Diagnosis and conservative treatment of amyotrophic lateral sclerosis (als) in HELIOS University Hospital Wuppertal
HELIOS University Hospital Wuppertal
Wuppertal, Germany
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Program id #
392818
Dr. med. Sören Lutz
Department of Neuropediatrics and Pediatric Epileptology
Specialized in: neuropediatrics, pediatric epileptology The program includes:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- neurological and psychological status examination
- laboratory tests:
- complete blood count
- general urine analysis
- biochemical analysis of blood
- TSH-basal, fT3, fT4
- hiv antibodies
- wasserman reaction
- tumor marker
- indicators of inflammation
- indicators blood coagulation
- cerebrospinal fluid examination
- CT/ MRI
- myelography
- muscle biopsy
- molecular genetic analysis
- consultation of related specialists
- symptomatic specific treatment
- the cost of essential medicines and materials
- nursing services
- control examinations
- full hospital accommodation
- developing of further guidance
Required documents
- Medical records
- Brain MRI (if available)
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About the department
The Department of Neuropediatrics and Pediatric Epileptology at the HELIOS University Hospital Wuppertal offers top-class medical services for the diagnostics and treatment of diseases of the brain, spinal cord, peripheral nervous system and muscles in children and adolescents. In addition, the department provides medical care to children with developmental delays and developmental disorders. Doctors have vast experience in the treatment of epilepsy in young patients, and also have successful experience in the treatment of movement disorders, inflammatory diseases of the central and peripheral nervous system, chronic headaches, multiple sclerosis, cerebral palsy, congenital malformations of the brain and spinal cord. To provide comprehensive medical care, the team of pediatric neurologists cooperates closely with specialists in the field of ophthalmology and otolaryngology, as well as with neurosurgeons and pediatric orthopedists. Prior to starting treatment, the department's specialists carry out a diagnostic examination, which makes it possible to assess the severity of the pathological process and choose the most effective treatment tactics. In the course of the therapeutic process, doctors use various pharmacotherapy regimens, psychological care, physiotherapy, occupational therapy, speech therapy, curative education and other methods that help eliminate a neurological disorder or control the pathology and improve the child's condition. The department is headed by Dr. med. Sabine Cagnoli.
The department's doctors pay special attention to the treatment of epilepsy in children. This disorder develops due to the increased electrical activity of certain areas of the brain, and therefore one of the main tasks of doctors is to detect foci of pathological activity and accurately determine their location. Doctors also carry out diagnostic examinations for any comorbidities that can contribute to the development of epileptic seizures. The standard diagnostic protocol includes studying the child's medical history, electroencephalography and magnetic resonance imaging. With the confirmed diagnosis, doctors determine the causes of the development of epilepsy and its type, after which they elaborate an individually tailored treatment regimen. Depending on the type of epilepsy, specialists select the optimal medication or a combination of medications. As a rule, the course of treatment should be continuous and long enough. During treatment, follow-up examinations are regularly carried out to monitor the child's condition and assess the effectiveness of treatment. If, after taking antiepileptic drugs, doctors manage to achieve a stable remission (at least 2 years without epileptic seizures), the dosage of drugs is gradually reduced. A ketogenic diet that is high in fat and low in carbohydrates is often recommended for children suffering from epilepsy. It is clinically proven that this type of diet can significantly reduce the number of epileptic seizures. However, this diet is prescribed by the attending physician, after considering a particular clinical case.
The department's specialists also admit young patients with cerebral palsy. The pathology causes serious movement disorders, as well as balance and postural disorders. The neurological disorder quite often causes mental retardation, speech disorder, hearing loss and vision disorder. Infantile cerebral palsy is usually diagnosed at the age of 1-2 years. The diagnostics involves a clinical examination and instrumental tests, including X-ray, ultrasound and magnetic resonance imaging. The team of the department's doctors carries out conservative treatment of cerebral palsy with the help of botulinum toxin, specially elborated physiotherapeutic programs (for example, Bobath concept, Vojta therapy, Castillo-Morales approach, etc.), therapeutic exercises, massage, sessions with a speech therapist and a psychologist. The goal of therapy is to maximize the restoration of the child's motor functions and prevent disability.
The responsibility of pediatric neurologists also includes medical care to young patients with multiple sclerosis. Recently, it was believed that pathology affects only adults, but today the disease is increasingly common in children. Multiple sclerosis is a chronic autoimmune disease of the nervous system characterized by a remitting course – alternation of remissions and exacerbations. If untreated, multiple sclerosis can cause serious consequences, including motor and sensory impairments, seizures and visual impairments. To confirm the diagnosis, MRI and cerebrospinal fluid analysis are required. Since the pathology remains incurable to this day, the task of the department's specialists is to achieve stable remission and prevent the development of complications of the pathology. Children with this diagnosis need regular medical supervision and pharmacotherapy to control the disease. With the presence of movement disorders, therapeutic exercises, physiotherapy, massage and other treatment methods are used. In addition, children with multiple sclerosis receive professional psychological care.
The department pays special attention to the diagnostics and treatment of the following neurological disorders in children:
- Epilepsy
- Cerebral palsy
- Multiple sclerosis
- Chronic headaches
- Congenital malformations of the nervous system
- Autism and autism spectrum disorders
- Mental retardation, speech impairments, impaired concentration
- Other pathologies of the central and peripheral nervous system
The department's range of medical services includes:
- Diagnostics
- Electroencephalography
- Magnetic resonance imaging
- Ultrasound scanning
- X-ray scanning
- Nerve conduction velocity test
- Recording of sensory and visual evoked potentials
- Treatment
- Pharmacotherapy
- Physiotherapy
- Therapeutic exercises
- Occupational therapy
- Speech therapy
- Curative education
- Psychological support
- Other diagnostic and therapeutic options
Photo of the doctor: (c) Helios Universitätsklinikum Wuppertal
About hospital
According to the prestigious Focus magazine, the HELIOS University Hospital Wuppertal ranks among the top medical facilities in Germany!
The hospital rightfully enjoys the status of the maximum care medical facility and provides its high-quality services in all modern fields of medicine. The hospital operates on the basis of the Witten/Herdecke University, which was opened in 1982 and today is considered one of the best in Germany. Thus, many head physicians of the medical complex are in charge of the corresponding department at the university, which contributes to the close intertwining of research activities and clinical practice. The hospital has long traditions and its own values – the main goal of doctors is to provide comprehensive medical care focused not only on curing the disease, but also on the patient's personal needs.
The hospital has 1,000 beds. The doctors of the medical facility admit more than 50,000 inpatients annually. In addition, more than 100,000 outpatients undergo diagnostic and therapeutic procedures. Such high attendance rates speak for themselves and are undeniable proof of the high-quality medical service of the European level. The medical staff of the hospital has more than 2,500 employees, whose main task is to restore the patient's health and provide him with a decent quality of life.
The hospital has more than 26 specialized departments, as well as many narrowly focused centers and institutes dealing with the treatment of patients suffering from a particular group of diseases: Breast Center, Cancer Center, Cardiology Center, Trauma Center, Spine Center and others. The primary clinical focus of the medical center is cancer treatment.
For more than 25 years, the hospital has been running a special quality management system for medical care, which regulates the aspects of work of the medical staff, compliance with hygiene and safety standards during diagnostics and treatment. Consequently, patients can be sure that their health is in the safe hands of true professionals who work in accordance with the latest medical standards.
Special attention should be paid to the honors of the hospital for excellent patient care. The medical complex has quality certificates from the German Cancer Society (DKG), the German Trauma Society (DGU), the German Cardiac Society (DGK), the German Stroke Society (DSG) and other professional German societies.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the HELIOS University Hospital Wuppertal live in comfortable single, double, triple and quadruple rooms. Each patient room has an ensuite bathroom with shower and toilet. The standard room furnishings include a comfortable automatically adjustable bed, a bedside table, a wardrobe, a TV and a telephone. The hospital has Wi-Fi (free). For maximum patient comfort, there is a nurse call device on the bedside table. This device allows the patient to control the TV, radio, turn on or off the lights, and adjust the position of the bed.
The patients of the hospital are also offered accommodation in enhanced-comfort rooms. These rooms additionally provide a safe and a free minibar with soft drinks. The enhanced-comfort rooms also have a spacious bathroom with hairdryer, bathrobe, towels and toiletries.
Meals and Menus
The patients of the hospital are offered three meals a day: breakfast, lunch and dinner. The menu offers a variety of delicious dishes to suit all tastes, including dietary and vegetarian options.
The hospital also has a bistro where one can taste delicious hot dishes, cold snacks, desserts, as well as a cup of tea, coffee or refreshments.
The patients staying in enhanced-comfort rooms are offered a separate menu that includes a wider and more refined range of dishes. In addition, fresh fruit, tea, coffee and desserts are delivered to the patient room every day, if desired.
Further details
Standard rooms include:
Shower
Toilet
Wi-Fi
TV
Religion
The religious services are available upon request.
Accompanying person
During an inpatient program, your accompanying person can stay with you in the patient room or in the hotel of your choice.
Hotel
During an outpatient program, you can stay in the hotel of your choice. Our managers will help you choose the most suitable options.
