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Neurosurgery: Neurosurgery. Treatment

Cervical dystonia is a variant of focal dystonia manifested by increased tone of the neck muscles with head fixation in a non-physiological position and its occasional involuntary movements. The disease causes are associated with organic brain damage, but in a large number of patients with cervical dystonia, the cause of the disorder remains unclear.

When conservative therapy, typically involving the use of a pharmaceutical botulinum toxin, proves to be ineffective, the issue of surgical treatment is addressed. The method of surgery is selected on the basis of clinical traditions, indications and comorbidities.

Deep Brain Stimulation

One of the advanced technologies for surgical treatment of cervical dystonia is a deep brain stimulation. The aim of stimulation upon this method of treatment is usually globus pallidus, one of the deep brain structures involved in formation of simple and complex movements.

Using stereotactic systems, an electrode receiving impulses from electrostimulator fixed under the scalp is implanted in the globus pallidus. The surgery is minimally invasive and the patient recovers quickly. A number of operated patients have complications related to motor and speech function, but in most cases, they are transient and disappear within a few weeks.

Involuntary movements stop typically during the first days after surgery. Non-physiological head position is adjusted more smoothly. In the majority of patients, the improvement is noticeable after 2 to 3 weeks. To shorten the term of recovery of the motor functions and eliminate the postoperative complications, the patient is prescribed an individual rehabilitation program.

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University Hospital Muenster

9.4/10 from 78 Votes

Department of Neurosurgery

The Department of Neurosurgery at the University Hospital Muenster deals with the surgical treatment of diseases of the central and peripheral nervous systems.


location_onCountry: Germany
location_searchingCity: Muenster

University Hospital Rechts der Isar of the Munich Technical University

8.3/10 from 70 Votes

Department of Neurosurgery

The Department of Neurosurgery at the university hospital Klinikum rechts der Isar is a part of the newly established “Neuro-Kopf-Zentrum” since March 2007.


location_onCountry: Germany
location_searchingCity: Munich

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Head physician:

Prof. Dr. med. Peter VajkoczyCurriculum vitae keyboard_arrow_down

Carrer

  • since 2007  Chairman of the Department of Neurosurgery, Charité
  • since 2006  Associate Professor of Neurosurgery, University of Heidelberg
  • 2001 - 2006 Senior physician at the Department of Neurosurgery, Mannheim University Hospital, University Heidelberg
  • 1995 - 2001 Residency, Department of Neurosurgery, Mannheim University Hospital (Prof. Peter Schmiedek)
  • 1992 - 1996 PhD thesis, Institute for Surgical Research, University Hospital Grosshadern, University of Munich
  • 1988 - 1995 Studies in medicine, Ludwig-Maximilians-Universität, Munich

Activities in the scientific community, honors, awards

  • 2003   Young Neurosurgeon Research Award of the World Federation of Neurosurgical Societies (WFNS)
  • 2003   Wolfgang Hoffmeister Award, Faculty of Medicine for Clinical Medicine Mannheim, University of Heidelberg
  • 2002   Research Award, German Academy of Neurosurgery
  • 2001   Hemedex Pioneer Investigator Award
  • 2001   Hermann Rein Prize, German Association for Microcirculation and Vascular Biology
  • 1998   Aesculap Research Award, European Association of Neurosurgical Societies (EANS)
  • 1998   Pharmacia & Upjohn Young Investigator Award, American Association of Cancer Research (AACR)
  • 1998   Travel Award, American Association of Cancer Research (A ACR)
  • 1990 - 1995 Scholarship, German National Merit Foundation (Studienstiftung des Deutschen Volkes)

Reasearch focus

  • Angiogenesis
  • Microcirculation
  • Acute and chronic ischemia
  • Oncology
  • Endothelial Cell Biology

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Charite University Hospital Berlin

9/10 from 95 Votes

Department of Neurosurgery and Pediatric Neurosurgery

The Department of Neurosurgery and Pediatric Neurosurgery at the University Hospital Charite deals with the treatment of the peripheral and central nervous systems.


location_onCountry: Germany
location_searchingCity: Berlin
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University Hospital Frankfurt am Main

9.5/10 from 97 Votes

Department of Neurosurgery

The Department of Neurosurgery specializes in the diagnosis and treatment of neurosurgical diseases. The department has state-of-the-art neurosurgical equipment and a team of highly qualified doctors.


location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Neurosurgery

The department of neurosurgery d specializes in the diagnosis and treatment of brain and spine diseases. Performing about 2500 surgeries annually, the department is considered one of the leading centers of neurosurgery in Germany.


location_onCountry: Germany
location_searchingCity: Munich

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Head physician:

Prof. Dr. med. Christianto LumentaCurriculum vitae keyboard_arrow_down

Geboren: 1952

 

Aus- und Weiterbildung

1970 - 1976 Studium der Medizin an der Rheinischen Friedrich-Wilhelms-Universität Bonn  

22.07.1976 Medizinisches Staatsexamen an der Rheinischen Friedrich-Wilhelms-Universität Bonn  

04.11.1976 Dissertation zum Doktor der Medizin an der Rheinischen Friedrich-Wilhelms-Universität Bonn

bis 31.07.1977 Medizinalassistent  

01.08.1977 - 31.07.1979 Neurochirurgische Klinik Duisburg  

01.08.1979 - 31.07.1980 Max- Planck-Institut für Hirnforschung Köln  

01.08.1980 - 31.08.1992 Neurochirurgische Universitätsklinik Düsseldorf  

27.10.1983 Facharzt für Neurochirurgie bei der Ärztekammer Nordrhein  

01.05.1984 - 30.04.1988 2.Oberarzt an der Neurochirurgischen Universitätsklinik Düsseldorf  

1984 Forschungsaufenthalt in Childrenshospital und Peter Ben Brigham Woman Hospital Boston/ USA  

14.10.1985 Habilitation an der Universität Düsseldorf  

05.12.1986 - 31.03.1991 C2-Professor der Neurochirurgischen Klinik der Universität Düsseldorf - Leitung der dortigen Kinderneurochirurgie  

01.05.1988 - 31.08.1992 Leitender Oberarzt an der Neurochirurgischen Universitätsklinik Düsseldorf  

13.03.1991 - 17.05.1994 Apl. Professor für Neurochirurgie an der Universität Düsseldorf  

Seit dem 18. Mai 1994 Apl. Professor für Neurochirurgie an der Technischen Universität München  

Seit dem 01.09.1992 Chefarzt der Klinik für Neurochirurgie im Klinikum Bogenhausen  

Seit dem 12.12.2011 Chefarzt der Klinik für Neurochirurgie im Klinikum Schwabing    

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

Department of Neurosurgery

The Department of Neurosurgery in Schwabing treats diseases in the brain and spine. The most modern high-tech micro-surgery is used. In order to distinguish the tumour optimally, intraoperative fluorescence microscopy will be used during surgery.


location_onCountry: Germany
location_searchingCity: Munich

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from 42 Votes

Department of Neurosurgery

The Department of Neurosurgery at the Alfried Krupp Hospital in Essen focuses on the following tasks and areas: microsurgery, vascular brain surgery, brain tumors, skull base surgery, spinal column surgery, traumatic brain injury, peripheral nerves, pain therapy, radiosurgery.


location_onCountry: Germany
location_searchingCity: Essen

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

Department of Neurosurgery

The Department of Neurosurgery at the Tel Aviv Sourasky Medical Center specializes in the treatment of diseases of the brain, spinal cord and peripheral nervous system in children and adults. The Department is considered the leading neurosurgery facility in Israel and worldwide.


location_onCountry: Israel
location_searchingCity: Tel Aviv

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Neurosurgery

The Department of Neurosurgery at Rambam Health Care Campus deals with the diagnosis and treatment of the entire spectrum of diseases of the central nervous system. The Department has 32 beds, including 11 neurointensive care beds.


location_onCountry: Israel
location_searchingCity: Haifa

University Hospital for Neurosurgery Salzburg

9.6/10 from 39 Votes

Department of Neurosurgery

University Clinic of Neurology specializes in the surgical treatment of acute and chronic diseases of the central and peripheral nervous system, its blood supply, and nerve sheaths, as well as in preoperative and postoperative care for patients.


location_onCountry: Austria
location_searchingCity: Salzburg

University Hospital of the Ludwig-Maximilians-University Munich (LMU)

9.2/10 from 40 Votes

Department of Neurosurgery

The Department of Neurosurgery at the University Hospital of Munich focuses on personalized treatment plans tailored to the patient’s needs, which meet the highest medical and technical standards. Here, the therapy of neurosurgical diseases is performed with the help of leading technologies.


location_onCountry: Germany
location_searchingCity: Munich

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Head physician:

Prof. Dr. med. Marcos TatagibaCurriculum vitae keyboard_arrow_down

Medical study

  • University of the State of Rio de Janeiro, Rio de Janeiro, Brazil, from 1980 to 1986
  • Residency Program in Neurosurgery
  • Neurosurgical Training from 1987 to 1993 at the Department of Neurosurgery, Nordstadt Hospital, Hannover, Germany, under the Chairmanship of Prof. Dr. Dr. Madjid Samii.
  • Board of Neurosurgery in March, 1993 (European Certificate)

Doctoral thesis

  • Accomplished in January 1992 at Hannover Medical School, Hannover, Germany “Significance for postoperative hearing of preserving the labyrinth in vestibular schwannoma surgery”

Post-doctoral thesis

  • Accomplished in February 1998 at Hannover Medical School, Hannover, Germany “Regeneration of axotomized acoustic nerve of adult rat after intrathecal treatment with the IN-1 antibody against neurite growth inhibitors”.

Major university positions

  • 2000 Vice Director, International Neuroscience Institute, Hannover
  • 2002 Vice Director, Dept. of Neurosurgery, University of Freiburg
  • 2003 Director and Chairman, Dept. of Neurosurgery, University of Tübingen
  • 2006 Appointed as Chairman and Director, Dept. of Neurosurgery, University of Zurich

Scientific publications

  • Journals: 237 peer-reviewed articles
  • Book Chapters: 25 chapters
  • Books (Autor/Editor): 4 books

Areas of special interest

  • Basic Research: Neurooncology, including Neurofibromatosis
  • Neuroregeneration of the Peripheral and the Central Nervous System
  • Clinical Research: Skull Base Tumors, including CP Angle tumors

Membership of scientific and medical societies

  • Member of the German Society of Neurosurgery (Deutsche Gesellschaft für Neurochirurgie)
  • Member of the Congress of Neurological Surgeons (CNS-USA)
  • Member of the American Association of Neurological Surgeons (AANS-USA)
  • Member of the German Society of Skull Base (Deutsche Gesellschaft für Schädelbasischirurgie)
  • Member of the Executive Committee of the German Skull Base Society as Treasurer
  • Member of the European Skull Base Society
  • Member of the Brazilian Society of Neurosurgery (Sociedade Brasileira de Neurocirurgia)
  • Member of the German Academy of Neurosurgery (GANS)
  • Member of the Academia Eurasiana
  • President of the German Academy of Neurosurgery (2010-2011)
  • President-elect German-speaking Society of Skull Base (Gesellschaft für Schädelbasischirurgie)

Major prizes

  • 1997 Young Neurosurgeon Award. World Federation of Neurosurgical Societies.
  • 2001 Aesculap/EANS Prize. European Association of Neurosurgical Societies
  • 2002 Neurosurgical Research Foundation Prize. German Society of Neurosurgery
  • 2007 Innovation Preis “Medizintechnik” – Federal Ministry of Science (BMBF)

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University Hospital Tuebingen

9.2/10 from 55 Votes

Department of Neurosurgery

The Department of Neurosurgery covers the full range of neurosurgical interventions. These include surgery of brain cancer and spinal cord tumor in children and adults, skull base and pituitary surgery, treatment of neurofibromatosis, vascular malformations / aneurysms, hydrocephalus, traumatic brai...


location_onCountry: Germany
location_searchingCity: Tuebingen

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Neurosurgery

As one of the largest clinics of neurosurgery in Germany with over 2,500 operations per year, the Department of Neurosurgery at the University Hospital Erlangen covers the whole range of neurosurgical diseases, injuries, inflammations, tumors and malformations of the brain and spinal cord and their ...


location_onCountry: Germany
location_searchingCity: Erlangen
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Hirslanden Clinic St. Anna Lucerne

9/10 from 3 Votes

Department of Neurosurgery

The goal of the Neurosurgery clinic is to offer the best possible medical treatment for each patient through its high expertise in the areas of the spinal and cranial surgery.


location_onCountry: Switzerland
location_searchingCity: Lucerne




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