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Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy (388664) | HELIOS Clinic Krefeld - BookingHealth
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Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy in HELIOS Clinic Krefeld

HELIOS Clinic Krefeld

Krefeld, Germany
Program id # 388664
Doctor photo
Prof. Dr. med. Michael Stoffel
Department of Adult and Pediatric Neurosurgery
Specialized in: adult and pediatric neurosurgery

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • inflammation indicators (CRP, ESR)
    • TSH, fT3, fT4
    • indicators of blood coagulation
  • neurological examination
  • CT/MRI scan
  • neuropsychological tests (if indicated):
    • ENMG (electroneuromyography)
    • EEG (electroencephalography)
    • SEPs (somatosensory evoked potentials)
    • VEPs (visually evoked potentials)
    • BAEP tests (brainstem auditory evoked potentials)
  • stationary EEG monitoring
  • preoperative care
  • surgical treatment of epilepsy with deep brain stimulation​ and installation of
    neurostimulator (including the cost of neurostimulator)
  • 1-day intensive care unit stay
  • postoperative MRI control
  • symptomatic treatment
  • control examinations
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation
  • developing of further guidance

 

How program is carried out

During the first visit, the physician will conduct a clinical examination and neurological examination, and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the laboratory blood and urine tests, MRI or CT scan. Based on the results of an additional examination, the physician will clarify the localization of epileptogenic foci in the brain. After that, the preparation according to the preoperative standard will begin.

The first stage of treatment is the implantation of stimulating electrodes into the brain. The operation is performed under local anesthesia, through a small opening in the skull. You will be awake and communicating with your surgeon, so that he will be able to assess the correctness of the brain electrodes placement.

The second stage of treatment is the implantation of a neurostimulator, which will generate electrical impulses that regulate the work of the brain. Depending on the anatomical peculiarities, the surgeon will place the neurostimulator under the collarbone or in the abdomen and attach the brain electrodes to it. Typically, this operation is performed under general anesthesia.

After the completion of the operation, you will stay in the intensive care unit, under the round-the-clock supervision of physicians and nurses. When the condition becomes stable, you will be transferred to a regular ward.

Your physician will evaluate the results of the postoperative MRI and program the neurostimulator according to your individual needs. You will be able to turn the device on and off yourself. After setting up the neurostimulator, the attending physician will schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.

Required documents

  • Medical records
  • EEG (if available)
  • MRI/CT scan (if available)

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About the department

The Department of Adult and Pediatric Neurosurgery at the HELIOS Clinic Krefeld offers the full range of services in this medical field. The specialists of the department have the very latest surgical techniques and innovative technical equipment, which guarantees excellent quality of treatment. The department is headed by Prof. Dr. med. Michael Stoffel.

The main attention is paid to the diagnosis and surgical treatment of tumors of the brain and meninges, functional disorders of the central nervous system, acute and chronic diseases of the vessels of the brain and spinal cord, diseases of the peripheral nervous system, spinal diseases in adults and children.

Surgical treatment of oncological diseases of the nervous system is a particularly complex process, since the task of surgeons is not only to remove the tumor, but also to preserve all neurological functions. Each patient receives an individual treatment plan developed with due consideration of the recognized guidelines and international standards. For an effective surgery planning, its performance and subsequent treatment, there is maintained interdisciplinary cooperation with many specialists from the related medical fields. In addition to a wide range of surgical interventions, here are offered alternative treatment options, for example, targeted radiation therapy – Gamma Knife treatment.

The department offers both diagnostics and treatment of the following diseases:

  • Neurosurgical diseases in adults
    • Gliomas
    • Meningiomas
    • Vestibular schwannomas (acoustic neuromas)
    • Pituitary adenomas 
    • Metastases
    • Chronic pain syndrome
    • Pain in the head, face, back, groin and other types of neuralgia
    • Angina pectoris
    • Diseases of the peripheral arteries
    • Incontinence
    • Epilepsy
    • Movement disorders
    • Parkinson's disease, tremor or dystonia
    • Stroke
    • Subarachnoid haemorrhage
    • Aneurysms
    • Brain hemorrhage
    • Arteriovenous malformations, fistulas and cavernomas
    • Neurovascular compression
    • Carpal tunnel syndrome
    • Cubital tunnel syndrome
    • Scalenus anticus syndrome
    • Guyon's canal syndrome
    • Bernhardt‐Roth syndrome
    • Morton's metatarsalgia
    • And other diseases
  • Neurosurgical diseases in children and adolescents
    • Brain and spinal cord tumors
    • Malformations of the spine and skull
    • Hydrocephalus
    • Vascular malformations
    • Craniosynostosis (defects in the face and skull)
    • Functional disorders (for example, spasticity)
    • Injuries and convulsions
    • Other pediatric neurosurgical diseases

The range of medical services of the department includes:

  • Microsurgical interventions
  • Neuronavigation
  • Neuroendoscopy
  • Tumor resection with the use of intraoperative fluorescence (5-ALA)
  • Surgeries in a state of wakefulness
  • Intraoperative electrophysiological monitoring
  • Intraoperative ultrasound diagnosis
  • Navigation-guided biopsy
  • Epidural spinal cord stimulation
  • Peripheral nerve stimulation 
  • Deep brain stimulation
  • Motor cortex stimulation
  • Sacral nerve stimulation
  • And other treatment methods

Curriculum vitae

  • 1988 - 1995 Medical education at the Ludwig Maximilian University of Munich.
  • 25/06/1998 Doctoral Thesis: "The Experimental Vasogenic Cerebral Oedema: Therapeutic Inhibition with the Cl–Transport Inhibitor Torasemide, the Neuropeptide-Y-Antagonist PP56 and -Tocopherol", summa cum laude.
  • 15/05/2003 Medical Specialist in Neurosurgery.
  • 07/07/2004 Thesis, Venia Legendi for Neurosurgery at the Friedrich Wilhelms University of Bonn.
  • 21/08/2004 EANS European Examination (Part 1).
  • 11/12/2009 Additional Qualification in Spinal Neurosurgery by the NCAFW.
  • 07/07/2010 Associate Professor at the Technical University of Munich.
  • 16/05/2012 Voluntary postgraduate training, Special Neurosurgical Intensive Care.
  • 10/04/2013 Additional qualification, Vascular Neurosurgery by the NCAFW.
  • 22/08/2014 Master Certificate of the German Spinal Surgery Society (DWG).

Professional Career

  • 5/95 - 2/97 Research Fellowship, Institute for Surgical Research (Head: Prof. Dr. Dr. h.c. mult. K. Messmer), Clinic Großhadern, Ludwig Maximilians University of Munich.
  • 9/96 - 1/97 Research cooperation with the Fraunhofer Institute for Biomedical Technique, St. Ingbert (Head: Prof. Dr. K. Gersonde).
  • 3/97 - 2/06 Attending Resident, Department of Neurosurgery of the Rhenish Friedrich Wilhelm University of Bonn (Head: Prof. Dr. J. Schramm).
  • 7 - 8/99 Physician at the Department of Neurosurgery, Mannheim (Head: Prof. Dr. P. Schmiedek).
  • Since 10/04 Senior Physician.
  • Since 9/05 Head of the Section for Spinal Surgery, Department of Neurosurgery, University Hospital Bonn.
  • Since 3/06 Deputy Head, Department of Neurosurgery, Hospital rechts der Isar, Technical University of Munich (Head: Prof. Dr. B. Meyer).
  • Since 8/11 Head of the Department of Adult and Pediatric Neurosurgery, HELIOS Clinic Krefeld.

Photo of the doctor: (c) Helios Klinikum Krefeld 


About hospital

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently. Having crossed the threshold of the clinic, you will feel the home-like cozy and modern atmosphere. Perhaps you will even forget that you are in the clinic.

As a maximum care medical center,  the clinic covers practically all areas of medicine: cardiology, gastroenterology, oncology and hepatology, nephrology, diabetology and rheumatology, general, abdominal and minimally invasive surgery, dermatology and venereology, angiology, cardiac surgery and other medical fields.

Thanks to a continuous fruitful cooperation with the world’s leading universities, research and medical centers, the clinic provides the highest treatment standards.

The doctors of the clinic take up the treatment of the most severe cases, including serious spinal injuries and diseases related to the disorders of the central nervous system. The nursing staff of the clinic regularly undergoes both advanced and special trainings, which contributes to a high-quality, professional patient care at all stages of treatment.

The clinic adheres to a strict quality management system. Not only the patient care, but also the entire treatment process (including monitoring and patient care after the operation) are subject to the quality certification.

Photo: (c) depositphotos

Accommodation in hospital

Patients rooms

The patients of the HELIOS Clinic Krefeld live in comfortable single and double rooms. Each room has a bathroom with a toilet and shower. The room is furnished with a comfortable bed, bedside table, TV, radio and telephone. Each room has access to the Internet, which can be used at extra charge.

The clinic offers an excellent infrastructure: a beautiful park with playgrounds for children, a cafeteria, a chapel, which regularly hosts church services, a prayer room for Muslims, a beauty salon, a shop with a large selection of magazines, drinks and personal hygiene items, an ATM and a large parking lot.

Meals and Menus

The restaurant of the clinic offers three meals a day. For breakfast, lunch and dinner, it serves a large selection of dishes that will please even spoiled gourmets. Every day, the menu features vegetarian and dietary dishes. It is possible to order any dish without leaving the room. In addition, the clinic has a cafeteria where one can always have a cup of aromatic coffee, hot tea or enjoy an exquisite refreshing drink. Also, the cafeteria menu offers many tasty snacks and dishes.

Further details

Standard rooms include:

Shower
Toilet
Wi-Fi
TV