Treatment of brain av-malformation with partial resection and coiling (program ID: 29005)

Academic Hospital Hildesheim

Specialized hospital
Thomas Günther

Head Physician
Dr. med.

Thomas Günther

Specialized in: spine surgery

Department of Spine Surgery

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)
    • indicators blood coagulation
  • neurological examination
  • functionality x-ray 
  • CT/MRI scan
  • neuropsychological tests (on indications):
    • ENMG (electroneuromyography)
    • EEG (electroencephalography)
    • SEPs (somatosensory evoked potentials)
    • VEPs (visually evoked potentials)
    • BAEP tests (brainstem auditory evoked potential)
  • preoperative care
  • partial resection of the av-malformation with
    subsequent coiling
  • histologically examination of the remote tissues
  • blood transfusions (if needed)
  • 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 


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About the department

The Department of Spine Surgery at the Academic Hospital Hildesheim under the direction of Dr. med. Thomas Günther covers the entire spectrum of spine surgery, as well as neurosurgical care in case of accidents (e.g. acute cerebral hemorrhages). The department treats more than 1,500 inpatients and almost 6,000 outpatients. Close interdisciplinary cooperation with the Departments of Surgery, Anesthesiology, Internal Medicine and Radiology is an integral part of the department’s work.   

In the field of spine surgery, the service range covers all injuries, tumorous changes in the bones, metastases, herniated discs and nerve root compression, as well as spinal cord compression in each part of the spine – from skull to cervical spine and up to the sacrococcygeal region. An essential importance is given to the interdisciplinary cooperation with Oncology, Gynecology and Radiation Therapy at the Academic Hospital Hildesheim. If necessary, these are involved in providing comprehensive medical care. In addition, the department actively uses intraoperative neuromonitoring. 

Intervertebral disc surgery involves the use of all treatments for both cervical and lumbar spine. Also, the doctors have in their arsenal minimally invasive techniques, such as endoscopic discectomy or removal of sequestra, nucleoplasty and replacement of intervertebral discs. Preference is given to microsurgical techniques. Depending on the indications and the disease, there can be used all available ventral and dorsal methods.

The main focuses of the department include:

  • Neurotraumatology
  • Spine surgery 
  • Intervertebral disc surgery
  • Pain therapy

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