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Treatment of Meningioma of Brain 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

Meningioma Diagnosis
478
Radiotherapy for meningioma
13800
Surgical treatment of meningioma with resection
9341

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Neurosurgery

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
Meningioma Diagnosis
1799
Radiotherapy for meningioma
23328
Surgical treatment of meningioma with resection
24333

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
Meningioma Diagnosis
2383
Radiotherapy for meningioma
29610
Surgical treatment of meningioma with resection
36101

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
Meningioma Diagnosis
2029
Radiotherapy for meningioma
29268
Surgical treatment of meningioma with resection
27111

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
Meningioma Diagnosis
1797
Radiotherapy for meningioma
23259
Surgical treatment of meningioma with resection
24228

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
Meningioma Diagnosis
1799
Radiotherapy for meningioma
22963
Surgical treatment of meningioma with resection
24201

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
Meningioma Diagnosis
2294
Radiotherapy for meningioma
23038
Surgical treatment of meningioma with resection
31573

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
Meningioma Diagnosis
1852
Radiotherapy for meningioma
27833
Surgical treatment of meningioma with resection
25402

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
Meningioma Diagnosis
2053
Radiotherapy for meningioma
23359
Surgical treatment of meningioma with resection
27428

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
Meningioma Diagnosis
2289
Radiotherapy for meningioma
23503
Surgical treatment of meningioma with resection
31691

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
Meningioma Diagnosis
1841
Radiotherapy for meningioma
27974
Surgical treatment of meningioma with resection
25883

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
Meningioma Diagnosis
0
Radiotherapy for meningioma
0
Surgical treatment of meningioma with resection
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
Meningioma Diagnosis
1824
Radiotherapy for meningioma
23079
Surgical treatment of meningioma with resection
24298

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
Meningioma Diagnosis
1939
Radiotherapy for meningioma
23210
Surgical treatment of meningioma with resection
27214

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
Meningioma Diagnosis
1814
Radiotherapy for meningioma
23286
Surgical treatment of meningioma with resection
23948

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
Meningioma Diagnosis
1713
Radiotherapy for meningioma
28090
Surgical treatment of meningioma with resection
22775

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
Meningioma Diagnosis
2035
Radiotherapy for meningioma
29322
Surgical treatment of meningioma with resection
26931
| from Booking Health GmbH

Meningioma is one of the most common central nervous system tumors. It grows from the cells of the meninx serosa. This tumor is often fused to the dura mater and bone. It is usually benign but in certain cases can transform and acquire signs of malignancy. In most cases radical removal of the meningioma cures cancer. In the case of malignant tumors, as well as in the case of incomplete removal of the tumor, radiation therapy is indicated in addition to surgical treatment. Germany offers the full range of medical services aimed at determining the histological type of meningioma and performing its precise destruction. Neurosurgical interventions in German hospitals allow avoiding neurological complications and preserving high quality of life.

Treatment methods for meningioma

The following 2 main treatment methods are used for meningiomas:

  • Surgery, including the stereotactic radiosurgery
  • Radiation therapy

Chemotherapy is not usually carried out due to its poor efficacy. Most meningiomas have extremely low sensitivity to drugs.

Surgical treatment is usually performed first, and then radiation therapy can be prescribed for both benign and malignant meningiomas. Irradiation can also be used for small tumors as a radical procedure (without surgery).

Symptomatic treatments for patients with meningioma includes administration of anti-seizure medications, steroids, and antidepressant medications. These do not solve the problem itself but help in improving the patient's general health state.

Principles of surgical treatment for meningioma

Surgical treatment of meningioma can be radical and palliative.

Radical surgery is aimed at the total removal of the brain tumor in order to cure the disease, or at least to achieve a long period without recurrence. As a rule, the disease can be completely cured, since the meningiomas are benign in most cases.

In advanced cases, palliative surgical treatment is performed in large and aggressive brain tumors. It is aimed at normalizing the outflow of cerebrospinal fluid, elimination of symptoms, prevention of complications.

If possible, the doctor seeks to achieve the following during performing the radical surgery:

  • The greatest possible radicality of the operation – total removal of the tumor along with the area from which it grows
  • Removal of meningioma through a minimal, but adequate to the volume of the operation, trepanation hole
  • Do not damaging functionally important brain areas and do not causing neurological deficits
  • Avoid damaging large nerves and blood vessels

In Germany, surgical treatment is carried out by experienced professionals. The state-of-art equipment of neurosurgical clinics allows the doctors to visualize all brain areas, determine their functional activity, and choose the best surgical access. The tumor is removed totally, if possible, along with the adjacent dura mater and bone. If the matrix (place from which the tumor grows) is not removed, then it is coagulated with a laser. This reduces the risk of relapse development.

The treatment in Germany is not only effective but also safe. The use of microsurgical techniques during operations, high-quality intraoperative optics and neuronavigation systems allow the doctors to remove meningioma with minimal risks for the patient's health. In addition, neurological rehabilitation is usually performed after the completion of main treatment.

How is the operation carried out?

Surgical treatment is performed under general anesthesia. The doctor dissects the skin, performs craniotomy, and coagulates the dura mater to control bleeding. After creating the access to the meningioma, the neoplasm is excised. Low-density tumors can be removed with an ultrasonic aspirator dissector, which is used for destruction and follow-up aspiration of tissues.

Upon the removal of the tumor with a hard membrane and a fragment of bone, the doctor coagulates vessels, and sutures the dissected meninges. Then he closes the skull defect using both the patient's own tissues and artificial materials. At the end, the skin is sutured and a bandage is placed.

In the first 1-2 days after surgery, CT scan or MRI is performed for assessment of the results of the surgical intervention, the degree of postoperative cerebral edema, as well as for detection of possible complications (for example, haemorrhages).

Radiation therapy for meningioma

In the case of malignant meningioma or only partial removal of tumor during the surgical treatment of a benign brain tumor, it is additionally irradiated. In addition, radiation therapy is performed as the only treatment method in the following cases:

  • Location of the meningioma is inconvenient for the surgical removal
  • High risk of complications (elderly age, concomitant diabetes mellitus or cardiovascular pathologies)
  • Contraindications for the surgical treatment
  • The patient refuses surgery or chooses radiation therapy for meningiomas up to 3.5 cm in diameter

As compared to surgical treatment, radiation therapy has several advantages. It is non-invasive, safer, well tolerated by the patient and does not require long-term recovery.

In Germany, stereotactic radiotherapy and radiosurgery are performed using state-of-the-art equipment. The doctors in Germany use linear accelerators, the newest CyberKnife and Gamma Knife systems. They direct beams to the tumor from different angles, precisely targeting its contours and volume, providing minimal radiation exposure to healthy brain tissues.

Some German hospitals use proton therapy. This is a type of radiation therapy, which uses protons instead of photons. Proton therapy may replace surgical treatment in patients with skull base meningiomas. It is highly accurate and therefore does not damage the cranial nerves located in this area.

In comparable efficacy, proton therapy differs favorably from the conventional photon irradiation with its high safety. Protons release energy only when they reach the target but not along the entire trajectory towards the tumor inside the skull. Therefore, they have much lower impact on healthy brain tissue and cause fewer complications. Proton therapy is preferred for the treatment of meningiomas in children due to its high safety. Like the other radiation therapies, proton therapy requires thorough preliminary planning with determining the precise tumor localization, size and shape.

Treatment results for meningioma

Most patients who go to Germany expect a complete recovery. As a rule, this treatment purpose is quite achievable. About 77% of all meningiomas are benign, 22% are intermediate, and only 1% of these tumors are malignant.

Grade 1 tumors are highly likely to be cured by surgery alone. If the doctor managed to remove the tumor completely, the risk of recurrence within 10 years of follow-up is only 4%. Non-radical surgical treatment increases the probability of recurrence of meningioma up to 15%. Nevertheless, the risk can be reduced by irradiation.

The recurrence of grade 2 meningioma within 3 years of follow-up occurs in 30% of patients. In case of recurrence, repeated surgical treatment or radiation therapy may be performed.

In the case of grade 3 meningioma, complete cure is unlikely, but surgical treatment can give a person a few more years of active life. The risk of recurrence of a malignant tumor within 3 years is 98%. It is difficult to remove anaplastic meningioma completely, but if the doctor managed to carry out a radical operation, then the risk of recurrence within 5 years is 78%.

Why is it better to undergo treatment of meningioma in Germany?

Surgery and radiation therapy are used in every country in the world for the treatment of meningioma, but the greatest successes in neurosurgery and neuro-oncology are achieved in developed countries, such as Germany. Therefore, many patients who can afford high-level medical services prefer to undergo surgical treatment in German hospitals.

Here are the reasons why a person may choose visiting one of the German hospitals:

  • High-quality equipment – German specialists use state-of-the-art intraoperative optics, high-precision neuronavigation systems
  • Many hospitals in Germany use frameless stereotaxis – it does not require fixing the stereotactic frame with screws to the patient's skull
  • High-quality intraoperative diagnosis makes it possible to detect functionally important brain areas right during surgical treatment and to avoid their damage
  • Experienced doctors can successfully operate even on patients with tumors in hard-to-reach localizations, including skull base meningiomas, without damaging large vessels and cranial nerves
  • The latest methods of stereotactic radiation therapy and radiosurgery are used in Germany for destruction of small brain tumors without the conventional surgical interventions
  • Proton therapy is available in some German hospitals. With a high cost of treatments, it is still the safest type of radiation therapy, which is sometimes used for skull base tumors and is a method of choice for children

German hospitals have the best ratio of cost of treatment and its quality. Prices here are lower than in other developed countries (USA, Japan) with the same high level of medical services.

Treatment in Germany with Booking Health

To undergo surgical treatment of meningioma in Germany, you can use the Booking Health service. Here you can receive the information about hospitals, doctors and prices. You can compare prices for a treatment in different hospitals and book a medical program at the best price.

The medical tourism operator Booking Health will arrange a trip to Germany for the surgical treatment of meningioma. We provide the following services and benefits:

  • Selection of the hospital which specializes in the treatment of meningioma and achieves the best results
  • Direct communication with the doctor
  • Reduced waiting period for surgical treatment and appointment on the convenient date
  • Reduced cost of treatment in Germany; costs are reduced due to the absence of additional coefficients for foreign patients
  • Relevant information about your expenses, the cost of treatment, funds remaining in your account
  • Elaboration of the program for surgical treatment of meningioma in Germany without repeating previously performed diagnostic tests
  • Communication with the German hospital upon the medical program completion
  • Buying and forwarding medicines
  • Organization of additional diagnosis or cancer treatment in Germany

The specialists of Booking Health provide high-quality service. We will book a hotel and airline tickets for you, organize a transfer from the airport to the hospital and back.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko




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