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Brain Aneurysm — Partial Resection and Coil Embolization: treatment in the Best Hospitals in the World

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

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.

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book Insurance against increased costs in case of complications with a cover of 200,000 €

Memorial Bahcelievler Hospital Istanbul

9.2/10
location_onTurkey, Istanbul

Department of Adult and Pediatric Neurosurgery

The Department of Adult and Pediatric Neurosurgery offers the full range of surgical treatment of diseases of the nervous system according to the highest international standards. The department's doctors specialize in the surgical treatment of pathologies of the brain and spinal cord, as well as diseases of the peripheral nerves. The department's medical team provides its services to patients of all age categories – from young children to the elderly. The department has high-tech operating rooms, where endoscopic and microsurgical interventions are successfully performed, ensuring the fastest recovery and excellent treatment results. For maximum safety of surgical treatment, the doctors widely use in their clinical practice cutting-edge neuromonitoring and neuronavigation systems, intraoperative CT O-Arm, intraoperative ultrasonography and other technologies.

University Hospital HM Monteprincipe Madrid

9/10
location_onSpain, Madrid

Department of Neurosurgery

The Department of Neurosurgery offers the full range of modern surgical treatment of diseases of the nervous system. The department's neurosurgeons have rich experience and technical options for both simple routine and especially complex interventions on the brain and spinal cord. To achieve the best treatment results, there is maintained productive cooperation with the specialists in oncology, neurology and interventional neuroradiology. The state-of-art navigation systems and computer equipment available in the department allow the surgeons to perform the most accurate manipulations, while preserving healthy tissues and vital functions of the nervous system.

Beta Klinik Bonn

9.7/10
location_onGermany, Bonn

Department of Neurosurgery and Interventional Neuroradiology

The Department of Neurosurgery and Interventional Neuroradiology is a modern maximum care medical facility, which offers the full range of diagnostic and therapeutic services in the field of neurosurgery. It provides the first-class treatment of diseases of the brain, bone marrow, spine, blood vessels and peripheral nerves. The successful treatment outcome is facilitated by the high professionalism of doctors and the cutting-edge technical equipment.

University Hospital for Neurosurgery Salzburg

9.6/10
location_onAustria, Salzburg

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.

University Hospital Freiburg

9.7/10
location_onGermany, Freibung

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.

Tel Aviv Sourasky Medical Center

9.9/10
location_onIsrael, Tel Aviv

Department of Neurosurgery

The Department of Neurosurgery offers the widest range of diagnostic examinations and therapeutic methods for patients with diseases of the brain, spinal cord and peripheral nervous system. The department is considered the leading Neurosurgical Center in Israel and around the world.When treating patients, the doctors apply all available medical innovations and adhere to the highest international standards.

Primus Super Speciality Hospital New Delhi

9/10
location_onIndia, New Delhi

Department of Adult and Pediatric Neurosurgery, Neurology

The Department of Adult and Pediatric Neurosurgery, Neurology offers the comprehensive diagnostics, conservative and surgical treatment of diseases of the nervous system. The tasks of the department's doctors also include rehabilitation of patients with neurological pathologies. Thanks to the modern infrastructure and the progressive equipment of the department, most operations can be performed using sparing minimally invasive techniques. In addition, the surgical treatment involves the use of neuromonitoring systems, which increases the safety of interventions in functionally important areas of the brain.

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

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.

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Neurosurgery

The Department of Adult and Pediatric Neurosurgery offers the accurate diagnostics and effective treatment of the entire spectrum of neurosurgical diseases, injuries, inflammations, tumors and malformations of the brain, spinal cord and their meninges, as well as the spine. As one of the largest medical facilities of its kind in Germany, the department performs more than 2,500 surgical interventions every year. The department has 78 beds, including 14 beds in the intensive care unit. The priority goal of the specialists is to provide patient-oriented, high-quality medical care, as well as the study of neurosurgical diseases, the development of new therapeutic methods and the training of medical students.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Neurosurgery

The Department of Adult and Pediatric Neurosurgery offers the diagnostics and treatment of the entire spectrum of neurosurgical diseases. The department specializes in the treatment of brain tumors, vascular diseases and intracerebral hemorrhages, spinal diseases, deep brain stimulation, etc. Special competence lies in the field of pediatric neurosurgery. The department offers the very latest highly accurate and minimally invasive treatment methods.

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Neurosurgery

The Department of Adult and Pediatric Neurosurgery offers the full range of diagnostics and surgical treatment of diseases of the brain, spinal cord and peripheral nerves at the highest international level of modern medicine. The department has at its disposal three high-tech operating rooms, in which more than 2,000 surgical interventions are performed annually. Of particular interest of the department’s specialists is surgery of tumors of the nervous system in childhood and adulthood. The department has at its command the advanced surgical techniques, for example, navigation surgery, intraoperative neuromonitoring, hybrid surgical techniques that are the basis of the department’s successful clinical practice.

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Neurosurgery

The Department of Adult and Pediatric Neurosurgery offers the diagnostics and comprehensive treatment of neurosurgical pathologies, including tumors of the central and peripheral nervous system. The department is the leading Center of Neurosurgery in Northern Germany and is responsible for the implementation of new algorithms for the treatment of patients with brain tumors. To this end, there is an active participation in the international researches and the development of new surgical methods, for example, operations in the waking state. Close interdisciplinary cooperation also contributes to the achievement of optimal treatment results.

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Neurosurgery

The Department of Neurosurgery offers the full range of surgical interventions for the treatment of diseases of the central and peripheral nervous system. The department is one of the largest medical institutions of this kind in Germany. The doctors of the department provide patients with the high-quality medical care of university level, and also take an active part in the experimental fundamental studies and clinical trials to develop new treatment methods.

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Neurosurgery

The Department of Neurosurgery offers the full range of surgical treatment of diseases of the nervous system and belongs to the largest medical facilities of this kind at the national level. The department has 4 state-of-art operating rooms where more than 2,700 interventions are performed annually. It has the progressive surgical equipment, for example, intraoperative monitoring, neuronavigation, tools for performing minimally invasive operations, which provide the most effective and reliable therapy. The department has earned the reputation of the Center of Competence in the field of tumor surgery of the nervous system and spine.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Neurosurgery

The Department of Adult and Pediatric Neurosurgery offers the full range of diagnostics and treatment of diseases of the central and peripheral nervous system. The medical institution occupies a leading position in this sector in Europe. The neurosurgeons of the department have at their disposal four high-tech operating rooms, in which more than 3,500 interventions are performed annually. Active clinical and experimental research activities, as well as close cooperation with national and international reputable research centers, promote the introduction of innovative treatment techniques that are available only in a few clinics in the world.

A brain aneurysm (cerebral aneurysm, intracranial aneurysm) is a type of aneurysms in which one of the cerebral arteries is affected. The term "aneurysm" itself refers to the expansion of the arterial wall. The incidence of cerebral aneurysms among the general population is about 5%.

Overview

A brain aneurysm is a pathological local protrusion of the artery wall.

Depending on the size of the protrusion, there are:

  • regular-sized brain aneurysms (up to 15 mm)
  • large brain aneurysms (up to 25 mm)
  • gigantic brain aneurysms (more than 25 mm)

The larger the aneurysm, the more it compresses the brain tissues and causes a more pronounced neurological picture. Protrusions can also be single or multiple, congenital, or acquired.

The disease often affects the vessels, inside which blood is flowing under high pressure. Such changes in the vessel wall leading to an increase in its size and accumulation of the pressure on the surrounding brain structures, disrupting the functions of the central nervous system.

However, a brain aneurysm is often manifested by an aneurysm rupture (in 50% of cases). If the aneurysm is unruptured, but simply increases in size, then it can manifest itself as a tumor (press on the surrounding brain tissues, causing certain neurological disorders). In terms of the outcomes of rupture of brain aneurysms, the statistics are quite harsh: 25% of patients die immediately or in a long-term period, 25% become severely disabled, 25% have a moderate disability, and only 25% are left without consequences for their health.

It is not yet clear why aneurysms occur in some people and not in others. Among the causes of a cerebral aneurysm, in the first place are congenital disorders of the structure of the vascular wall and atherosclerosis. Sometimes cerebral aneurysms occur as a result of inflammatory processes in the walls of an artery. This is usually due to blockage of the vessel lumen by an infected blood clot.

Brain aneurysms are dangerous for the patients due to the high risk of rupture of the aneurysm with hemorrhage into the brain tissue. Besides, the disease is often asymptomatic in the early stages of its development, which significantly complicates timely diagnosis.

If a brain aneurysm is detected, it is necessary to immediately contact a neurosurgeon. The specificity of this pathology is rather narrow; therefore not every neurosurgeon can give an adequate assessment of the patient.

Symptoms

The danger of arterial wall protrusions lies in their "quiet" development. In the early stages, the patient may not even be aware of a serious problem, since small aneurysms practically do not compress the brain tissue and do not cause discomfort.

The clinical picture manifests itself in the later stages of the disease. The first signals of a problem can be:

  • Impaired vision, pain in the eyes and head
  • Changes in the motor functions of the limbs – the patient can suddenly "forget" how to hold a spoon or his handwriting deteriorates largely
  • Violation of tactile and pain sensitivity of the legs
  • Seizures
  • Numbness of the muscles of the face, inability to smile, sudden impairment of speech

These signs indicate compression of the brain tissue. A neurological deficit develops, which should become an urgent reason for seeking help from a neurologist.

As the disease progresses, the aneurysm can rupture. This condition is threatening to the patient's life. The symptoms of rupture are:

  • Intense headache that does not respond well to medication
  • Nausea, vomiting
  • Double vision
  • Loss of consciousness
  • Intense cramps

If a person develops the described symptoms, an ambulance team should be called.

Identifying pathological protrusions of the arteries of the brain is not always an easy task, especially if the patient does not feel any discomfort. In such cases, the diagnosis is suspected during preventive examinations.

Diagnostics

To identify an aneurysm, a neurologist may prescribe the following instrumental diagnostic methods:

  • Computed tomography (CT)

The procedure is more often used to determine the already ruptured aneurysm with a formed hemorrhage in the brain tissue.

  • Magnetic resonance imaging (MRI)
  • Angiography of cerebral vessels

The method allows doctors to evaluate the size, localization, and structural features of the pathological protrusion.

If a ruptured aneurysm is suspected, the neurologist also performs a lumbar puncture to assess the condition of the cerebrospinal fluid.

Treatment

Surgery is the only effective treatment for cerebral aneurysm treatment. Having received the results of the patient's examination, the surgeon decides on the appropriateness of the surgical operation. Since the consequences of a ruptured cerebral aneurysm, unlike an unruptured aneurysm, are lethal, surgical intervention can save the patient's life.

There are two methods of brain aneurysms treatments: surgical clipping of the aneurysm neck (surgery with opening the skull) or neuroradiological surgery that does not require opening the skull – endovascular embolization that is, filling the aneurysm with coils through a catheter, which is inserted through the femoral artery in the groin. The decision on the method of treatment is made by the medical council together with the patient; the council includes a neurosurgeon and an interventional radiologist. When choosing one of the two methods described above, the medical consultation takes into account many factors, such as the location of the aneurysm, its size, shape, width, and the conditions of adjacent vessels.

Endovascular treatment (performed by an interventional neuroradiologist) consists of cutting off the aneurysm from the blood supply by filling its lumen with special coils (coils are made of platinum). A cerebral aneurysm is approached with a very thin tube – a catheter, which is inserted through a small incision in the groin and then propelled through the blood vessels. All this time, the location of the catheter is tracked using a special X-ray machine. This is a method based on an advanced technique designed for minimally invasive closure of cerebral vascular defects, including aneurysms.

Endovascular embolization with coils is one of the most frequently used operations used in the world for the treatment of cerebral aneurysms. As with clipping, the purpose of the operation is to exclude it from the general bloodstream, which is necessary to prevent re-rupture.

Embolization of an aneurysm is one of the most common methods of treating disease. In most cases, endovascular embolization is the least invasive method aneurysms treated with today. If it is impossible to carry out intravascular embolization or stenting, the usual neurosurgical operation of vessel stenting or aneurysm clearing can be performed.

How the endovascular embolization is carried out?

Firstly, the surgeon, together with the patient, discusses the possible risks and outcomes of treatment and determines the appropriate treatment method. The size of the aneurysm is extremely important in the course of the disease and prognosis of the outcomes when deciding on treatment planning. The risk of rupture of an aneurysm with a diameter of up to 10 mm is estimated at 0–4% and, accordingly, is higher for larger aneurysms. Also, it should be remembered that their size is not constant – aneurysms can increase, therefore, when choosing a conservative treatment, it is recommended to periodically perform control imaging studies to assess the size of the aneurysm.

The operation is performed by access through the femoral artery – the only skin puncture in the groin area. Along the vascular region, catheters are sequentially inserted into the vessels of the neck, cerebral arteries, and directly into the aneurysm cavity.

Embolization of an aneurysm results in the cessation of blood flow in the aneurysm (bulge), maintaining normal blood flow in the cerebral artery. In the process of embolization, a catheter is inserted through convenient vascular access (usually inguinal) under radiological control and held up to the aneurysm. Then a thinner micro-catheter with a micro-wire coiled inside it is inserted into the catheter and inserted into the aneurysm cavity.

Through the catheter, platinum coils are inserted into the aneurysm, which fills the aneurysm cavity and blocks the flow of blood into it from the common vascular bed. A low voltage electric current is used to separate the micro spirals from the carrier conductor.

As soon as the tip of the catheter is in the aneurysm cavity, coils are released from the catheter, which changes its shape, and in the form of a random coil of wire occupies the aneurysm cavity. For large aneurysms, several coils may be needed. An aneurysm filled with a wire spiral is turned off from the bloodstream and gradually overgrows with connective tissue, that is, the possibility of its rupture is excluded. Subsequently, the blood flow in the aneurysm stops, the aneurysm is completely thrombosed, and it no longer poses a threat of rupture.

The postoperative period after embolization is minimal. In the absence of hemorrhage or other conditions, discharge from the hospital usually occurs on days 2-3 after the surgical intervention.

Where can I undergo partial resection and coil embolization treatment abroad?

Health tourism becomes more and more popular these days, as medicine abroad, often ensures a much better quality of partial resection and coil embolization treatment.

The following hospitals show the best success rates in partial resection and coil embolization treatment:

  1. Charite University Hospital Berlin, Germany
  2. Memorial Bahcelievler Hospital Istanbul, Turkey
  3. University Hospital HM Monteprincipe Madrid, Spain
  4. Beta Klinik Bonn, Germany
  5. University Hospital for Neurosurgery Salzburg, Austria

You can find more information about the hospitals on the Booking Health website.

The cost of treatment abroad

The prices in hospitals listed on Booking Health are relatively low. With Booking Health, you can undergo partial resection and coil embolization treatment at an affordable price.

The cost of treatment varies, as the price depends on the hospital, the specifics of the disease, and the complexity of its treatment.

The cost of treatment with partial resection and coil embolization in Germany is 22,087 – 38,216 EUR.

The cost of treatment with partial resection and coil embolization in Turkey is 16,096 – 19,867 EUR.

The cost of treatment with partial resection and coil embolization in Spain is approximately 13,285 EUR.

The cost of treatment with partial resection and coil embolization in Austria is approximately 28,087 EUR.

You might want to consider the cost of possible additional procedures and follow-up care. Therefore, the ultimate cost of treatment may differ from the initial price.

To make sure that the overall cost of treatment is suitable for you, contact us by leaving the request on the Booking Health website.

How can I undergo partial resection and coil embolization treatment abroad?

It is not easy to self-organize any treatment abroad. It takes certain knowledge and expertise. Thus, it is safer, easier, and less stressful to use the services of a medical tourism agency.

As the largest and most transparent medical tourism agency in the world, Booking Health has up-to-date information about partial resection and coil embolization treatment in the best hospitals in the world. We will help you select the right clinic taking into account your wishes for treatment.

We want to help you and take on all the troubles. You can be free of unnecessary stress, while Booking Health takes care of all organizational issues regarding the treatment. Our services aimed at you safely and successfully undergoing partial resection and coil embolization treatment.

Medical tourism can be easy!

All you need to do is to leave a request on the Booking Health website and our manager will contact you shortly.




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