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Surgical Removal of the Tumor (total — Partial) for Meningioma in Germany

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 €

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.

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.

University Hospital Essen

9.6/10
location_onGermany, Essen

Department of Adult and Pediatric Neurosurgery

The Department of Adult and Pediatric Neurosurgery offers the widest range of surgical interventions for the treatment of diseases of the central and peripheral nervous system, including stereotactic surgery and endoscopy. With more than 2,400 operations every year, the department has a unique experience, which allows it to provide the high-quality medical care even in extremely complex clinical cases. The key focus of the department is pediatric neurosurgery. In addition to the high professionalism of doctors, the treatment success is facilitated by exclusively advanced medical equipment, for example, neuronavigation systems and intraoperative fluorescence navigation.

University Hospital Jena

8.9/10
location_onGermany, Jena

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.

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Neurosurgery

The Department of Neurosurgery offers the full range of diagnostics and surgical treatment of diseases of the nervous system. All operating rooms are equipped with the cutting-edge technology, which provides the most reliable and effective treatment of neurosurgical pathology. The department employs competent neurosurgeons with rich clinical experience and deep expert knowledge, who have in their arsenal many modern therapeutic methods.

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

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.

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

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 central and peripheral nervous system. Medical care is based on an individual approach with due consideration of the specific clinical indications and patient’s needs, in compliance with the highest medical and technical standards. The use of the very latest minimally invasive microsurgical techniques and navigation systems allows for the optimal treatment outcome.

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery

The Department of Adult and Pediatric Neurosurgery offers the full range of services in this field and specializes in the surgical treatment of diseases of the brain and spine. Also, the important clinical focuses of the department include neuro-oncology, vascular neurosurgery and pediatric neurosurgery. Treatment is provided in four state-of-the-art operating rooms fitted out with all the necessary technical equipment. The department annually treats about 2,700 inpatients and 4,100 outpatients.

Meningioma is a brain tumor that grows from the arachnoid membrane. Surgical treatment of meningioma is the first-line therapeutic option. Since meningiomas are mostly benign and small, the disease can usually be cured completely. It is important to avoid worsening of the neurological deficit and developing serious complications after the intervention. In order to make the treatment effective and safe, you can undergo it in Germany.

Who needs surgical treatment for meningioma?

Surgical treatment of meningioma is the main method of managing the disease course and symptoms. The operation is indicated for all patients with this pathology. Radiotherapy is sometimes performed after it.

Some tumors cannot be treated with surgery. These are small meningiomas that are located in the hard-to-reach regions. In this case, stereotactic radiotherapy is used to suppress the tumor growth.

Some patients have contraindications for surgical treatment of meningioma. Some patients refuse the operation. In such situations, radiation therapy becomes the main method of treatment. It can reduce or stabilize the tumor growth.

What is the aim of the surgical treatment of meningioma?

The meningioma can be treated surgically for different purposes, including:

  1. Complete cure of the disease
  2. Removal of part of the tumor to stabilize the patient's condition
  3. Relief of symptoms and prevention of fatal complications
  4. Improving the patient's quality of life
  5. Increasing the life expectancy

When achieving the aims, the healthcare professionals pay attention to not harming human health, not causing significant neurological deficits or mental disorders due to damage to healthy tissues of the central nervous system.

If possible, the doctor removes the entire neoplasm so that the disease does not return after treatment. If the total surgical removal of a meningioma is life threatening or can aggravate neurological deficit, the doctor shifts to the partial resection (removing a part of the tumor).

Peculiarities of the surgical treatment of meningioma

Meningioma has certain features that distinguish it from other brain neoplasms. It is often benign and grows slowly. The tumor is connected to the dura mater and bone. Its borders are usually distinct, most meningiomas have a capsule.

Success of the surgical treatment of a meningioma depends on a number of factors:

  • Location of the tumor
  • Degree of tumor malignancy
  • Size of the neoplasm
  • Density of the meningioma (some tumors become very dense due to ossification)
  • Patient's health condition and neurological status

The surgical treatment of meningioma can be technically challenging, so the operation must be performed in a well-equipped neurosurgical department, by experienced specialists. With a location of the tumor in the hard-to-reach region, there is a high risk of damaging large vessels with severe bleeding, as well as damaging cranial nerves, and functionally important areas of the brain.

How is surgical treatment performed

The patient undergoes a preoperative examination. In addition to standard procedures aimed at assessing general health state, an MRI or CT scan of the brain is required. In Germany, doctors use magnetic resonance spectrography, angiography, and functional MRI before surgical treatment of a meningioma. These tests help to determine the type of tumor, the peculiarities of its blood supply, and the location of functionally important areas of the brain.

Surgical treatment of meningioma requires general anesthesia. The doctor performs osteoplastic craniotomy. The maximum possible volume of the tumor is removed. In Germany, a laser is often used in the surgical treatment of meningioma. With the help of a laser the neurosurgeon cuts dense tissues and coagulates the matrix (the part of the dura mater from which the meningioma grows).

Removal of the tumor is often complicated by severe bleeding. To avoid blood loss, the doctor can perform the embolization of large vessels before starting the operation. During the surgical treatment of meningioma, the surgeon ligates and coagulates the arteries and veins.

After removing the tumor, the doctor closes the defect in the dura mater and bone using the patient's own tissues or artificial materials. In the postoperative period, MRI or CT scan is performed to reveal possible complications, assess the results of the operation and the degree of cerebral edema.

Neuronavigation and intraoperative diagnostics

If the tumor is located in the hard-to-reach region (e.g. a meningioma of the base of the skull), neuronavigation is required to remove it surgically with minimal risk of complications. In Germany, the latest equipment is used that allows visualizing the brain directly during surgery, without using a stereotaxic frame.

Neuronavigation allows the following:

  • Choosing the best surgical approach
  • Reducing the patient's preoperative preparation
  • Determining bone marks
  • Avoiding the excessive bone resection
  • Detecting vessels and nerves that are impossible to identify visually
  • Reducing the risk of damage to large arteries, veins, and cranial nerves

During the surgical treatment of meningioma, German doctors identify functionally important areas of the brain. This is required to avoid their damage. Functional mapping and electrophysiological tests are carried out in Germany to improve the safety of the operation.

Operation results

The results of surgery are assessed using the Simpson scale and are numbered from 1 to 5. Their meaning is as follows:

1 — complete removal of the meningioma along with a part of the dura mater and pathologically altered bone

2 — complete removal of the tumor with coagulation of the matrix (the area from which it grows)

3 — complete removal of the meningioma without involvement (removal or coagulation) of the zone of its growth

4 — partial removal of the tumor

5 — decompression craniotomy

Operations 1 and 2 according to Simpson scale are considered total removal of the meningioma. They provide the best results. Other surgical procedures are considered subtotal. If the tumor cannot be removed completely, doctors use radiation therapy to avoid its continued growth.

The effectiveness of surgical treatment of meningioma depends not only on the skill of the surgeon, but also on the degree of malignancy of the neoplasm.

Most tumors are benign. The risk of their recurrence after surgery is 15% during 10 years. If the meningioma is removed totally, the probability of recurrence is reduced to 4% over the same follow-up period.

About 1 of 5 patients develops an atypical (grade 2) meningioma. This tumor recurs with a probability of 30% during 3 years, 38% during 5 years of follow-up.

Anaplastic meningioma has the worst prognosis. It develops in about 1 in 100 people with such diagnosis. After performing a total tumor resection, the five-year survival rate reaches 22%. Unfortunately, it is not possible to perform the operation in the optimal volume in all patients. The overall risk of recurrence during 3 years of follow-up is 98%.

The additional treatment

The additional treatment includes radiation therapy. It is necessary to stop the growth of the tumor and / or to reduce the risk of its recurrence.

Clinical situations, when radiation therapy is indicated, depend on the degree of the meningioma malignancy:

  • Grade 1 — radiation therapy is not required, even if the operation is not performed in an optimal volume. The patient stays under medical supervision. The tumor is irradiated only if it grows.
  • Grade 2 — radiation therapy is not performed with the total removal of the meningioma, but is necessary in all cases when the doctor was unable to perform resection 1 or 2 according to Simpson scale.
  • Grade 3 — radiation therapy is always required, even with optimal meningioma removal.

Irradiation is performed once the patient has recovered. Radiation therapy is usually planned no earlier than in 4 weeks after the surgery.

The safest type of radiation that is available in Germany is proton therapy. Despite the high cost of treatment, it is preferable for meningiomas of the base of the skull and is often used in children.

Why is it better to treat meningioma in Germany?

German doctors carry out surgical treatment of meningioma more effectively and safely compared to the healthcare specialists from other countries. Here are several reasons to travel to Germany.

1. High-precision examinations for the diagnosis making. This allows doctors to determine the type of tumor, its location and shape even before the surgery. Doctors receive information about the blood vessels feeding the meningioma, located near it anatomical structures and functionally important areas of the brain.

2. Well-equipped hospitals. During the surgical treatment of tumors of the central nervous system, German doctors use modern operating microscopes, assisting equipment, and neuronavigation systems. Intraoperative diagnostics is also performed, if necessary.

3. Safety of the surgeries. Doctors in German hospitals do not strive to remove the meningioma at any cost. They pay attention to avoiding damage to large nerves, blood vessels and functionally important areas of the brain, so as not to cause severe neurological deficit and worsen the quality of patients’ life.

4. Complete cure of the meningioma. In the majority of cases, doctors in German hospitals remove the meningioma completely, together with a matrix and a part of the affected bone.

5. The latest types of radiation therapy. If radiation therapy is required after the operation, in German hospitals it is carried out using modern linear accelerators. They provide irradiation of the tumor from different angles, accurately repeating its configuration and sparing healthy tissues.

In German hospitals, the cost of treatment may be higher than in the patient's native country. Nevertheless, the high prices for the services of German doctors are quite reasonable, because in Germany you can fight the disease with minimal health risks.

Meningioma treatment in Germany with Booking Health

In order to undergo surgical treatment of meningioma, you can travel to Germany. You may use the Booking Health service to find the reliable information about hospitals, doctors, prices, methods of treating brain tumors, etc. In addition, you may compare the cost of treatment in different hospitals and book a medical program at the best price.

Booking Health will organize your trip to Germany. Services and benefits of the Booking Health company include:

  • Choosing a hospital that specializes in the surgical treatment of meningioma and performs the operation safely
  • Direct communication with a neurosurgeon who will perform surgical treatment of meningioma
  • Reducing the waiting time for treatment start and making an appointment at a convenient date
  • Reducing the cost of treatment in Germany; prices are reduced due to excluding the additional coefficients for foreign patients
  • Reliable information about your expenses, the cost of individual procedures, funds remaining in the account
  • Preparation of a treatment program for surgical treatment of meningioma without the need to repeat previously performed diagnostic procedures
  • Communication with the hospital after the completion of the medical program
  • Purchase and sending of drugs
  • Organization of additional diagnostics and treatment abroad, if necessary

Booking Health specialists provide high-quality service. We will book a hotel and airline tickets for you, organize a transfer from the airport to the hospital and back.




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