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Neurosurgery: Neurosurgery. Treatment abroad

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 Cologne

9.8/10 from 82 Votes

Department of Neurosurgery

The Department of Neurosurgery is the center of excellence in research and patient care. The department consists of two sections: the Section of General Neurosurgery specializing in the treatment of diseases of the nervous system and the Section of Stereotactic and Functional Neurosurgery.


location_onCountry: Germany
location_searchingCity: Cologne

University Hospital Bonn

9.2/10 from 150 Votes

Department of Neurosurgery

The Department with its annual 2,600 operations and 3,000 inpatients is one of the largest neurosurgery centers in Germany. Special focuses of the Department include vascular neurosurgery, tumor, skull base and pituitary surgery, spinal surgery, epilepsy surgery as well as functional and pediatric neurosurgery.


location_onCountry: Germany
location_searchingCity: Bonn
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University Hospital Frankfurt

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

Hannover Medical School

9.8/10 from 43 Votes

Department of Neurosurgery

In the Department of Neurosurgery at the Hannover Medical School complex treatment of nervous system diseases is performed by using the most advanced microneurosurgical, endoscopic, stereotactic and interventional treatment methods.


location_onCountry: Germany
location_searchingCity: Hannover
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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 Düsseldorf

9/10 from 71 Votes

Department of Neurosurgery

The Department of Neurosurgery at the University Hospital Dusseldorf is one of the largest neurosurgical centers in Europe.


location_onCountry: Germany
location_searchingCity: Duesseldorf

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Head physician:

Prof. Dr. med. Martin ScholzCurriculum vitae keyboard_arrow_down

  • April 1984 Start of medical studies at Free University Berlin
  • 1987-1990 Tutoring at the Anatomical Institute of the Free University Berlin 
  • Winter 89/90 Derivation of a tri-semester of the practical year inter alia in the department of Surgery of the Universidad Autonoma de Barcelona in Barcelona / Spain and the St. Gertrauden Hospital in Berlin (PD Dr. Fey)
  • April 1990 State examination (Rating: good)
  • From June 1990 first year resident at the Moabit Hospital (Prof. Dr. E. Kraas, Surgical Clinic) and in the neurosurgery departments of the RWTH Aachen University (Prof. Dr. JM Gilsbach) and the Rudolf Virchow Clinic of the FU Berlin (Prof. Dr. WR Lanksch)
  • July 1991 Foreign Medical Graduate Examination in Medical Science (ECFMG basic part)
  • December 91 Acceptance as assistant physician in the neurosurgery clinic of the clinic Rudolf Virchow in Berlin (FU Berlin)
  • January 1992 Foreign Medical Graduate Examination in Medical Science (ECFMG clinical part)
  • August 1992 Change to the neurosurgery clinic of the Ruhr-University Bochum at the Miners Hospital Bochum-Langendreer (Prof. Dr. A. Harders)
  • 1992 - 1994 Clinical collaboration at the DFG Project: Evoked potentials in traumatic brain tumors (head: Prof. Dr. R. Firsching)
  • (CAD / CAM) Implant production for the reconstruction of contour and continuity defects of the facial and brain skull on the basis of spiral CT data "(Prof. Dr. Dr. Machtens, coordination: PD Dr. Dr. Eufinger)
  • August 1994 Doctoral thesis at the RWTH Aachen University "Non-radioactive in situ hybridization of paraffin-embedded meningiomas of different dignity on chromosome 10 and 17"
  • August 1996 Specialist for Neurosurgery
  • April 1997 Full member of the German Association of Neurosurgery
  • Since May 1999 Managing senior physician of the Neurosurgery Clinic
  • From 7/99 clinical cooperation in the DFG project "Computer-assisted formation of defects of the brain and facial skull with individual implants" (head: PD Dr. Dr. Eufinger)
  • October 2000 Recognition of the facultative further education "Special Neurosurgery Intensive Care "
  • 2001 Co-applicant at the BMBF-Project of the Ruhr-University Bochum / Competence Center Medical Technology Ruhr (KMR), Subtitle "Navigation and Ultrasound" (Head: Prof. Dr. Ermert, Department of High Frequency Technology)
  • Dec. 2001 Habilitation with the topic: "Development of an endoscopic navigation system on the basis of an automatic optical visual inspection"
  • Since 2002 Member of the doctoral commission of the Ruhr University Bochum
  • 2002 Co-applicant for the DFG-Focus Program 1124: "Medical Navigation and Robotics" (together with Prof. Eufinger and PD Dr. Schmieder and Prof. K. Radermacher)
  • Jan. 2003 Internship in the department of Vascular Neurosurgery, Mass.Gen. Hospital, Harvard Medical School Boston, USA
  • Since 2003 Head of Microsurgery operations courses for students
  • 2003 Individual member of the European Association of Neurological Surgeons (EANS)
  • 10/2004 Participation in the department of training courses and continuing education of the German Academy for Neurosurgery on behalf of the DGNC in Heidelberg (Head of Unit Prof. Dr. Unterberg)
  • 3/2005 Founding of the neuro-oncological tumor bank of the Ruhr-University Bochum in collaboration with Prof. Schlegel, Director of the Neurological Clinic
  • 2005/2006 Reviewing for international journals such as Spinal Cord and the International Journal of Medical Robotics and Computer Assisted Surgery
  • 5/2006 Member of the International Graduate School of Neuroscience (IGSN) in Bochum
  • 6/2006 Member of the German Association of Plastic and Restorative Surgery e.V.
  • 8/2006 work shadowing in the Neurosurgery Clinic of the Radboud University, Nijmegen, Netherlands (Prof. Dr. Grotenhuis)
  • 6/2006 Graduation of a 4 semesters of technical colleges study for being a Public Healthcare Controller and Manager
  • 1/2007 Reviewing for the journal "Biomedical Engineering / Biomedical Engineering"
  • 4/2007 Reviewing for the journal "Medical & Biological Engineering & Computing"
  • 7/2007 Orientation and Course Director "First European Course of microsurgical creation and clipping of aneurysms" in Bochum.
  • 7/2007 Application procedure Chair of Neurosurgery / Cape Town University (Cape Town / South Africa): 2nd place
  • 4/2008 Obtaining an APL professorship at the Ruhr-University Bochum
  • 7/2008 Appointed to the Editorial Board of the International Journal "Head and Neck Oncology"
  • 8/2008 Orientation and Course Director "Second course of microsurgical creation and clipping of aneurysms" in Bochum.
  • 8/2008 Senior Physician / Deputy Clinic Director Neuroschirurgie Miners Hostpital Bochum- Langendre

 

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Sana Hospital Duisburg

9.8/10 from 5 Votes

Department of Neurosurgery

The Department of Neurosurgery offers surgical treatment of neurological, neuropediatric and orbital diseases. With 68 beds, the department ranks among the largest German Neurosurgy Centers and has a long experience in all fields of microsurgery and neuroendoscopy.


location_onCountry: Germany
location_searchingCity: Duisburg

University Hospital Münster

9.4/10 from 78 Votes

Department of Neurosurgery

The Department of Neurosurgery at the University Hospital Münster 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

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

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

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 Tubingen

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

Academic Hospital Bogenhausen

9.2/10 from 43 Votes

Department of Neurosurgery

The department of neurosurgery treats patients with diseases of entire spectrum of neurosurgical specialty. These include the vascular neurosurgery, neurosurgery of tumors of the central nervous system, functional neurosurgery of pain patients and neurosurgery spine.


location_onCountry: Germany
location_searchingCity: Munich

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

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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