Hannover Medical School (MHH)
Department of Adult and Pediatric Diagnostic, Interventional Neuroradiology (594422)
Specialized in: adult and pediatric diagnostic, interventional neuroradiology
About the department
The Department of Adult and Pediatric Diagnostic, Interventional Neuroradiology at the Hannover Medical School offers the full range of progressive imaging diagnostics and minimally invasive treatment of diseases of the nervous system in patients of all age groups. The special focus of the department is the diagnostics and minimally invasive treatment of acute stroke (thrombectomy). The department's neuroradiologists cooperate closely with specialists in the field of neurology and neurosurgery, which guarantees an impeccable quality of medical care. The Chief Physician of the department is Prof. Dr. med. Heinrich Lanfermann.
One of the most commonly used methods in the department is catheter angiography, which allows the doctor to assess the vessels of the brain and spinal cord. Ultrasound examination, CT, MRI can also be used for this purpose, but these techniques do not always show the comprehensive information. Catheter angiography and most vascular interventions are carried out through access in the inguinal arteries. The diagnostic angiography is usually performed under local anesthesia, whereas vascular interventions are performed under general anesthesia. The sequential high-resolution images allow the doctor to make an accurate diagnosis even in particularly difficult clinical cases. The information obtained during the catheter angiography plays a crucial role in the diagnostics of cerebrovascular malformations and tumors with active blood flow.
Stroke can be diagnosed and treated around the clock by the specially trained team of experts. The department's neuroradiologists also specialize in the treatment of cerebral artery aneurysms. In particular, a neuroradiological intervention using miniature vascular implants is a sparing treatment method of this pathology. Also, the doctors' scope of tasks includes the treatment of arteriovenous malformations, including complex dural vascular formations (transarterial and transvenous therapy).
The department has a specially trained team of pediatric neuroradiologists. The main imaging technique in the diagnostics of pathology of the nervous system in children is magnetic resonance imaging (MRI). In addition to classical MRI diagnostics, the department also carries out special examinations, such as MR spectroscopy, the high resolution examination of the inner ear, the quantitative measurement of cerebrospinal fluid, etc. The department performs more than 1,000 MRI scans in children annually. In most cases, this diagnostics is required for the assessment of undifferentiated disorders of the nervous system, metabolic disorders, malformations, inflammatory or oncological diseases, recurrent headaches or epileptic syndromes and cerebrospinal fluid pathology. In addition, MRI scans can be performed for spinal diseases.
Pediatric interventional neuroradiology offers the treatment for children with vascular malformations, ranging from newborns with vein of Galen malformations to adolescents with hemangiomas. The basis of treatment is minimally invasive endovascular therapy. The spectrum is also complemented by the therapy of arteriovenous malformations.
The main clinical focuses of the department include:
- Diagnostic neuroradiology
- X-ray scans
- Computed tomography
- Magnetic resonance imaging
- Digital subtraction angiography
- Sonography of the cervical and cerebral vessels
- Interventional neuroradiology
- Embolization of vascular malformations in the brain and spinal cord
- Coiling for the treatment of cerebral aneurysms
- Thrombolysis in acute vascular occlusions
- Dilation and stent implantation in vascular stenosis
- Periradicular pain therapy
- Pediatric diagnostic neuroradiology
- Full range of MRI diagnostics
- Diagnostic angiography of supra-aortic, intracranial (head/neck) and cerebrospinal vessels
- Pediatric interventional neuroradiology
- Minimally invasive catheter therapy in neurovascular diseases
- Endovascular treatment of dural arteriovenous fistulas in the brain and spinal cord
- Endovascular treatment of cerebral, craniofacial and spinal arteriovenous malformations
- Treatment of superficial vascular malformations (venous malformations) by means of direct puncture and administration of sclerotherapy agents
- Catheter therapy using biplanar plane panel angiography system, with the possibility of 3D rotational angiography
- Other medical services
Education and Professional Career
- 1977 - 1984 Study of Human Medicine at the Rhine-Westphalian Technical Aachen University.
- 1984 Doctoral degree, Rhine-Westphalian Technical Aachen University.
- July 1984 - December 1985 Military service at the Bundeswehr Hospital, Department of Radiology, Hamburg.
- January 1986 - October 1989 Advanced training in Diagnostic Radiology, Institute of Diagnostic Radiology at the University Hospital Cologne, including one-year rotation in the Department of Neuroradiology.
- November 1989 - October 1990 One-year clinical training in the Department of Neurology and Psychiatry, University Hospital Cologne, including six-month rotation in the Neurological Intensive Care Unit.
- November 1990 - September 1991 Сontinuation of advanced training in Diagnostic Radiology, Institute of Diagnostic Radiology at the University Hospital Cologne.
- November 1991 Advanced training in Interventional Neuroradiology, New York Medical Center, Department of Neuroangiography, New York.
- February 1992 Advanced training in Interventional Neuroradiology, Department of Medicine, University of California, Los Angeles, Section of Endovascular Therapy.
- April 1992 - August 1996 Senior Physician and Head of the Department of Neuroradiology, Institute of Diagnostic Radiology at the University Hospital Cologne.
- September 1996 - March 2007 Leading Senior Physician, Institute of Neuroradiology, University Hospital Frankfurt.
- February 1998 Habilitation in Neuroradiology, Goethe University Frankfurt. Subject: "Metabolic changes in acute and subacute cerebral infarctions in human: 1H-NMR spectroscopy".
- June 2004 Appointment as Extraordinary Professor in Neuroradiology.
- Since April 2007 Head of the Department of Adult and Pediatric Diagnostic, Interventional Neuroradiology at the Hannover Medical School.
- Metabolic, microstructural and functional MRI examinations.
Positions in Scientific Societies and Organizations
- Member of the Extended Board of the German Society of Neuroradiology (DGNR).
- Member of the Professional Association of German Neuroradiologists (BDNR).
- Member of the European Society of Neuroradiology (ESNR).
- Member of the American Society of Neuroradiology (ASNR).
- Member of the International Society for Magnetic Resonance in Medicine (ISMRM).
- Member of the German Radiological Society (DRG).
- Advisory Board Member of the Society for Skull Base Surgery (GSB).
- Member of the Association for the Development of Neurological Sciences Frankfurt.
- Member of the Neuro-Oncology Association (NOA) of the German Cancer Society.
- Chairman of the German Society of Neuroradiology (DGNR) and President of the Congress of the 50th Annual Meeting of the German Society of Neuroradiology (DGNR), 2015.
Department of Adult and Pediatric Diagnostic, Interventional Neuroradiology.
Hannover Medical School (MHH):
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