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Radiosurgery (Gamma Knife) of intracranial germinoma (251501) | Gamma Knife and Radiotherapy Center Hannover - BookingHealth
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After that, you will undergo an additional examination, including complete blood count, laboratory assessment of liver and kidney function, and neurological tests. This will be followed by MRI\/CT treatment planning. Before making the MRI\/CT scan, a stereotaxic frame will be fixed on your head. It is a lightweight non-metallic mesh that prevents the head from moving during the preliminary tomography and subsequent treatment with the Gamma Knife. It also allows physicians to determine the location of the germinoma accurately. Based on the results of the diagnostic MRI\/CT scan, physicians will develop an individual program of Gamma Knife therapy.<\/p>\n\n<p style=\"text-align:justify\"><strong>Gamma Knife treatment<\/strong>&nbsp;is carried out as the day hospital procedure, without mandatory admission to the hospital. You will be placed on a special couch with the already familiar stereotaxic head frame (this time it is used for precise focusing of the Gamma Knife beam). After that, the couch will move under the arch of the Gamma Knife device.<\/p>\n\n<p style=\"text-align:justify\">The procedure is completely painless. During the session, you will stay under the constant supervision of the medical personnel. If necessary, you will be able to communicate through the built-in microphone. The duration of the procedure is from 15 to 60 minutes, depending on the location and size of the germinoma.<\/p>\n\n<p style=\"text-align:justify\">After completing the procedure, the physician will remove the stereotaxic head frame and assess your general condition.<\/p>\n\n<p style=\"text-align:justify\"><strong>After the completion of the Gamma Knife treatment<\/strong>, you will receive the medical report with detailed recommendations regarding further follow-up. You can leave the hospital on the day of your procedure. 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After that, you will undergo an additional examination, including complete blood count, laboratory assessment of liver and kidney function, and neurological tests. This will be followed by MRI\/CT treatment planning. Before making the MRI\/CT scan, a stereotaxic frame will be fixed on your head. It is a lightweight non-metallic mesh that prevents the head from moving during the preliminary tomography and subsequent treatment with the Gamma Knife. It also allows physicians to determine the location of the germinoma accurately. Based on the results of the diagnostic MRI\/CT scan, physicians will develop an individual program of Gamma Knife therapy.<\/p>\n\n<p style=\"text-align:justify\"><strong>Gamma Knife treatment<\/strong>&nbsp;is carried out as the day hospital procedure, without mandatory admission to the hospital. You will be placed on a special couch with the already familiar stereotaxic head frame (this time it is used for precise focusing of the Gamma Knife beam). 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Radiosurgery (Gamma Knife) of intracranial germinoma in Gamma Knife and Radiotherapy Center Hannover

Gamma Knife and Radiotherapy Center Hannover

Hannover, Germany
Program id # 251501
Doctor photo
Dr. med. Otto Bundschuh
Gamma Knife and Radiotherapy Center
Specialized in: gamma knife, radiotherapy
Specialization Curriculum vitae

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • neurological examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • TSH-basal
    • tumor markers (AFP and beta-HCG)
    • inflammation indicators
    • indicators blood coagulation
  • ultrasound scan of the head
  • CT/MRI scan of the head
  • radiosurgery (Gamma Knife) of germinoma
  • nursing services
  • consultations of related specialists
  • consultations of leading experts
  • explanation of individual treatment plan

How program is carried out

During the first visit, the physician will conduct a clinical examination and go through the results of previous laboratory tests and instrumental examinations. After that, you will undergo an additional examination, including complete blood count, laboratory assessment of liver and kidney function, and neurological tests. This will be followed by MRI/CT treatment planning. Before making the MRI/CT scan, a stereotaxic frame will be fixed on your head. It is a lightweight non-metallic mesh that prevents the head from moving during the preliminary tomography and subsequent treatment with the Gamma Knife. It also allows physicians to determine the location of the germinoma accurately. Based on the results of the diagnostic MRI/CT scan, physicians will develop an individual program of Gamma Knife therapy.

Gamma Knife treatment is carried out as the day hospital procedure, without mandatory admission to the hospital. You will be placed on a special couch with the already familiar stereotaxic head frame (this time it is used for precise focusing of the Gamma Knife beam). After that, the couch will move under the arch of the Gamma Knife device.

The procedure is completely painless. During the session, you will stay under the constant supervision of the medical personnel. If necessary, you will be able to communicate through the built-in microphone. The duration of the procedure is from 15 to 60 minutes, depending on the location and size of the germinoma.

After completing the procedure, the physician will remove the stereotaxic head frame and assess your general condition.

After the completion of the Gamma Knife treatment, you will receive the medical report with detailed recommendations regarding further follow-up. You can leave the hospital on the day of your procedure. In the future, you can contact the physician to plan additional treatment, if necessary.

Required documents

  • Medical records
  • MRI/CT scan (not older than 3 months)
  • Biopsy results (if available)

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About the department

The Gamma Knife and Radiotherapy Center Hannover offers the full range of medical services in its field of competence. The treatment begins with an individual consultation and the comprehensive diagnostics, while the therapy is followed by all the necessary measures for follow-up care and consolidation of the result. The irradiation is carried out using the innovative Gamma Knife ICON, the characteristics of which ensure the successful removal of tumors up to 3 cm in size without damaging the surrounding healthy tissues. The highly qualified doctors of the center have many years of clinical experience and excellent skills in using this progressive system, so the patient can be sure that he will get the optimal result. The center is headed by Dr. med. Otto Bundschuh.

Immediately before treatment, the exact location of the tumor is determined using the accurate imaging studies (CT scan, MRI, PET-CT). Thanks to this, all the nuances and individual characteristics of the disease are taken into account. The center's team of radiologists have at their disposal high-power advanced imaging equipment.

Based on radiological diagnostics and clinical data, the center's doctors select the most appropriate type of radiation for each patient – stereotactic high-precision simultaneous or fractional irradiation using a linear accelerator. In rare cases, additional surgical tumor resection can be performed.

A unique feature of the center is the use of the Gamma Knife ICON. The Gamma Knife is used to irradiate benign and malignant tumors in the head up to 2.5-3 cm in size. In addition to the size of the tumor, its location in relation to the important regions of the brain is also a decisive factor. The Gamma Knife treatment is extremely accurate and reliable. This is a sparing and painless treatment method.

When performing radiosurgical treatment, the tumor is not physically removed, but suppressed (its growth and metastasis are stopped). To assess the effectiveness of treatment, the doctors carry out regular postoperative follow-up examinations at intervals of six months to a year.

Another advantage of radiosurgery is that it can be performed on an outpatient basis. The procedure is well tolerated, and the patient can leave the medical center and continue his usual life the very next day after the session. For example, he can return to work, go on a planned vacation or continue playing sports.

The center specializes in the treatment of the following diseases:

  • Brain tumors
    • Single or multiple brain metastases (especially when located near functionally important regions of the brain)
    • Meningiomas
    • Acoustic neuroma
    • Pituitary adenoma
    • Chordomas and chondrosarcomas
    • Local recurrent gliomas
    • Tumors that are difficult to remove surgically due to their location
  • Vascular malformations
    • Arteriovenous malformations
    • Glomus tumors
    • Cavernous angiomas
  • Eye tumors
    • Choroidal melanoma
    • Orbital metastases
  • Functional diseases
    • Trigeminal neuralgia
  • Other diseases

Curriculum vitae

Professional Careeer

  • Education in stereotactic radiosurgery in Stockholm, Aachen, Krefeld and Hannover.
  • Many years of experience in the field of conservative and surgical treatment of diseases of the back, including all operations to stabilize all regions of the spine.
  • Long-term cooperation (for 18 years) with the world-renowned neurosurgeon Majid Samii.
  • Since 2000 Senior Physician at the International Institute of Neurology in Hanover (INI).
  • Since 2004 Foundation and work as the Chief Physician at the Gamma Knife and Radiotherapy Center Hannover.

Membership in Professional Societies

  • German Society of Neurosurgery.
  • Professional Union of German Neurosurgeons.
  • German Society of Acupuncture.
  • Society of Pain Therapy.

Photo of the doctor: (c) Gamma Knife Zentrum Krefeld 

About hospital

The Gamma Knife and Radiotherapy Center Hannover is a leading German clinic specializing in radiosurgery and radiation therapy for malignant and benign neoplasms. It also treats metastases, vascular malformations and functional diseases. Thanks to the use of advanced techniques and the regular achievement of successful therapeutic results, the clinic has gained a strong reputation in the medical arena. 

The innovative approach used here allows treating patients with complex tumors in hard-to-reach places. In particular, this is therapy using the unique Gamma Knife ICON, the characteristics of which ensure the successful removal of tumors up to 3 cm in size without damaging the surrounding healthy tissues. The unique sparing technique allows performing interventions with a minimal risk of hearing loss, vision impairment, impaired motor skills or brain damage.

The center employs a competent team of therapists, neuro- and radiosurgeons. The patients are treated exclusively by top-class doctors with excellent clinical skills in their area of specialization, talent and a huge wealth of knowledge.

Thus, the center has everything necessary to give a chance for a complete cure for many cancer patients. The center has a friendly atmosphere, while each patient feels the respect and empathy that he desperately needs when faced with cancer diagnosis.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Gamma Knife and Radiotherapy Center Hannover live in comfortable rooms designed in bright colors. Each patient room has an ensuite bathroom with shower and toilet. The standard room furnishing includes an automatically adjustable bed, a bedside cabinet with a pull-out table, a wardrobe for storing personal belongings, a table and chairs for receiving visitors and a TV. Also, there is the possibility of connecting a laptop, phone or tablet to Wi-Fi in the patient room.

Meals and Menus

The patient and the accompanying person are offered a daily choice of three menus. If you are on a specific diet for any reason, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

The religious services can be provided upon request.

Accompanying person

During the inpatient program, an accompanying person may stay with the patient in the room or at a hotel. Our managers will help you choose the most suitable option.

Hotel

During the outpatient program, the patient may stay at the hotel. Our managers will help you choose the most suitable option.