Spinal muscular atrophy diagnosis and conservative treatment (program ID: 302530)

Sana Hospital Duisburg

Specialized hospital
Wilhelm Nacimiento

Head Physician
Prof. Dr. med.

Wilhelm Nacimiento

Specialized in: neurology, early neurological rehabilitation

Department of Neurology and Early Neurological Rehabilitation

Program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • physical examination
  • neurological examination:
    • somatosensory evoked potentials
    • reflexes
    • muscle strength
    • muscle tone
    • senses of touch and sight
    • coordination
    • balance
  • laboratory tests:
    • complete blood count
    • biochemical analysis of blood
    • enzyme tests
    • inflammation indicators
    • BSG
    • creatine kinase (CK)
    • immunoelectrophoresis
    • vitamin B12, vitamin D
    • thyroid parameters
    • parathormone
    • genetic testing for bi-allelic deletion
      of exon 7 of the SMN1 gene
  • electromyography (EMG)
  • brain and neck CT/ MRI
  • muscle biopsy if indicated
  • X-ray of the chest
  • CSF puncture with nervous water examination
  • cerebrovascular doppler ultrasound
  • consultation of related specialists
  • symptomatic specific treatment (the cost of Nusinersen is not included)
  • the cost of essential medicines and materials
  • nursing services
  • control examinations
  • full hospital accommodation
  • developing of further guidance
Type of program :
Expected duration of the program:

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About the department

The Department of Neurology and Early Neurological Rehabilitation at the Sana Hospital Duisburg deals with the diagnosis and treatment of diseases of the central and peripheral nervous systems and muscular disorders. The department is headed by Prof. Dr. med. Wilhelm Nacimiento, specialist in the field of neurology, special neurological intensive care medicine. 

The main focuses of the department are diseases, such as stroke, multiple sclerosis, Parkinson's disease, Alzheimer's disease and epilepsy, as well as herniated discs and spinal cord diseases. In addition, stroke patients receive specialized medical care within the interregional certified Stroke Unit. 

The Department of Early Neurological Rehabilitation provides treatment of severely injured patients after acute injuries, such as traumatic brain injury, stroke, inflammatory and expansive processes of the central nervous system, as well as treatment of impaired oxygen supply due to the cardiovascular failure. All employees of the department aim to maintain the greatest possible independence of the patient, as well as to return him/her to a previous social environment. 

The department specializes in the treatment of the following diseases:

  • Stroke 
  • Multiple sclerosis 
  • Spinal cord diseases 
  • Central motor disorders and neurodegenerative diseases 
  • Inflammatory and immunological diseases 
  • Epilepsies 
  • Oncological diseases 
  • Traumatic injuries 
  • Metabolic, hormonal and toxic diseases 
  • Spinal diseases 
  • Palliative care 
  • Early neurological rehabilitation 

The department offers the following examination methods:

  • Clinical examination 
  • Extra- and transcranial Doppler and duplex scanning 
  • Electroencephalography (EEG) 
  • Evoked potentials (EVOP) 
  • Electromyography (EMG) 
  • Electroneurography 
  • CSF analysis 
  • Magnetic resonance imaging 
  • CT scan 
  • Electronystagmography

Curriculum vitae

Employment history

  • June 1993 – examination for the degree of medical doctor
  • From 1993 to February 2000 – hospital supervisor at  the Neurology Hospital of RWTH Aachen University (prof. dr Noth)
  • From April 1999 to February 2000 – Lead Hospital Supervisor  at  the Neurology Hospital of RWTH Aachen University
  • March 2000 - Chief Medical Officer of the Neurology Hospital at the Duisburg Hospital
  • 2001 – assigned as Associated Professor at RWTH Aachen University 
  • From 2003 – additionally assigned as Chief Medical Officer of the Early Neurological Rehabilitation Hospital at the  Duisburg Hospital 



  • Fellow of the German Neurological Society (DGN)
  • Panelist of the Board of leading hospital neurologists of  the German Neurological Society (DGN)
  • CMO Spokesman of non-university neurological institutions at the Annual  Chief Officers Annual Conference
  • Fellow of Society of Palliative Care (DGN)
  • Fellow of the German Stroke Society
  • Deputy Chief Officer of  Medical Malpractice Expert Panel of the Medical Chamber of North Rhine
  • Regional Representative of German Stroke Help Foundation 
  • Panelist of the  Quality Control Committee and peer-review group at SANA

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