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Treatment of Hydrocephalus in Germany

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

Hydrocephaly Diagnostics
408
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
7931
Neurological rehabilitation Phase C
540

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery

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
Hydrocephaly Diagnostics
1776
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
20772

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Neurosurgery

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
Hydrocephaly Diagnostics
2263
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
31944

University Hospital Freiburg

9.7/10
location_onGermany, Freibung

Department of Adult and Pediatric Neurosurgery

The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver
Hydrocephaly Diagnostics
1798
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
24021

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Neurosurgery

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
Hydrocephaly Diagnostics
1655
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
21324

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Neurosurgery

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
Hydrocephaly Diagnostics
1656
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
21603

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Neurosurgery

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
Hydrocephaly Diagnostics
1781
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
24218

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Neurosurgery, Epilepsy Surgery, Spinal Surgery

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
Hydrocephaly Diagnostics
1960
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
28102

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Neurosurgery, Spinal Surgery

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
Hydrocephaly Diagnostics
1734
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
24502

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Neurosurgery

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
Hydrocephaly Diagnostics
1992
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
27933

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Neurosurgery

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
Hydrocephaly Diagnostics
1723
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
24498

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Neurosurgery

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
Hydrocephaly Diagnostics
0
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
0

University Hospital Essen

9.6/10
location_onGermany, Essen

Department of Adult and Pediatric Neurosurgery

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
Hydrocephaly Diagnostics
1677
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
21606

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Neurosurgery

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
Hydrocephaly Diagnostics
1798
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
24202

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Neurosurgery

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Hydrocephaly Diagnostics
1668
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
21427

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Adult and Pediatric Neurosurgery

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
Hydrocephaly Diagnostics
1582
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
20114

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery, Spinal Surgery

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
Hydrocephaly Diagnostics
1789
Treatment of hydrocephaly one of methods: by ventriculostomy brain, by csf shunting, installation of subcutaneous ventricular reservoir
24319
| from Booking Health GmbH

Hydrocephalus is the accumulation of excess cerebrospinal fluid in the brain with increased intracranial pressure. The leading cause is an impaired outflow of the cerebrospinal fluid. It can develop due to many different diseases: tumors, brain malformations, hemorrhages, inflammatory processes, etc. Hydrocephalus treatment in Germany is successfully provided with open and endoscopic surgical procedures. Most patients achieve a good long-term outcome, and the risk of necessity of revision surgery in the future is minimal.

Content

  1. Extracranial ventricular shunting
  2. Endoscopic third ventriculostomy
  3. Tumor resection

Neurosurgical intervention is required for hydrocephalus treatment: extracranial ventricular shunting or endoscopic third ventriculostomy. Hydrocephalus caused by a tumor is treated using a microsurgical resection of the neoplasm.

You can undergo treatment in the following hospitals: the University Hospital of Ludwig Maximilian University of Munich, the Charite University Hospital Berlin, the University Hospital Freiburg.

If you want to undergo hydrocephalus treatment in a neurosurgical clinic in Germany, you are welcome to contact Booking Health. The company specialists will consult with you on the choice of a clinic and a doctor, recommend a treatment method and make an appointment, help you apply for a visa, arrange your airline tickets, transfer and accommodation. During treatment, you will be accompanied by an interpreter, and you can also contact him for any questions.

Extracranial ventricular shunting

 

When performing extracranial cerebrospinal fluid shunting, doctors divert CSF outside the ventricular system, usually into the abdominal cavity, by placing a catheter with a valve mechanism. The main advantage of the method is its versatility. It can be used for any form of hydrocephalus.

Nonetheless, there is also a drawback – a high risk of complications. The most common complication is shunt dysfunction, which requires a revision surgery. It develops in every third patient within 2 years of follow-up monitoring. The formation of pseudocysts in the abdominal cavity, ascites (fluid accumulation), and perforation of the internal organs are also possible.

Thanks to the improved design of valvular shunts and the improvement of surgical techniques, the frequency of revision surgery in the best clinics in Germany has decreased by 2,5 times. The mortality of patients treated for hydrocephalus in Germany is less than 0,1%. In addition, more and more German doctors prefer to perform another operation – ventriculostomy, which is considered more sparing and safe.

Endoscopic third ventriculostomy

 

The ETV (endoscopic third ventriculostomy) operation is gradually replacing shunting surgery. This is a minimally invasive intervention that is performed through short incisions. The essence of this treatment method is endoscopic perforation (formation of holes) of the bottom of the third ventricle, which allows cerebrospinal fluid to enter the subarachnoid space bypassing the blocked area.

The main advantage is that there is no need for the implantation of a foreign body to provide the normal circulation of CSF. But there are limitations: this type of treatment is used only for obstructive hydrocephalus.

It is essential to perform surgery in a specialized clinic to ensure good long-term results. Over time, stoma failure may develop due to blood clots, adhesions, tumor growth, and other causes. On average, in the world, the long-term effectiveness of the operation is 70%, but in the best clinics in Germany it reaches 90%.

Like other interventions on the central nervous system, the ETV operation is not completely safe. Severe complications are possible, the main of which is trauma to the basilar artery. Mortality during this operation is about 4%. But in the best clinics in Germany, it is several times lower due to the greater qualification of neurosurgeons and the use of high-quality equipment. In the specialized centers, mortality rates for endoscopic treatment of hydrocephalus are less than 1%. Rehabilitation is easier and faster than after open shunting surgery.

Tumor resection

 

Hydrocephalus often has a tumor origin. In such a case, it is necessary, first of all, to remove the tumor. Doctors in Germany perform safe microsurgical interventions, which allow them to remove even hard-to-reach large neoplasms.

As a rule, removing the benign tumor is sufficient to normalize the CSF movement completely. No additional procedures are required to eliminate hydrocephalus.

At the same time, malignant tumors often penetrate deep into the brain, changing its tissues, and they cannot always be completely removed. As a result, the block of CSF pathways can not permanently be eliminated, and if possible, hydrocephalus may develop due to cerebral edema and hematoma. Such patients additionally require an ETV or shunting. Sometimes ETV is performed prior to tumor removal surgery to prevent postoperative hydrocephalus.

In addition, in Germany, additional manipulations can be performed during surgical tumor removal to prevent hydrocephalus and eliminate the need for revision interventions. These can be:

  • Stent implantation into the CSF spaces of the brain.
  • Intraoperative shunting.
  • Microsurgical fenestration (creation of holes) of the fundus of the third ventricle.

To undergo hydrocephalus diagnostics and treatment, you can go to one of the clinics in Germany. The treatment in clinics in Germany is sparing, safe and reliable. You are unlikely to need a revision surgery even after many years. On the Booking Health website, you can find out what is the price for treatment in different clinics, compare prices and book a medical care program at the best price. The cost of treatment for you will not increase, as you will receive insurance that will cover additional expenses. The Booking Health specialists will help you select the most suitable clinic and take care of the arrangement of your trip.

 

Authors: 

The article was edited by medical experts, board certified doctors Dr. Vadim Zhiliuk and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

WHO - World Health Organization

Medscape

Sience Direct




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