Department of Neurosurgery (53)

About the department

The Department of Neurosurgery at the PAN Clinic Cologne provides the full range of diagnostic and therapeutic services in the area of its specialization. The team of the department's doctors specializes in the surgical treatment of diseases of the central and peripheral nervous system. The department's neurosurgeons focus on patients with pathologies of the brain and spine. The first stage of the therapeutic process is an individual consultation with the attending physician, during which the specialist determines the required complex of further diagnostic tests for making an accurate diagnosis and choosing the optimal treatment tactics. Whenever required, the specialists from the Department of Neurosurgery of the University Hospital Cologne are involved in the therapeutic process. The operating rooms in the department have state-of-the-art equipment and monitoring systems, thanks to which the patients are guaranteed the highest level of safety during the surgical procedure. In addition, the neurosurgeons working in the medical facility prefer sparing minimally invasive surgery, after which patients recover rapidly. The department is headed by Dr. med. Dierk-Marko Czybulka.

The primary focus of the department's clinical practice is on the conservative and surgical treatment of spinal diseases. Conservative treatment methods actively used by the department's doctors include drug-induced pain therapy, physiotherapy to relieve symptoms and eliminate pain, as well as infiltration therapy (periradicular therapy and facet joint block). Prior to any therapeutic measures, the department's neurosurgeons perform CT and/or MRI to assess the condition of the spine. Infiltration therapy is performed under X-ray guidance, which guarantees the highest accuracy and safety of the manipulation. However, many spinal diseases do not respond to conservative treatment, and only surgical intervention can restore normal functioning of the organ. A huge advantage for patients is the fact that the team of neurosurgeons of the medical facility has a successful experience in the field of sparing minimally invasive operations with surgical access through several small skin incisions. For example, the department performs surgery for herniated discs and stenosis of the cervical, thoracic and lumbar spine using minimally invasive techniques. When performing such surgical procedures, the specialists use modern surgical microscopes, which excludes trauma to the adjacent healthy tissues and anatomical structures. The department's therapeutic offer in the field of spinal surgery is complemented by stabilizing surgery for spondylolisthesis, degenerative, traumatic, infectious and oncological diseases, microsurgical interventions to remove intraspinal tumors and revision (repeated) spinal surgery, for example, in case of fractured fixing screws or displaced implants.

The department's neurosurgeons often perform surgery to remove brain tumors (gliomas, meningiomas, etc.) and brain metastases. The doctors consider each clinical case of patients with brain tumors at interdisciplinary boards with the participation of oncologists, radiologists, neurologists and other experts. Since brain surgery is one of the most complex interventions, the specialists thoroughly plan each stage of the surgical procedure. When performing operations on the brain, doctors necessarily use progressive neuronavigation systems. The department also offers intraoperative fluorescence-guided glioma surgery with five-aminolevulinic acid (5-ALA).

The department can be proud of its excellent results in the field of surgical treatment of diseases of the peripheral nervous system. The focus is on microsurgical interventions for peripheral nerve compression and microsurgical operations for nerve ending tumor resection (for example, schwannomas and neurofibromas).

The department's range of medical services includes:

• Diagnostics and treatment of spinal diseases
  • Conservative treatment methods
    • Drug-induced pain therapy
    • Physiotherapy for symptom alleviation
    • Targeted infiltration therapy (periradicular therapy and facet joint block)
    • Cryotherapy for facet joint lesions (for the treatment of back pain)
  • Surgical treatment methods
    • Minimally invasive microsurgical interventions for herniated discs, as well as cervical, thoracic and lumbar spinal stenosis
    • Surgery for cervical spinal diseases
      • Ventral discectomy with cage implantation
      • Dorsal foraminotomy (Frykholm's method)
      • Ventral discectomy with spinal disc replacement surgery
      • Decompression combined with spondylodesis
    • Surgery for lumbar spinal diseases
      • Microsurgical sequestrectomy
      • Microsurgical decompression
      • Spinal fusion
    • Cervical disc replacement surgery
    • Spinal stabilization surgery to correct spondylolisthesis (vertebral displacement)
    • Spinal stabilization surgery on all parts of the spine for degenerative, traumatic, infectious and tumor lesions
    • Spinal stabilization surgery for pathological lesions of the craniocervical junction
    • Microsurgical removal of spinal (located inside the spinal canal) tumors
    • Revision (repeated) surgery for fractured fixing screws, displaced implants and other complications after spinal surgery
• Diagnostics and treatment of brain cancer
  • Surgical resection of brain tumors (for example, gliomas, meningiomas, brain metastases) using neuronavigation systems and intraoperative 5-aminolevulinic acid fluorescence
• Diagnostics and treatment of diseases of the peripheral nervous system 
  • Alternative treatment methods for neuropathic pain 
  • Microsurgical interventions for peripheral nerve compression
  • Microsurgical interventions for nerve tumors (for example, schwannomas, neurofibromas)
• Diagnostics and treatment of pituitary disorders
  • Drug and surgical treatment of pituitary adenoma, acromegaly and Cushing's disease
• Diagnostics and treatment of vascular diseases of the nervous system
  • Classical and endovascular interventions for the treatment of aneurysms and various vascular malformations (for example, arteriovenous malformations, dural arteriovenous fistulas, cavernomas)
• Skull base surgery
  • Surgical resection of skull base tumors (meningiomas, chordomas, craniopharyngiomas, vestibular schwannomas)
  • Microvascular decompression (elimination of pathological contacts between cranial nerves and vessels) in trigeminal neuralgia, glossopharyngeal neuralgia, etc.
• Other medical services