Treatment of brain aneurysm (cerebral aneurysm) in Germany

Brain aneurysm is a local widening of the artery section with the bag-shaped protrusion formation. The incidence of this disease in different countries is from 1 to 5%. The disease is asymptomatic. But any moment the aneurysm can rupture causing the subarachnoid hemorrhage. More than half of the brain aneurysm rupture cases have lethal results during the first month after the occurrence.


The Booking Health portal presents 40 German clinics specializing in brain aneurysm (cerebral aneurysm) treatment

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Brain aneurysm – Diagnostics

The cerebral vascular aneurysm is diagnosed very rarely, during the examination of the brain due to other diseases. In 90% of patients, the disease is detected only after the aneurysm rupture.

The following diagnostic methods are used for this purpose:

  • Lumbar puncture. A doctor inserts the needle into the spinal canal below the spinal cord (lower back). He checks if there is a blood in the spinal fluid. This procedure is carried out at least in an hour after the hemorrhage. If the lumbar puncture is performed earlier, a false-negative result of the examination is possible.
  • Transcranial doppler ultrasound examination. Ultrasound helps to detect spasm of the blood vessels as evidenced by a significant acceleration of the linear blood flow. This method of diagnostics allows doctor to plan the treatment tactics as it is significantly influenced by the severity of arteriopathy. It can be moderate, severe or critical.
  • Cerebral angiography is the “gold standard” of the diagnostics. The contrasting agent is injected into the vessels. Then the X-ray image is performed, in which the aneurysm of brain vessels is clearly visible. Method also allows to assess the severity of the arteriopathy. Accuracy of the diagnostics is 95%. False results are possible during the acute period of the illness (up to 2 weeks).


Best clinics for the brain aneurysm diagnostics in Germany:


University Hospital Bergmannsheil Bochum

University Hospital Bergmannsheil Bochum


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University Hospital Duesseldorf

University Hospital Duesseldorf


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Brain aneurysm – Treatment

Patient can undergo the surgery during the 1-3 days after the aneurysm rupture. If due to the late diagnostics this moment was missed, the arteriopathy (vasoconstriction) progresses, ischemia (lack of oxygen) and cerebral edema develop. In this case, the operation is possible only in 2-3 weeks.

Open and endovascular (with the access through the blood vessels) surgeries are carried out. Minimally invasive interventions are possible only in case of minor haemorrhage, as they do not allow to remove blood clots from the subarachnoid space. Moreover, minimally invasive surgeries are carried out if the aneurysm did not rupture, but was accidentally detected during the diagnostics of other diseases. In this case, the timely termination of the blood flow in the abnomal arteries allows to prevent the subarachnoid hemorrhage.

During the endovascular surgery, the balloon is inserted into the artery lumen and then the air is blown into it or the spiral is implanted. This causes the thrombus formation that blocks the blood flow through the damaged vessels.

An open surgery implies performance of the skull trepanning. Aneurysm is switched off from the blood flow by putting a clip on its body or the neck. If the exclusion of this vessel is impossible, then the enveloping of an aneurysm is performed. Aneurysm is protected from the rupture with the help of the synthetic materials or the patient’s own muscle tissues. Further, it leads to the connective tissue growth and artery walls thickening, which significantly reduces the risk of the repeated hemorrhage.


Best clinics for the brain aneurysm treatment in Germany:


University Hospital Bergmannsheil Bochum

University Hospital Bergmannsheil Bochum

Partial resection and coil embolization of brain aneurysm


Treatment of brain aneurysm by surgical clipping


Hannover Medical School (MHH)

Hannover Medical School (MHH)

Partial resection and coil embolization of brain aneurysm


Treatment of brain aneurysm by surgical clipping


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Brain aneurysm – Rehabilitation

Rehabilitation is the process of restoration from injuries, surgeries or diseases. After the surgical treatment of aneurysms, the rehabilitation program helps to endure the postoperative period much easier and return to everyday life as quickly as possible.

The most modern rehabilitation programs are used in Germany. They are adapted individually for each patient, and are based on the age, physical possibilities, and the results of previous treatment. Different specialists, such as cardiologists, therapists, psychologists, rehabilitators, physiotherapists are involved in the rehabilitation process.

The following methods of rehabilitation are used:

  • Early activation and dosed physical activity
  • Breathing exercises
  • Training on the simulators and in the pool
  • Physiotherapy
  • Natural factors of the nature (mud, thermal waters, etc.)

Rehabilitation includes medicamentous support. The doctor selects drugs that normalize the level of blood pressure, improve the condition of the vessel wall and blood properties. It is necessary to hold a consultation with the patient about the proper nutrition and level of physical activity which is important for him in the current situation.

Rehabilitation programs in Germany are designed for 2 weeks. If necessary, they can last much longer. In this country, the patient is provided with qualitative care, accommodation in comfortable rooms and individually selected meals.

Rehabilitation programs in Germany show one of the best results in the world. Most patients successfully restore their working capacity and excellent health there. They remain physically active, return to the full social and family life.


Best clinics for neurological rehabilitation in Germany:


Neurological Rehabilitation Clinic Godeshöhe Bonn

Neurological Rehabilitation Clinic Godeshöhe Bonn

1093help813Per day

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Author: Dr. Nadezhda Ivanisova

Here you can find the cost of treatment for this disease at the German University Hospitals. Leave a request and we will provide a free consultation with a doctor and will start organizing the whole treatment process.

The program includes the following:

  • Issuing of an invitation for getting a visa for treatment as quick as possible
  • Fixing an appointment at a time convenient for you
  • Preliminary organization of a comprehensive examination and discussion of the forthcoming treatment plan
  • Arranging transfer from the airport to the hospital and back to the airport
  • Provision of interpreting services and services of a personal medical coordinator
  • If necessary, assistance in the organization of further surgical treatment
  • Provision of a medical insurance against treatment complications covering up to 200,000 euro
  • Preparation and translation of medical records and recommendations from the hospital
  • Assistance in the subsequent communication with your attending physician, including consultations on repeated X-ray images through the unique medical document management system E-doc

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