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Neurosurgery: Prolactinoma (hyperprolactinemia) — Diagnosis and conservative treatment. 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 Frankfurt

9.5/10 from 97 Votes

Department of Gastroenterology, Pneumology and Endocrinology

Conservative treatment of prolactinoma #278075

The Department of Gastroenterology, Pneumology and Endocrinology is the department №1 at the University Hospital Frankfurt. Its focuses include gastroenterology and  hepatologym  pneumology and allergology, endocrinology and diabetology as well as nutritional medicine.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
certificate

Price 3439.00

Städtisches Klinikum Neuperlach

9.8/10 from 11 Votes

Department of Endocrinology, Diabetology, Angiology and Internal Medicine

Conservative treatment of prolactinoma #275673

The department of endocrinology, diabetology, angiology and internal medicine treats patients with endocrine disorders, diabetes and vascular diseases. In addition, the clinic offers the first aid of all internal medicine emergency patients.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

Price 2635.00

Hannover Medical School, MHH

9.8/10 from 43 Votes

Department of Gastroenterology, Hepatology and Endocrinology

Conservative treatment of prolactinoma #278137

The clinic of gastroenterology, hepatology and endocrinology offers both outpatient and inpatient treatment. The range of medical services covers the intestines and liver disease, endocrinology, metabolism and diabetes. Medical care and high-quality patient care are the fundamental principles of our clinic.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Price 2911.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of Endocrinology, Diabetes and Preventive Medicine

Conservative treatment of prolactinoma #282664

The Department of Endocrinology, Diabetes and Preventive Medicine of the University Hospital Cologne in Germany deals with all diseases in the fields of endocrinology, diabetology and metabolic diseases as well as preventive medicine issues.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 2807.00

Charite University Hospital Berlin

9/10 from 95 Votes

Department of Endocrinology and Metabolic Diseases

Conservative treatment of prolactinoma #275534

The Department of Endocrinology and Metabolic Diseases at the University Hospital Charité Berlin includes endocrinology, metabolic disease and lipid metabolism. The director of the department is Prof. Dr. med. J. Spranger.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 4135.00

RWTH University Hospital Aachen

8.7/10 from 41 Votes

Department of Gastroenterology, Metabolic Disorders and Internal Intensive Medicine

Conservative treatment of prolactinoma #282714

The Department of Gastroenterology, Metabolic Disorders and Internal Intensive Medicine at the University Hospital Aachen deals with the treatment of patients with diseases of the gastrointestinal tract including liver, gallbladder and pancreas, as well as adult patients with metabolic diseases.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificate

Price 2847.00

University Hospital Münster

8.8/10 from 78 Votes

Department of Gerneral Internal Medicine, Gastroenterology and Metabolic Disorders (Medical Department B)

Conservative treatment of prolactinoma #282384

The Department of General Internal Medicine, Gastroenterology and Metabolic Disorders (Medical Department B) at the University Hospital Münster offers a wide range of services in the treatment of internal organs with a focus on gastrointestinal diseases (gastroenterology).


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Muenster

Price 3269.00

University Hospital Halle (Saale)

9.6/10 from 78 Votes

Department of Nephrology, Rheumatology, Endocrinology and Diabetology (Department of Internal Medicine II)

Conservative treatment of prolactinoma #296877

The Department of Internal Medicine II at the University Hospital of Halle (Saale) includes such focuses as nephrology (kidney disease and high blood pressure), rheumatology, endocrinology as well as metabolic disorders.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Halle

Price 2797.00

Essen University Hospital

9.6/10 from 23 Votes

Department of Endocrinology and Metabolic Disorders

Conservative treatment of prolactinoma #290295

The Department of Endocrinology and Metabolic Disorders at the Essen University Hospital treats patients with diseases of the hormone producing glands and metabolic disorders in accordance with the modern diagnostic and treatment standards.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 2859.00

Gummersbach District Hospital of the Klinikum Oberberg

9.6/10 from 23 Votes

Department of Internal Medicine I (Diabetology, Gastroenterology, Infectious Diseases, Cardiology, Nephrology and Dialysis, Pneumology)

Conservative treatment of prolactinoma #285384

The Department of Internal Medicine I at the Klinikum Oberberg in Gummersbach provides treatment to patients with all diseases from the field of internal medicine apart from drug treatment of malignancies (cancer) and blood disorders.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Gummersbach

Price 2377.00

Salem-Spital

9.6/10 from 29 Votes

Center of Diabetes Consulting

Conservative treatment of prolactinoma #282268

In Center of Diabet Consulting of Salem-Spital, advices are solution- and resource-oriented and individually tailored to the patient's needs.  The promotion of empowerment is also an important part of our countseling session.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Switzerland
location_searchingCity: Bern

Hospital Hildesheim

9.5/10 from 23 Votes

Department of Gastroenterology, Oncology, Palliative Medicine, Rheumatology, Infectiology, Diabetology and Endocrinology

Conservative treatment of prolactinoma #284097

Department is focused on treatment of gastrointestinal tract, liver and pancreas diseases. Also, the priority is the treatment of infectious diseases (including tuberculosis), rheumatic diseases, metabolic diseases and cancer.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Hildesheim

Price 2612.00

University Hospital Dusseldorf

9.5/10 from 71 Votes

Department of Endocrinology and Diabetology

Conservative treatment of prolactinoma #282591

The Department of Endocrinology and Diabetology at the University Hospital Dusseldorf  deals with general endocrinology, general diabetology and metabolism.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Duesseldorf

Price 3354.00

UKGM Gießen

9.5/10 from 35 Votes

Department of Endocrinology, Diabetology and Metabolic Medicine

Conservative treatment of prolactinoma #282028

The department of internal medicine III includes general internal medicine, especially emphasis on endocrinology, diabetology, metabolism and nutritional medicine.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Giessen

Price 2634.00

University Hospital Bonn

9.2/10 from 150 Votes

Department of Gastroenterology, Hepatology, Nephrology, Infectious Diseases, Endocrinology and Diabetology

Conservative treatment of prolactinoma #278146

The Department of Internal Medicine I offers diagnosis and treatment of all internal diseases. The priority treatment areas include: diseases of liver, biliary tracts, stomach and intestines, malignant tumors of the gastrointestinal tract, kidney diseases, infectious diseases, hormonal and meta...


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Bonn
certificate

Price 3405.00

DKD HELIOS Klinik Wiesbaden

9.2/10 from 5 Votes

Department of Endocrinology and Diabetology

Conservative treatment of prolactinoma #283105

The Department successfully diagnoses all the endocrine diseases, but here no neurosurgery operations are conducted. The specialists of this department are especially specialized in the treatment of disorders of the anterior pituitary gland, parathyroid gland, as well as osteopenia, osteoporosis and hypertension.


Duration 3 days
Type of Treatment: Outpatient
location_onCountry: Germany
location_searchingCity: Wiesbaden

Price 2723.00