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The Department of Adult and Pediatric Neurosurgery, Spinal Surgery at the University Hospital of Ludwig Maximilian University of Munich offers the full range of diagnostic examinations and surgical treatment of diseases of the central and peripheral nervous systems. The team of the department's neurosurgeons successfully performs operations for pathologies of the brain and spinal cord, spine, neurovascular pathologies, pituitary diseases, and epilepsy. The doctors specialize in surgery for malignant brain tumors. The department is part of the Gliome Competence Center Network and the German Cancer Aid. The department uses the latest minimally invasive microsurgical techniques, navigation systems, intraoperative systems, and other advanced technical resources that allow for an optimal therapy result. The department has 84 beds for its patients, 10 of which are intended for intensive care. Medical care is based on an individual approach with due consideration of the patient's specific clinical data and needs. The specialists working at the medical facility always devote enough time to personal communication with their patients and do everything possible so that they receive effective treatment and maintain a decent quality of life. The Head Physician of the department is Prof. Dr. med. Christian Schichor.
The department effectively treats benign and malignant brain tumors. The department has the status of a certified Neuro-Oncology Center of the German Cancer Society (DKG), which is part of the Comprehensive Cancer Center Munich. The specialists most often deal with such types of tumors as gliomas, meningiomas, neuroblastomas, hemangioblastomas, and brain lymphomas. Neurosurgeons also have vast experience in treating brain metastases caused by other malignant tumors, such as lung or breast cancer.
If a brain tumor is suspected, the diagnostic protocol includes a mandatory head magnetic resonance imaging (MRI). In some cases, positron emission tomography (PET) can also be performed. A stereotactic biopsy can be performed for a follow-up histological examination of the material obtained and the establishment of a final diagnosis. A treatment regimen is developed for each patient individually at weekly tumor boards, in which doctors from related medical specialties also participate. When choosing the optimal therapeutic methods, doctors take into account the type of brain tumor, its location, growth rate, clinical symptoms, and a patient's general health condition. In almost all cases of brain cancer, patients require a tumor resection surgery if the clinical case allows for this type of treatment (some tumors in hard-to-reach places cannot be surgically resected). The department's neurosurgeons work in well-equipped operating rooms with the possibility to use advanced surgical microscopes, neuronavigation, intraoperative neuromonitoring, intraoperative imaging using fluorescence methods (ALA and ICG), intraoperative CT scans, and other technical resources, which ensure the most effective and safe surgical treatment at the same time. The department is also one of the few in Germany offering such innovative brain cancer treatment methods as interstitial brachytherapy (stereotactic treatment) and photodynamic therapy (experimental treatment). When treating brain cancer, conservative methods such as chemotherapy, radiation therapy, symptomatic treatment, maintenance therapy, and others are widely used.
The department's neurosurgeons have been successfully performing surgical treatment for epilepsy in a highly specialized center for many years. The patients with this pathology are managed in close cooperation with neurologists, including pediatric neurologists, specialists in nuclear medicine, neuroradiology, and psychiatry. In most cases, patients with epilepsy are treated effectively with drug therapy, and surgery is not required. Nonetheless, there are cases when surgery is the only way to provide a patient with a decent quality of life. The operation is preceded by comprehensive diagnostics to assess the advisability of its performance. A diagnostic protocol may include such tests as electroencephalographic monitoring during and between epileptic seizures, seizure semiology assessment, invasive EEG monitoring, tractography, MRI scans, including functional ones, 18F-FDG PET/CT scans, SPECT, and others. The upcoming epilepsy surgery is 3D planned based on the diagnostic data obtained. The essence of the operation is to remove or isolate a part of the brain in which electrical activity is disturbed. For patients with bilateral or multifocal epilepsy, classical surgery is contraindicated, and therefore they undergo vagus nerve electrical stimulation. A thalamic stimulator implantation surgery may be performed as an alternative treatment. The success rate of epilepsy surgery in the medical facility reaches 80%, which is one of the best rates in all of Europe.
The department also provides top-class surgical services for patients with spinal diseases. Degenerative compression syndromes of the nerve roots and spinal cord caused by spinal disc herniation, spinal stenosis, and segmental instability (slipped vertebrae or spondylolisthesis) are the most common in the clinical practice of neurosurgeons. Other common pathologies are chronic back pain, spinal fractures, spine and spinal cord tumors, and spinal dysraphia. The department's team of specialists perform sparing microsurgical and minimally invasive interventions, stabilizing surgery, intervertebral disc replacement surgery, and CT-guided blocks. During spinal surgery, advanced neuronavigation and intraoperative monitoring systems are used, thanks to which patients receive highly effective and maximally safe treatment.
An important place in the department's clinical activities is given to treating children with brain and spinal cord tumors, cleft skull base and spina bifida, epilepsy, hydrocephalus, traumatic brain injuries, spinal injuries, arachnoid cysts, vascular malformations, spasticity, and other pathologies. When performing operations on children, the department's neurosurgeons also use the latest technologies, including surgical microscopes, neuronavigation, neuromonitoring, and endoscopic equipment.
The department's range of medical services includes the following:
Higher Education and Postgraduate Training
Professional Career
Clinical Interests
Photo of the doctor: (c) LMU Klinikum
According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany!
The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of its bicentenary history and tirelessly confirms its primacy at the national and international levels. The outstanding quality of medical care is complemented by highly productive research activities, thanks to which many effective diagnostic and therapeutic methods, saving people’s lives, have been presented in medical practice.
The medical facility includes two main buildings, Grosshadern and Innenstadt. The hospital has 29 specialized departments, 53 interdisciplinary centers, 11 institutes, and many sections. More than 500,000 patients are treated here every year, which indicates the hospital's excellent reputation. A large and highly professional medical team, consisting of 1,800 doctors and 3,300 nursing staff, works for the benefit of patients. The hospital has 2,000 beds to accommodate patients.
The hospital's infrastructure deserves special attention: advanced diagnostic equipment that allows doctors to detect the slightest pathological changes in the human body, the latest operating rooms with highly efficient monitoring systems, robot-assisted surgical systems that facilitate sparing operations, and proper postoperative care.
Excellent technical resources and highly professional medical staff are undoubtedly the hospital's pride, but the medical facility also pays attention to the patient's comfort and to a humane attitude toward their life situation. When providing the necessary medical care, doctors and nursing staff always show a friendly attitude, inform patients in detail about the upcoming diagnostic and therapeutic procedures, gladly answer all questions of interest to patients, and provide moral support during the therapeutic process.
The hospital has many prestigious quality certificates, including a DIN EN ISO 9001 certificate, an IQM certificate, an endoCert certificate, certificates from the German Cancer Society (DKG) for treating various types of cancer, the German Cardiac Society (DGK), the German Society for Orthopedics and Trauma Surgery (DGOU), etc. Thus, patients can count on the best possible treatment outcome due to the use of the most effective and, at the same time, sparing therapeutic techniques.
Photo: (с) depositphotos
The patients of the University Hospital of Ludwig Maximilian University of Munich live in comfortable, spacious, single and double patient rooms with a modern design. Each room is equipped with an ensuite bathroom with a shower and toilet. The furnishing of a standard patient room includes a comfortable bed, the position of which can be adjusted using the remote control, a locker for storing personal belongings, a TV, and a telephone. Also, if desired, you can connect to the Internet. In addition, patients can opt for enhanced-comfort rooms, with a safe, a fridge, and upholstered furniture.
The hospital has an excellent infrastructure. The medical facility’s area houses a bank, ATMs, a hairdresser, shops with a wide range of food, drinks, newspapers, magazines, and personal hygiene items, play areas for children, and a beautiful garden for walking, etc.
The patient and his accompanying person are offered a daily choice of three menus, including a vegetarian one. If you are on a specific diet for any reason, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.
Standard rooms include:
Religious services are available upon request.
Your accompanying person may stay with you in your room or at a hotel of your choice during the fixed program.
You may stay at a hotel of your choice during an outpatient program. Our managers will help you to choose the best option.
The hospital offers a full range of laboratory tests (general, hormonal, tests for infections, antibodies, tumor markers, etc.), genetic tests, various modifications of ultrasound scans, CT scans, MRI and PET/CT, angiography, myelography, biopsies, and other examinations. Treatment with medications, endoscopic and robotic operations, and stereotaxic interventions are carried out here, modern types of radiation therapy are also used. The hospital offers patients all the necessary therapeutic techniques.
Patients with benign and malignant neoplasms of various localizations, pathologies of arteries and veins, herniated discs, osteoporosis, congenital and acquired pathologies of the musculoskeletal system, benign and malignant pathologies of the mammary gland, and other pathologies.
Over 1,700 highly qualified doctors work at the hospital.
