Intramedullary Spinal Cord Hematoma — Surgical treatment in the Best Hospitals in the World
Treatment prices are regulated by national law of the corresponding countries, but can also include additional hospital coefficients. In order to receive the individual cost calculation, please send us the request and medical records.
Department of Spinal Surgery
The Department of Spinal Surgery annually treats more than 780 patients with spinal cord hematoma. The specialists completely remove the blood clot and perform endoscopic decompression of the spinal cord. The surgery involves the use of a three-dimensional O-Arm x-ray system that provides additional protection for the spinal cord. The department is headed by Dr. med. A Bitter, who specializes in microsurgical spinal interventions.
Department of Spinal Surgery
The Department of Spinal Surgery at the Vivantes Auguste-Victoria Hospital all diseases of the spine - both conservatively and operatively. Patients with herniated intervertebral discs, displacement of vertebrae, stenosis of the spinal canal or back pain are treated here. In addition, specialists of the department have a unique experience in the field of complex reconstructive and revision surgeries, which are conducted to continue or correct the previous surgical treatment.
Department of Spinal Surgery
The Department of Spinal Surgery offers the full range of effective treatment methods in the area of its specialization. A highly qualified team of doctors is at the service of the department's patients, who have in their arsenal advanced conservative and surgical treatment methods for pathological changes in the spine. Spinal surgical procedures are performed in modern operating rooms, the technical equipment of which allows spinal surgeons to perfectly perform both major open surgery and sparing interventions: minimally invasive, endoscopic, and microsurgical. Surgical treatment is complemented by a carefully planned course of physiotherapy. This includes procedures such as therapeutic exercises, manual therapy, massage, osteopathic treatment, etc. The department's team of doctors consists of 10 highly qualified specialists who, together with experienced nursing staff, admit more than 1,300 inpatients annually. The medical facility is certified by the German Society for Spine Surgery (DWG) as a level II specialized center. The department's medical team makes every effort to provide each patient with optimal treatment in a pleasant and friendly atmosphere.
Department of Adult and Pediatric Neurosurgery
The Department of Adult and Pediatric Neurosurgery offers the full range of accurate diagnostics and surgical treatment of diseases of the central and peripheral nervous system. The department's surgeons annually perform over 5,000 surgical interventions, which indicates their high professionalism and tremendous experience. The key attention is paid to the treatment of cerebrovascular diseases, diseases of the spine and spinal cord, brain and skull base tumors, peripheral nerve lesions, cerebrospinal fluid circulation disorders, as well as pain therapy (functional neurosurgery). The treatment of neurosurgical diseases in children and adolescents is carried out by a specially trained team of experts.
Department of Neurosurgery and Spinal Surgery
The Department of Neurosurgery and Spinal Surgery offers the full range of modern surgical procedures for patients with diseases of the brain, spinal cord, spine, and peripheral nervous system. The department has state-of-the-art equipment, including navigation systems, monitoring devices, surgical microscopes, intraoperative X-ray diagnostic systems, angiography systems, and laser equipment. In addition, a system for minimally invasive stereotactic interventions has been installed in the department's operating room. The department's neurosurgeons use the latest microsurgical and endoscopic techniques in their work. The medical facility is one of only three in Europe to successfully use the VISUALASE™ device for MRI-guided laser ablation to treat epilepsy. This minimally invasive procedure is highly effective and represents a real breakthrough in epilepsy surgery. The department's neurosurgeons always strive to provide the patient with optimal medical care. They talk in detail about each stage of treatment and are happy to answer the patient's questions. Neurologists and specialists in the field of neuroradiology are often involved in the therapeutic process, which guarantees a comprehensive approach to treatment.
Department of Adult and Pediatric Neurosurgery
The Department of Adult and Pediatric Neurosurgery offers the full range of surgical treatment of diseases of the brain, spine, spinal cord and nerves in adults and children. The department keeps pace with new trends in medicine, as well as contributes significantly to their development. Therefore, the most modern diagnostic and therapeutic methods are available here. An individual approach to each clinical case is crucial to ensure optimal treatment results with the preservation of all neurological functions.
Department of Adult and Pediatric Neurosurgery
According to the Focus magazine, the Department of Adult and Pediatric Neurosurgery ranks among the top German medical facilities specializing in the surgical treatment of brain tumors! The department offers the full range of diagnostics and surgical treatment of diseases of the central and peripheral nervous system. A specially trained team of pediatric neurosurgeons provides treatment for various neurosurgical pathologies in children. During the treatment, the doctors use state-of-the-art equipment, in particular, imaging-guided neuronavigation, functional imaging (fMRI), intraoperative mapping, intraoperative videoangiography, etc.
Department of Adult and Pediatric Neurosurgery, Spinal Surgery
The Department of Adult and Pediatric Neurosurgery, Spinal Surgery offers modern diagnostics and effective treatment of the full range of diseases, injuries, inflammatory processes, tumors and malformations of the brain, spinal cord and their meninges, as well as spinal diseases. Spinal surgery is performed in collaboration with doctors from the Department of Adult and Pediatric Traumatology, Orthopedic Surgery. The department admits adults and children with malformations of the nervous system, brain and spinal cord tumors, drug-resistant epilepsy and other diseases. As one of the largest medical facilities of this kind in Germany, the department's doctors annually perform more than 2,500 surgical interventions on the brain and spinal cord, peripheral nerve endings. The department's specialists also perform over 400 spinal surgical procedures annually. To achieve high success rates of the surgical treatment, doctors use the very latest equipment, including neuronavigation systems. Thanks to this, surgeons not only successfully eliminate the pathology, but also guarantee the patient maximum safety. The department has 78 beds, including 14 beds in the Intensive Care Unit. The priority goal of the department's medical team is to provide high-quality treatment focused on the patient's needs.
Department of Neurosurgery and Spinal Surgery
The Department of Neurosurgery and Spinal Surgery provides top-class medical care for patients with diseases of the central and peripheral nervous systems. The medical facility performs surgery of any complexity on the brain, spinal cord, spine, and peripheral nerves. The department is the largest healthcare facility of this kind in Germany and has a team of highly professional neurosurgeons with long clinical experience. The department's specialists focus on patients with brain tumors (gliomas, meningiomas, and brain metastases), neurovascular diseases (aneurysms, arteriovenous malformations, and dural arteriovenous fistulas), and traumatic brain injuries. Spinal surgeons operate on patients with herniated discs, spinal canal stenosis, spondylolisthesis, spondylodiscitis, spinal fractures, and spinal tumors. The department extensively uses minimally invasive surgical techniques that allow for good therapeutic results with high safety in surgical manipulations. The medical facility has two hybrid operating rooms with state-of-the-art equipment, including the Zeego® intraoperative robotic angiography system and the intraoperative Brainsuite® MRI.
Department of Adult and Pediatric Orthopedics
The Department of Adult and Pediatric Orthopedics is the center of maximum orthopedic care and offers the diagnostics and treatment of all diseases and injuries of the musculoskeletal system. Along with the full range of modern operative and conservative orthopedics, the department specializes in hip and knee replacement surgery using the minimally invasive methods, replacement/revision of prostheses, orthopaedic oncology, foot surgery and patella problems in the patella.
Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery
The Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery offers the full range of diagnostics, conservative and surgical treatment of musculoskeletal diseases and injuries. The department is a certified Endoprosthetics Center – more than 1,000 primary joint replacement surgeries are performed here annually. The surgeons of the Endoprosthetics Center also specialize in particularly complex clinical cases and revision procedures for the replacement of previously implanted artificial joints. In addition, the department has the status of the interregional Trauma Center certified in accordance with the standards of the German Trauma Society. The department has also been awarded a Certificate of Excellence from the German Orthopedic Foot and Ankle Society (DAF) in the field of foot surgery. A separate area of clinical activity is the treatment of diseases, injuries and congenital malformations of the musculoskeletal system in children. Depending on the severity of the clinical case, both conservative and surgical techniques are used in the treatment of orthopedic pathologies in children. The department's medical team prefers sparing low-traumatic surgery, while open operations are performed only if other therapeutic options are ineffective.
Department of Adult and Pediatric Neurosurgery, Spinal Surgery
The Department of Adult and Pediatric Neurosurgery, Spinal Surgery provides a full range of services in its areas of expertise. The department's doctors operate on patients with brain and spinal cord tumors, central nervous system malformations, epilepsy, traumatic brain injuries, degenerative disc diseases, spinal stenosis, spinal cord injuries, and peripheral nervous system pathologies. Neurosurgeons specialize in treating patients of all ages, including children and adolescents. Pediatricians, pediatric oncologists, radiologists, and neuroradiologists are involved in the treatment of young patients. Surgical procedures to treat pathologies of the nervous system are performed by highly qualified surgeons with extensive clinical experience. The physicians use state-of-the-art equipment in their work: intraoperative imaging systems, neuronavigation devices, and fluorescence imaging. Advanced technologies are key to effective and safe treatment, as damage to vital anatomical structures of the brain or spinal cord may cause severe neurological deficits. More than 2,000 operations are performed annually in the department's state-of-the-art operating rooms, the majority of which are for brain tumors. The department treats more than 11,000 patients each year. For many years, it has been one of the leading neurosurgical centers in Germany that treats patients from many European countries.
Department of General Orthopedics and Orthopedic Oncology
The Department of General Orthopedics and Orthopedic Oncology offers the full range of conservative and surgical treatment of all musculoskeletal diseases. The department ranks among the largest medical facilities of this kind in Germany, as well as among the specialized authoritative departments for the treatment of bone and soft tissue tumors in the European medical arena. The treatment is carried out both on an outpatient and inpatient basis, including the outpatient operations. In addition to its successful clinical activities, the department is proud of its productive research work, which has given birth to many innovations in orthopedics, for example, the department's specialists have patented the very latest prosthetic systems, particularly in the field of orthopedic oncology.
Department of Adult and Pediatric Neurosurgery
The Department of Adult and Pediatric Neurosurgery offers the full range of modern services in this medical field. The high level of technical equipment in the department allows for the performance of all highly specialized surgical interventions to treat pathologies of the central and peripheral nervous system. The clinical practice mainly focuses on the diagnostics and surgical treatment of diseases, injuries of the brain, spine, spinal cord, intervertebral discs, nerve plexuses, functional neurosurgery and the treatment of neurosurgical pathologies in children.
Department of Adult and Pediatric Neurosurgery
The Department of Adult and Pediatric Neurosurgery offers all modern surgical interventions for the treatment of pathologies of the nervous system. The clinical focuses include the treatment of oncological diseases of the nervous system (neuro-oncology), skull base surgery, vascular neurosurgery, spinal surgery and functional neurosurgery, including the surgical treatment of epilepsy. As a state-of-the-art medical facility, the department has the advanced systems for deep brain stimulation, multimodal neuronavigation devices, intraoperative neuronavigation using CT, ultrasound systems, fluorescence imaging devices and endoscopy equipment. Thus, the department has all the possibilities to ensure effective treatment according to the international standards.
Department of Adult and Pediatric Neurosurgery, Spinal Surgery
The Department of Adult and Pediatric Neurosurgery, Spinal Surgery offers the full range of services in these fields and specializes in the surgical treatment of diseases of the brain and spinal cord, peripheral nervous system and spine. The important areas of the department's clinical activity also include neuro-oncology, vascular neurosurgery and pediatric neurosurgery. The treatment is provided in four state-of-the-art operating rooms equipped with all the necessary facilities. The department admits about 2,700 inpatients and 4,100 outpatients annually. The team of the department's neurosurgeons is distinguished by high professionalism, and performs many operations using sparing minimally invasive surgical techniques. Navigation systems, intraoperative monitoring devices, 5-ALA fluorescence are successfully used during the surgical treatment. Each operation is carefully planned using advanced navigation devices (under the guidance of CT and MRI scanning). In general, the department's surgeons annually perform more than 4,000 neurosurgical interventions, and therefore they are justifiably proud of their unique clinical experience and treatment results.
A spinal cord hematoma is a local accumulation of blood formed as a result of a hemorrhage. A small hematoma may resolve on its own over time, but large accumulations of blood put pressure on the spinal cord tissues, may cause severe complications, and, in some cases, may even be life-threatening. As a result, many patients require surgical treatment, which includes spinal cord decompression (pressure release) and hematoma removal. You can opt to undergo your surgical treatment abroad. On the Booking Health website, you can find out the prices and compare the cost of treatment at different hospitals. We will help you organize your treatment as soon as possible, since the operation must be performed in the first few hours or days after a hemorrhage in the spinal cord tissue.
Content
- What is an intramedullary spinal cord hematoma?
- Preoperative diagnostics for intramedullary spinal cord hematomas
- How is surgery for intramedullary spinal cord hematomas performed?
- Why to undergo your intramedullary spinal cord hematoma treatment abroad?
- Prices of operations abroad for intramedullary spinal cord hematomas
What is an intramedullary spinal cord hematoma?
A hematoma is a focus of hemorrhage in the spinal cord. The term "intramedullary" indicates the location of such a focus.
Spinal hematomas (spinal hemorrhagic strokes) are classified as:
- meningeal ones that are characterized by the accumulation of blood in the spinal cord meninges;
- intramedullary (hematomyelia) ones that are characterized by the accumulation of blood in the gray matter of the spinal cord.
In turn, meningeal hematomas are further classified as subarachnoid, subdural, or epidural. They are characterized by the accumulation of blood under the arachnoid, under the dura mater, or outside the dura mater. These types of spinal cord hematomas are the most common, while intramedullary hematomas are the rarest type of hemorrhage.
The main causes of the formation of spinal cord hematomas are the following:
- injuries;
- aneurysms, arteriovenous malformations of the spinal cord, and other vascular anomalies;
- surgical manipulations and operations;
- infections;
- rheumatic diseases occurring with inflammation of blood vessels (vasculitis);
- blood clotting disorders;
- tumors of the head and spinal cord, for example, hemangioblastoma or leukemia.
A hemorrhage begins at once, and the size of the hematoma and neurological symptoms increase rapidly within a few hours. This often occurs due to provoking factors, for example, strong physical exertion or abrupt extensions of the spine.
Preoperative diagnostics for intramedullary spinal cord hematomas
Doctors can suspect a spinal cord hematoma based on a characteristic anamnesis because symptoms of a spinal cord injury appear immediately. Because neurological manifestations occur in the area of innervation of the involved spinal segments or cover a significant area below the site of spinal cord compression, further clinical examination will allow determining the location of the pathological focus.
The best way to detect a hematoma is with an MRI scan. This diagnostic test can identify the boundaries of blood accumulation. Changes in the density and indistinct boundaries of the spinal cord can also be used by doctors to detect spinal cord swelling.
X-rays and CT scans are used to assess the condition of the spine. These methods are especially informative for spinal injuries.
When preparing for surgical treatment, patients undergo a set of laboratory tests. These are clinical urine and blood tests, a coagulogram, and a biochemistry blood test.
Many patients develop hemorrhages due to arteriovenous malformations. In this case, the diagnostics include angiography of the spinal cord blood vessels (a contrast-enhanced X-ray scan). Based on its results, additional endovascular treatment may be required to eliminate vascular anomalies from the bloodstream and avoid repeated hemorrhages in the spinal cord in the future.
How is surgery for intramedullary spinal cord hematomas performed?
The operation is performed using open surgical techniques and under general anesthesia. A doctor dissects the soft tissues of the back and performs a laminectomy. This procedure involves the removal of the vertebral arches and spinous processes. Surgeons can thus approach the spinal cord through the spine. When a vertebral fragment is removed, the pressure on the spinal cord will be reduced. This will be followed by the removal of a hematoma (an accumulation of blood in the spinal cord tissues). To do this, doctors dissect the spinal cord in the thinnest place on the way to the hematoma and evacuate its contents.
Doctors perform vertebral resection when performing surgery. As a result, the stability of the spine may be impaired, and therefore, in the case of a significant extent of bone resection, stabilization can be performed for this purpose. The procedure can be rigid, when two vertebrae are fixed together, or dynamic. Doctors in developed countries more often prefer the second option, since it maintains the mobility of the spine and reduces the risk of developing any diseases in the adjacent spinal segments.
Neurological rehabilitation begins in the shortest possible time after the surgical treatment. Doctors try to activate patients as early as possible. They work out in suspension systems or on robotic simulators, undergo physiotherapy, massage, and other procedures. Hospitals abroad often use innovative technologies, including exoskeletons, biofeedback, and virtual reality. The neurological deficit gradually decreases, and as a result of treatment, patients can restore their ability to work or self-care skills.
Why to undergo your intramedullary spinal cord hematoma treatment abroad?
It is best to have your spinal cord surgery at a good hospital to minimize the risk of complications and increase the chance of a favorable treatment outcome. Doctors strive to ensure a high quality of life after surgery, achieve a low risk of recurrent hemorrhages, and maximize neurological function.
Treatment abroad has the following advantages:
- accurate diagnostics using state-of-the-art equipment;
- neuromonitoring and medical imaging for surgery control;
- good doctors with vast experience in spinal surgery;
- hospitals abroad use high-quality equipment;
- the stability of the spine is maintained after the operation due to minimal resection of the bone tissue and the implantation of stabilizing systems;
- a low risk of complications;
- full rehabilitation after operations to restore the functions of the spinal cord.
Prices of operations abroad for intramedullary spinal cord hematomas
You can find out the cost of treatment abroad on the Booking Health website. Prices depend on the type of hospital, the equipment of the Spinal Surgery Center, the severity of the clinical case, and the specifics of the operation.
On the Booking Health website, you can compare prices at different hospitals. Please enter your diagnosis in the search bar. It can be a spinal cord hematoma, an intervertebral hernia, spinal stenosis, a brain hemorrhage, or another disease. You will see treatment options and prices. If you select the type of treatment, for example, operations to remove a hematoma, you will see a list of hospitals where such operations are performed, and you will see the cost of treatment in each of these hospitals. Please choose an option with the most affordable price for you and leave your request on our website. Our specialists will contact you, hold a consultation on all issues, and take care of all the arrangements for your trip abroad.
Prices for your treatment will be lower than if you contact the hospital directly, as there are no taxes for foreign patients. When you make your appointment at the hospital through Booking Health, you will receive insurance that will protect against medical expenses that are not provided for by your medical care program. This means that the initial price will not increase after the start of your medical care program, even if additional treatments are required.
Authors:
The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
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