Transsphenoidal resection of pituitary adenoma (program ID: 150001)

University Hospital of Ludwig Maximilian University of Munich

location_on Munich, Germany
10/10 from 40 Votes
Specialized hospital
Jörg-Christian Tonn

Head Physician
Prof. Dr. med.

Jörg-Christian Tonn

Specialized in: adult and pediatric neurosurgery

Department of Adult and Pediatric Neurosurgery

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
  • CT/MRI scan
  • preoperative care
  • transsphenoidal tumor resection
  • histologically and immunohistochemically
    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 

Required documents

  • Medical records
  • MRI/CT scan (if available)
Type of program :
Expected duration of the program:

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About the department

The Department of Adult and Pediatric Neurosurgery at the University Hospital of Ludwig Maximilian University of Munich offers the full range of diagnostics and surgical treatment of diseases of the central and peripheral nervous system. The Chief Physician of the department is Prof. Dr. med. Jörg-Christian Tonn. 

Medical care is based on an individual approach with due consideration of the specific clinical indications and patient’s needs, in compliance with the highest medical and technical standards. The use of the very latest minimally invasive microsurgical techniques and navigation systems allows for the optimal treatment outcome.

9 senior doctors and 15 research assistants take care of the patients’ health. There are 84 beds available in the department, 10 of which are intended for intensive care and 5 for intermediate care. The department is part of the Gliome Network of Excellence of the German Cancer Society.

The department’s range of medical services includes:

  • Diagnostics, conservative and surgical treatment of tumors of the brain and spinal cord, meninges and peripheral nerves in adults and children
    • Brain and spinal cord tumors (all types of gliomas, glioblastomas, pilocytic astrocytomas)
    • Brain and spinal cord metastases in various oncological diseases
    • Epineurium tumors (neurinomas/schwannomas)
    • Meningiomas (tumors of the meninges and spinal cord)
      • Microsurgical resection of the tumor using 5-ALA fluorescent marker 
      • Modern methods of intraoperative neuronavigation using various imaging techniques
      • Combined therapy methods
      • Non-surgical treatments (for example, radiation therapy, chemotherapy)
      • Stereotactic biopsy for tumors of various localization
      • Stereotactic brachytherapy by implanting radioactive iodine-125 grains (for gliomas and metastases)
      • Stereotactic-guided photodynamic therapy in the recurrence of malignant glioma
      • Stereotactic diagnostics and treatment of brain tumors in children
      • Stereotactic cyst puncture, especially in cystic craniopharyngiomas, with implantation of "internal shunts"
      • Stereotactic-guided ventriculocisternostomy for hydrocephalus due to tumors
      • Individual multimodal therapy
  • Skull base surgery
    • Acoustic neuromas
    • Meningiomas
    • Chordomas
    • Epidermoids
  • Diagnostics and treatment of neurovascular diseases
    • Aneurysms
    • Dural arteriovenous fistulas
    • Arteriovenous malformations
    • Cavernomas
    • Cerebral hemorrhages
    • Stroke
      • Endovascular procedures
      • Surgical treatment
      • Radiosurgical methods
      • Conservative therapy
  • Spinal neurosurgery
    • Chronic neck and back pain, facet syndrome
    • Traumatic spinal injuries (fractures)
    • Tumors of the spine and spinal cord
    • Dystrophic syndromes and spinal malformations 
      • Microsurgical minimally invasive decompression surgery (for example, interlaminar fenestration, foraminotomy, crossing laminotomy)
      • Stabilizing interventions on all parts of the spine using neuronavigation and intraoperative computed tomography
      • CT-guided facet joint block, facet joint cryotherapy
      • Removal of vertebral bodies, spinal canal and spinal cord tumors using intraoperative electrophysiological monitoring of nerve endings
      • Intervertebral disc prosthetics
  • Diagnostics and treatment of spinal cord tumors
    • Neuromas
    • Meningiomas
    • Ependymomas
    • Astrocytomas
      • Hemilaminectomy (small lateral tumors)
      • Laminectomy (small medial tumors)
      • Laminoplasty
  • Functional neurosurgery
    • Uncontrolled pain syndromes
    • Motor disorders
    • Spasticity
      • Ablative methods
      • Intrathecal drug administration using a catheter or a special pump
      • Therapeutic electrostimulation of the central nervous structures
      • Microsurgical vascular decompression during seizures of paroxysmal pain
      • Deep brain stimulation (in tremor, dystonia, Parkinson’s disease)
  • Diagnostics and surgical treatment of epilepsy
    • Partial resection of the anterior part of the temporal lobe
    • Electrical stimulation of the cerebral cortex
    • Electrical stimulation of the vagus nerve
  • Diagnostics and treatment of neurosurgical diseases in children
    • Brain and spinal cord tumors
    • Spina bifida
    • Epilepsy
    • Hydrocephalus
    • Vascular malformations
    • Craniosynostosis
    • Spasticity (for example, dystonia)
      • Neuronavigation
      • Minimally invasive neurosurgery
      • Neuromonitoring
      • Endoscopy
  • Diagnostics and treatment of pituitary tumors (conservative and surgical treatment methods)
    • Pituitary adenoma
    • Craniopharyngioma
  • Diagnostics and treatment of diseases of the peripheral nerves
    • Carpal tunnel syndrome
    • Cubital tunnel syndrome
    • Supinator tunnel syndrome
    • Thoracic outlet syndrome
    • Meralgia paresthetica
    • Tarsal tunnel syndrome
  • Diagnostics and treatment of other neurosurgical diseases

Curriculum vitae

  • 1977 - 1983 Study of Medicine at the Justus Liebig University Giessen.
  • 1983 Admission to medical practice.
  • 1983 - 1990 Postgraduate studies for the qualification of a Medical Specialist in Neurosurgery, Department of Neurosurgery at the University Hospital Giessen (under the supervision of Prof. Hans Werner Pia, Norfried Klug and Klaus Roosen).
  • 1990 Medical Specialist in Neurosurgery.
  • Since 1990, Senior Physician of the Department of Neurosurgery at the University Hospital Giessen.
  • 1992 Doctoral dissertation.
  • 1991 Transfer to the Department of Neurosurgery at the University Hospital Wuerzburg (together with Prof. K. Roosen).
  • 1996 Appointment to the position of a Senior Physician.
  • 1997 Invitation to the post of C3 Professor in Neurosurgery, Neuro-Oncology (narrow specialization), Julius Maximilian University of Wuerzburg.
  • 2000 Invitation to the position of C4 Professor of Neurosurgery, University of Hamburg. In the same year, an invitation to the post of C4 Professor in Neurosurgery at Ludwig Maximilian University of Munich.
  • Since 2001, Head of the Department of Adult and Pediatric Neurosurgery at the University Hospital of Ludwig Maximilian University of Munich.

Main Research Focuses

  • Clinical and experimental neuro-oncology.

Memberships and Titles

  • German Association of Neurosurgery (DGNC).
  • European Association of Societies of Neurosurgery (EANS).
  • European Association of Neuro-Oncology (EANO).
  • American Association of Neurosurgeons (AANS).
  • Congress of Neurosurgeons of the USA (CNS).
  • Eurasian Academy of Neurosurgery.
  • American Society of Clinical Oncology (ASCO).
  • American Academy of Neurosurgery.
  • Scientific Consultant, German Medical Association.

Photo of the doctor: (c) LMU Klinikum 

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