Surgeons who perform surgeries on the central and peripheral nervous system.
Neurosurgery includes open and minimally invasive interventions on the brain, spine, and spinal cord.
Diverse brain and spine pathologies, including tumors, vascular malformations, stroke, congenital defects, etc.
Mostly, in the multidisciplinary University Hospitals (see the list below).
Cost of treatment is individual and starts from €21,095. You can find other prices on the Booking Health website.
The best hospitals in Germany are:
|1||Charite University Hospital Berlin|
|2||University Hospital Freiburg|
|3||University Hospital Frankfurt-am-Main|
|4||University Hospital Wuerzburg|
|5||University Hospital Bonn|
Today, the best medical facilities in Germany offer effective treatment methods for the brain and spinal cord tumors, traumatic brain injuries, brain hemorrhages, peripheral nerve injuries, congenital anomalies of the nervous system, etc.
Thousands of patients come to German hospitals every year. The high demand for medical care in Germany is no coincidence. Neurosurgical problems require meticulous precision in the surgical treatment. This is made possible thanks to the experience of German neurosurgeons and high-precision equipment.
- Why is neurosurgery in Germany among the best?
- What does neurosurgery in Germany focus on?
- How are brain tumors treated in Germany?
- Treatment of spinal cord tumors
- The best medical centers in Germany specializing in neurosurgery
- The cost of treatment in Germany
- Why undergo treatment in Germany with Booking Health?
Why is neurosurgery in Germany among the best?
Due to the complexity of nerve tissue structure, its sensitivity, and low ability to repair, neurosurgery is one of the most difficult surgical disciplines. Surgical treatment of pathologies of the nervous system requires the highest skill from doctors, as well as the use of high-tech equipment, which allows the team of neurosurgeons to perform surgical interventions with maximum precision and efficiency. The interventions on the brain tissue and nerve trunks specifically require the utmost care, extreme precision, and professionalism, as the consequences of even the smallest mistakes can be irreparable. Therefore, for neurosurgery it is important to go hand in hand with technical progress, using the latest scientific achievements and the most advanced technology. And this is the hallmark of neurosurgery in Germany.
Today, Germany is considered the European leader for neurosurgery treatment with its excellently developed health care. German neurosurgeons are highly qualified doctors, who have extensive medical knowledge, practical experience, and scientific research under their belt. The demand for medical care in Germany is among the highest in the world. That is why if you come into the hands of a German neurosurgeon, you can be sure of no worries about the quality of your treatment.
Every year thousands of foreign patients come to German hospitals hoping to receive high-quality treatment. Here they receive the required medical care in order to get rid of severe diseases of the nervous system and cancerous pathologies of the brain and spinal cord.
German medical centers perform neurosurgical operations using state-of-the-art equipment at the stage of both diagnosing neurological disorders and operating.
The departments of neurosurgery are present in most university hospitals and many other multidisciplinary German hospitals, including those with private neurosurgical praxis. Neurosurgical hospitals work in close cooperation with rehabilitation facilities, since after serious neurological operations specialized neurological rehabilitation is usually necessary to help patients recover, return to normal life and, if possible, continue their professional activities.
What does neurosurgery in Germany focus on?
The neurosurgeons at the best medical centers in Germany provide expert diagnosis and effective treatment using surgery and radiology methods, including minimally invasive techniques. The specialists deal with the treatment of the following pathologies:
- Brain tumors (benign and malignant; primary and secondary).
- Brain hemorrhages: subdural hematomas (chronic and acute), epidural hematomas, intracerebral hemorrhages (hemorrhagic stroke), intraventricular hemorrhages, traumatic subarachnoid hemorrhages, arteriovenous malformations, etc.
- Different types of hydrocephalus; aqueductal stenosis.
- Treatment of the spinal cord compression (intervertebral hernia, stenosis, instability, fractures, tumors, arteriovenous malformations of the spinal cord).
- Peripheral nerve diseases (carpal tunnel syndrome, tarsal tunnel syndrome, ulnar nerve compression, etc.).
- Symptomatic pain treatment caused by brain tumors (primary or secondary), trigeminal neuralgia, chronic pain syndromes, neurostimulation.
Neurosurgical hospitals in Germany also carry out surgical treatment of the following diseases of the central and peripheral nervous system:
- Nerve tissue injuries and their consequences.
- Congenital developmental anomalies.
- Neurological complications of spinal cord pathologies.
- Diseases of the nervous system with pronounced functional disorders (epilepsy, Parkinson's disease, etc.).
- Circulatory disorders of the brain and spinal cord.
- Pain syndromes associated with lesions of the central and peripheral nervous system.
The peculiarities of neurosurgical treatment also include the necessity of involving health practitioners from various fields, primarily traumatologists, oncologists, and orthopedists, as well as professionals in radiology, physical therapy, and rehabilitation medicine. The special role of rehabilitation medical measures should be mentioned separately. Neurological rehabilitation is an integral part of the treatment process, which allows returning the patients with severe injuries of the nervous system to their usual lives.
How are brain tumors treated in Germany?
A brain tumor is any intracranial tumor consisting of abnormal and uncontrollably dividing cells that can usually be found in the brain tissue itself (neurons, astrocytes, oligodendrocytes, ependymal cells, lymphatic tissue, blood vessels), in the tissues of cranial nerves (myelin-producing Schwann cells), in skull bones, pituitary gland, and pineal gland, or spread from tumors primarily localized in other organs (metastatic tumors). Primary brain tumors are usually localized in the posterior cranial fossa in children and the anterior two-thirds of the cerebral hemispheres in adults, although they can affect any part of the brain. There are currently about 120 types of brain tumors.
The vast majority of brain tumors are treated surgically. Regardless of access, surgery allows for detailed diagnosis of the brain tumor and assessment of the possibility of adjuvant therapy in the postoperative period. Surgical treatment of brain tumors also reduces seizure activity in patients with brain tumor-induced epileptic seizures, and further reduces or eliminates doses of antiepileptic drugs.
The histological type of brain tumor is the most important prognostic factor. When examinations fail to determine the nature of the brain tumor, biopsy followed by histological examination is mandatory. Adjuvant therapy, such as chemotherapy, radiotherapy, or their combination is often prescribed after surgical intervention, especially for aggressive brain tumors, based on the data of histological examination.
The surgical risk is determined by the localization of the brain tumor, proximity to functionally significant areas of the cerebral cortex, and the involvement of vessels and cranial nerves in the pathological process. The general condition of patients with the brain tumor is another important prognostic factor to consider. Severe cardiopulmonary disease or pathology of other organs and systems may be a contraindication for anesthesia. In children, early surgical removal of an existing brain tumor may allow the brain to develop normally, followed by rapid recovery.
The professionalism and high competence of the specialists at the neurosurgical clinics in Germany are also supported by the most advanced technical equipment and devices for complex surgical interventions, such as anatomical guidance during the surgery through the advanced computer methods and the use of three-dimensional imaging of CT or MRI images for better navigation during the surgical intervention. This makes it possible to reduce the size of the area to be opened and to establish clearer borders of the brain tumor spread in comparison to the available images. Operating physicians also have at their disposal an ultrasound device that transmits ultrasound images (in real time) of the brain tissue bordering the brain tumor. Ultrasound often makes it easier to precisely locate the affected part of the brain and can be used to track brain tumor removal. In addition, the neurosurgeons at hospitals in Germany are proficient in removing malignant brain tumors by isolating them with fluorescent material. This makes it possible to remove the brain tumor completely and reliably.
If the part of the brain responsible for the ability to speak is subject to surgical removal of the tumor, such surgical procedures are often performed on patients with local anesthesia used to keep patients awake. A team of neuropsychologists monitors speech function throughout the operation. In this way, the operating physician performs the surgery without risking loss or damage to speech function.
When there is a deep brain tumor, doctors make local anesthesia and extract a piece of tissue for neuropathological analysis. This procedure gives reliable data based on which therapy for a deep brain tumor is selected. The same method can be used to reduce the size of the tumor filled with fluid from the inside (cystic).
Treatment of spinal cord tumors
The main method of treating a spinal cord tumor is surgery. Surgery is indicated when radiation therapy is ineffective or when the spinal cord is compressed. The removal of the spinal cord tumor leads to the restoration of spinal cord function and the disappearance of the symptoms of the disease.
The surgical technique is chosen depending on the size and location of the tumor. The intervention may be radical when the tumor is resected completely, or palliative. Radical surgery is possible if the tumor has not invaded the spinal cord and its roots. If the tumor is intramedullary, it is technically impossible to remove it completely without damaging the spinal cord. In such cases, surgery is used to decompress (remove compression) of the brain, restore cerebrospinal fluid circulation and relieve symptoms. Access to the tumor is achieved through the removal of the vertebral arch, or endoscopic techniques.
The removal of the spinal cord tumor is only possible in specialized hospitals with the appropriate equipment and experienced, highly qualified specialists. Only the use of modern techniques makes it possible to restore the patient's ability to work and make the symptoms of spinal cord compression disappear, including pain, paresis, paralysis, urinary incontinence, and sensory disturbances.
The best medical centers in Germany specializing in neurosurgery
The best medical centers specializing in neurosurgery in Germany are:
- Beta Klinik Bonn.
- University Hospital Tuebingen.
- University Hospital Saarland Homburg.
- Charite University Hospital Berlin (choice of patients).
- University Hospital Freiburg.
Why do patients choose the Charite University Hospital in Berlin? Because the department of neurosurgery at the Charite University Hospital in Berlin has an excellent international reputation in the field of neuro-oncology, spinal neurosurgery, and vascular neurosurgery. The Charite Hospital in Berlin is one of the leading in Germany in terms of scientific developments, which enables it to offer its patients the most advanced treatment methods. The medical facility performs more than 5,000 neurosurgical operations each year. This enormous number of operations has enabled the doctors of the hospital to build up a significant experience in surgery.
However, if you would like to know which hospital suits your requirement best, contact Booking Health.
The cost of treatment in Germany
As for neurosurgery, it is one of the most expensive areas in medicine, since it is associated not only with the most complex surgical procedures but also with risks. With that said, the cost of treatment in Germany varies depending on the type of surgery, the severity of the disease, the duration of surgical intervention, rehabilitation, and a number of other conditions.
The cost of treatment in Germany with surgery to cure diseases of the nervous system is also determined by its complexity, the scope of intervention, and the level of the hospital and specialist who will perform it. In some cases, the use of special equipment or consumables is necessary, which may also affect the final price, which, in turn, is difficult to predict. However, the cost of treatment in Germany usually involves the price for the initial examination, which ranges between 500 and 800 EUR.
Why undergo treatment in Germany with Booking Health?
The high level of neurosurgery in Germany is confirmed by numerous testimonials, even including from patients with severe, life-threatening diseases of the brain (e.g. brain tumors) who have been treated in the best hospitals in Germany.
But before the start of your treatment in Germany, we recommend you to contact Booking Health consultants, who will tell you in detail about all the nuances of treatment in Germany and the pricing policies offered by various German hospitals. And, most importantly, Booking Health will help you organize the whole treatment and deal with issues that may arise during the organization process.
Fill in the request form on the Booking Health website to get personalized information.
Authors: Dr. Nadezhda Ivanisova, Dr. Farrukh Ahmed