first imagine when hearing the word. At the beginning of such seizures, there is a cramp of the vocal cord muscles and a person emits something like a cry. Going further in seizures, the person's limbs start to twitch. Such seizures usually do not last long.

After the seizure, the person may feel drowsy and agitated, and in need to rest. The person needs as much attention and care in the aftermath of seizures as they do during the seizure itself. If tonic clonic seizures last more than 5 minutes, emergency medical care is necessary.

Treatment options for epilepsy

 

A doctor usually decides to start treatment when a patient has a confirmed diagnosis of epilepsy. The medical diagnosis of epilepsy is established when a person had at least two unprovoked seizures at intervals of at least 24 hours and based on the data obtained during diagnostics.

The choice of therapy always begins with an accurate diagnosis and determination of the type of epilepsy. This is important because for each form of epilepsy there is a special algorithm of therapy and medication that is suitable for it.

However, the mainstay of epilepsy treatment is drug therapy that implies various treatments with antiepileptic medication. Unfortunately, in some cases, the severity and frequency of seizures cannot be corrected by the therapy indicated to the patient. Despite adequate high doses of medication, their combination, and possible emerging side effects, seizures do not disappear completely. Such types of epilepsy are poorly amenable to medication. Despite this, most patients with epilepsy resistant to drug therapy must take antiepileptic drugs. The use of therapy in these cases alleviates the course of epilepsy and reduces the frequency of seizures.

In addition to medication, there are alternative ways to control epilepsy. These usually include surgery (an intervention on the brain) and the method of the vagus nerve stimulation. In some cases, the use of antiviral drugs is used (if epilepsy has developed due to viral infection), hormone replacement therapy, ketogenic diet, and other methods. All these therapies have clear indications and contraindications, so before using them, it is mandatory to consult a doctor and assess their effectiveness.

Conservative therapy

 

Among the forms in which antiepileptic medication can be given, there are not only tablets and capsules. A special place in epilepsy therapy is occupied by preparations in the form of solutions or drops, which are convenient to use in the treatment of children with epilepsy. There are also injectable preparations used to quickly stop epileptic seizures, and in cases where the use of other forms of medication is not possible.

In the first few weeks of conservative therapy, depending on the type of treatment prescribed, the following rather typical, but unwanted effects may be observed, including fatigue, upset stomach, and dizziness. To minimize the undesirable effects, the doctor prescribes therapy with a gradual dosage increase, depending on the patient's health condition and the drug chosen, in about several weeks or months.

Some anticonvulsants can cause cognitive problems such as impaired concentration, memory, and thinking. All anticonvulsants reduce the excitability of cortical neurons and alter their normal functioning. Cognitive problems are known to occur more often with a combination of two or more drugs than with monotherapy. This can interfere with the schooling of children or a job of a person with epilepsy. In some cases, the doctor may decide to change the therapy or adjust the dosage.

Throughout treatment, drug interactions with other substances should be taken into account. For example, by interacting with other types of drugs, an antiepileptic drug may decrease its effectiveness or, conversely, increase in concentration, which can be dangerous for the patient’s health. This is especially important to know about, if patients are taking medications to treat cardiovascular diseases, forms of birth control, etc. Therefore, you should inform your doctor about the use of any drugs and dietary supplements, including herbal ones.

Surgery

 

If epilepsy cannot be controlled with medication, the patient may undergo a neurosurgical intervention in the form of brain surgery. The development of epileptic seizures is associated with the occurrence of excessive activity in a particular part of the brain. This area is called the epileptogenic focus. Later, excitation from the focus spreads to other areas of the brain, and the person has epileptic seizures. The surgery is about limiting the spread of excitation from the focus or eliminating the epileptogenic focus completely by removing the part of the brain where the seizures originate.

The intervention can be limited by incisions on the surface of the brain or by dissecting the corpus callosum. The corpus callosum is an area of nerve tissues connecting the right and left hemispheres. Partial or complete dissection of the corpus callosum prevents nerve stimulation from spreading, which prevents a seizure, and removal of part of the brain eliminates the source of seizures.

Prior to epilepsy surgery, it is important to determine the location of the epileptogenic focus as accurately as possible. Surgery can be performed regardless of the age of the patient, but is not indicated for all types of epilepsy and seizures. Any surgery carries a risk of complications, and in the case of neurosurgical treatment, it is very real. Despite the challenges and risks, surgery is an effective way to treat epilepsy resistant to conservative treatment, including the one in children and adolescents.

The vagus nerve stimulation

 

Surgical treatment can help if the epileptogenic focus is located in a certain area of the brain and is diagnosed. Unfortunately, this method is not suitable for treating epilepsy with many focuses of activity. In such cases, the method of the vagus nerve stimulation is used.

The stimulation of the vagus nerve has been used to treat epilepsy resistant to conservative therapy for more than 10 years, but so far doctors and scientists cannot fully explain the mechanism of its action. Despite this, in practice, the method is highly effective and beneficial for the health of children and adults with epilepsy. The vagus nerve stimulation is applied when drug therapy is proved ineffective and surgical treatment is contraindicated or has failed to relieve seizures.

Treatment of children with epilepsy

 

Treatment of children with epilepsy usually begins with drug therapy using a single drug. The treatment with a single drug (monotherapy) is preferred in most clinical cases, but the final decision in each case is made by the physician. With monotherapy, it is easier for the physician to understand the effects of a drug on epilepsy manifestation. If medication changes are made, doctors usually prefer to do it gradually. By reducing the dose of the first drug, the doctor increases the dose of the second drug at the same time. If therapy with an antiepileptic drug is stopped abruptly, it may cause seizures to come back or become more frequent.

In addition to the choice of medication, it is also important that the regimen and method of taking it are convenient for children. Medication that should be taken once or twice a day will be better perceived than the one needed to be taken more often.

In addition to taking medications, a ketogenic diet can be effective in cases of childhood epilepsy. Studies have shown that a diet composed primarily of healthy fats (preferably plant-based), dramatically reduces the frequency of seizures making living with epilepsy easier for children. A ketogenic diet significantly increases the amount of healthy fats and decreases the proportion of carbohydrates consumed. The intake of increased amounts of fats leads to their oxidation and the accumulation of ketone bodies in the body. A ketogenic diet creates an energy reserve for neurons: they become more resistant to the excessive electrical activity typical for epilepsy.

Epilepsy treatment in European hospitals

 

Every year, thousands of patients with epilepsy from all over the world come for treatment in European hospitals to receive professional medical care. When it comes to diagnosing and treating epilepsy, European hospitals are considered the best.

European hospitals provide medical care for patients of all ages and some of them specialize in the treatment of epilepsy in children. At European hospitals, patients are offered the full range of diagnostics and treatments for epilepsy being currently the latest in medicine.

Here is a list of the best European hospitals:

  • University Hospital Bonn, Germany.
  • Beta Klinik Bonn, Germany.
  • Bundeswehr Academic Hospital Berlin, Germany.
  • Epilepsy Center Bethel Bielefeld, Germany.
  • Charite University Hospital Berlin, Germany.

You can find more information about the mentioned hospitals on the Booking Health website.

The cost of treatment

 

The cost of treatment for epilepsy varies and is conditioned by the type of therapy required for a specific diagnosis.

But generally, the price of epilepsy diagnosis starts from 1,596 EUR; the price of both diagnosis and conservative therapy starts from 2,807 EUR; the cost of treatment of epilepsy with deep brain stimulation starts from 20,525 EUR; the cost of treatment of epilepsy with epilepsy surgery starts from 28,886 EUR.

Feel free to contact Booking Health for more information about the prices for epilepsy treatment.

How to start the treatment in European hospitals?

 

Booking Health offers a wide range of services that make the organization of epilepsy treatment abroad easier for the patient.

Booking Health will take care of negotiations with the chosen hospital, translation of your medical documents, booking airline tickets and accommodation, and so much more.

You will get all the necessary information about how to start the treatment if you leave your request on the Booking Health website.

Authors: Dr. Nadezhda Ivanisova, Dr. Sergey Pashchenko




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