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Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy (287656) | University Hospital Bonn - BookingHealth
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Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy

University Hospital Bonn

Bonn, Germany
Program id # 287656
Doctor photo
Prof. Dr. med. Hannes Haberl
Department of Pediatric Neurosurgery
Specialized in: pediatric neurosurgery

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • inflammation indicators (CRP, ESR)
    • TSH, fT3, fT4
    • indicators of blood coagulation
  • neurological examination
  • CT/MRI scan
  • neuropsychological tests (if indicated):
    • ENMG (electroneuromyography)
    • EEG (electroencephalography)
    • SEPs (somatosensory evoked potentials)
    • VEPs (visually evoked potentials)
    • BAEP tests (brainstem auditory evoked potentials)
  • stationary EEG monitoring
  • preoperative care
  • surgical treatment of epilepsy with deep brain stimulation​ and installation of
    neurostimulator (including the cost of neurostimulator)
  • 1-day intensive care unit stay
  • postoperative MRI control
  • symptomatic treatment
  • control examinations
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation
  • developing of further guidance

 

How program is carried out

During the first visit, the physician will conduct a clinical examination and neurological examination, and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the laboratory blood and urine tests, MRI or CT scan. Based on the results of an additional examination, the physician will clarify the localization of epileptogenic foci in the brain. After that, the preparation according to the preoperative standard will begin.

The first stage of treatment is the implantation of stimulating electrodes into the brain. The operation is performed under local anesthesia, through a small opening in the skull. You will be awake and communicating with your surgeon, so that he will be able to assess the correctness of the brain electrodes placement.

The second stage of treatment is the implantation of a neurostimulator, which will generate electrical impulses that regulate the work of the brain. Depending on the anatomical peculiarities, the surgeon will place the neurostimulator under the collarbone or in the abdomen and attach the brain electrodes to it. Typically, this operation is performed under general anesthesia.

After the completion of the operation, you will stay in the intensive care unit, under the round-the-clock supervision of physicians and nurses. When the condition becomes stable, you will be transferred to a regular ward.

Your physician will evaluate the results of the postoperative MRI and program the neurostimulator according to your individual needs. You will be able to turn the device on and off yourself. After setting up the neurostimulator, the attending physician will schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.

Required documents

  • Medical records
  • EEG (if available)
  • MRI/CT scan (if available)

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About the department

The Department of Pediatric Neurosurgery at the University Hospital Bonn offers the full range of surgical treatment of diseases of the central and peripheral nervous system. The department also specializes in the treatment of rare neurosurgical pathologies in children, and therefore collaborates with the specialized medical facilities all over the world. The department's tasks include counseling and treatment of adult patients who need further treatment due to the long-term effects of childhood diseases. These include, in particular, complications of meningomyelocele, spinal lipomas, hydrocephalus and spasticity.

The department is headed by one of the best neurosurgeons in Germany – Dr. med. Hannes Haberl. For over 20 years, the doctor regularly held internships in Paris, Lyon, Marseille, St. Louis, San Francisco, Chicago and San Antonio, where he received invaluable experience, mastered the classical and advanced surgical techniques. All this contributes to the highest level of medical care, which makes the department one of the best in Germany and Europe.

The department works in close cooperation with all pediatric departments of the university hospital. In addition, if necessary, pediatricians, pediatric anesthetists, specially trained intensive care doctors, experts in obstetrics, neonatology, pediatric neurology, epileptology, oncology, pediatric orthopedics and pediatric surgery are involved in the process.

It is known that the most accurate diagnostics is the key to successful treatment, so the department carries out all modern examinations, for example, MRI, CT, sonography, X-rays (all examinations are carried out using state-of-the-art equipment, which ensures minimal exposure). The department also offers functional diagnostics (electromyography, measurement of nerve conduction velocity, registration of motor and somatosensory evoked potentials, electroencephalogram). Intraoperative monitoring is widely used during the surgical treatment.

The department is part of the Bonn regional certified Center for Tumors in Children. This certification guarantees the most effective treatment of malignant diseases of the nervous system in children in accordance with the recommendations of the professional neurosurgical societies. In addition, patients can take part in the clinical trials of the very latest drugs and treatment methods.

The main clinical focuses of the department include:

Diagnostics and treatment of cerebral palsy/spasticity
  • Botulinum toxin injection therapy
  • Orthopedic interventions in severe spasticity
  • Selective dorsal rhizotomy (microsurgical intervention)
Diagnostics and treatment of craniosynostosis
  • Endoscopic decompression surgery
  • Classic reconstructive surgery
  • Fronto-orbital reconstruction
  • Frontal synostosis
  • Sagittal synostosis
  • Craniosynostosis
  • Lambda synostosis
Diagnostics and treatment of hydrocephalus
  • Ventriculoperitoneal shunting
  • Endoscopic procedures (for diagnostic and therapeutic purposes)
  • Surgical navigation
  • Ventriculostomy
Diagnostics and treatment of spina bifida (open and closed forms of the pathology) 
Diagnostics and treatment of epilepsy
  • Drug therapy
  • Surgical treatment
    • Functional deafferentation of the hemisphere of the brain
    • Selective amygdalogoppocampectomy
    • Resection of epileptogenic foci (according to preliminary individual planning of the operation)
Diagnostics and treatment of tumors of the central nervous system
  • Brain tumors
    • Pilocytic astrocytoma
    • Aggressive astrocytomas
    • Medulloblastoma
    • Ependymoma
    • Craniopharyngioma
  • Pineal tumors
    • Hermioma
    • Teratoma
    • Other tumors of this group (mixed germ cell tumors, malignant teratomas, embryonic carcinomas)
    • Pineocytoma
    • Pineoblastoma
  • Dysembryoplastic neuroepithelial tumors
  • Choroid plexus tumors
  • Spinal tumors
  • Intramedullary tumors
  • Extramedullary tumors
Diagnostics and treatment of other neurosurgical diseases in children 

Curriculum vitae

Dr. med. Hannes Haberl is one of the best pediatric neurosurgeons in Germany. The doctor has specialization in Spinal Cord Surgery in children with spasticity. In addition, he performs a unique correction of the skull deformation using the special models.

Prior to work at the University Hospital Bonn, Dr. med. Hannes Haberl made a significant contribution to the development of the Department of Pediatric Neurosurgery at the University Hospital Ulm. Previously, for ten years, he headed the Department of Pediatric Neurosurgery at the Charite University Hospital Berlin.

After studying in Germany, the doctor went to France and the United States in order to obtain qualifications and new experience in Pediatric Neurosurgery. He was trained by the best world-class specialists. Dr. Haberl mastered modern surgical techniques in Marseille, St. Louis, Chicago and San Francisco, and then returned to Germany in order to practice them and pass on his experience to other specialists.

It should be noted that the doctor in collaboration with the Department of Obstetrics and Perinatal Medicine at the University Hospital Bonn offers the treatment for spina bifida in the womb. In 2007, he performed the so-called selective dorsal rhizotomy for the first time in Germany. This complex procedure significantly reduces spasticity caused by damage to the spinal cord of newborns. When performing it, Prof. Haberl has extremely limited access to the spine. With the help of the microscope, he selectively produces excision of nerve fibers, which maintain constant muscle tension. Thus, the arc of the nervous reflex, which is the basis of spasticity is interrupted. The doctor carried out more than 140 such interventions in children and ensures the effectiveness of the manipulation.

Also, the neurosurgeon performs a unique worldwide correction of skull malformations. The key moment here is the use of special models of children's heads of normal shape, which help to calculate and create a suitable model for each operation. With the help of special tools, the skull bones can be adapted to the shape of the model up to millimeter.

Photo of the doctor: (c) Universitätsklinikum Bonn


About hospital

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany!

The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combines all the highest standards of modern university medicine of the international level. A highly competent team of experienced physicians, which consists of more than 8,000 employees from various fields, takes care of the patients’ health.

The hospital has 32 specialized departments and 23 institutes, which implement the highest standards of treatment in Germany. On their basis, in addition to  the successful clinical activities, the productive research and training of young specialists are carried out. Also, the hospital has 10 intensive care units and more than 30 cutting-edge operating rooms. They are equipped with the advanced surgical, navigation and monitoring systems, which provide sparing and the most effective surgical treatment. The total number of places for hospitalization is 1,250 beds.

The hospital presents all fields of medicine, while many of them are awarded by prestigious German and international certificates. For example, in 2007, the Comprehensive Cancer Center of the hospital became one of the four winners at the nationwide competition among Cancer Centers of Excellence. The research focuses primarily on the clinical genetics and genetic epidemiology, neurology, immunology and infectiology, hepatology and gastroenterology, and diseases of the cardiovascular system. The research findings contribute to the development of new therapeutic methods and overall improvement of treatment in Germany. 

The main value for all employees of the hospital in Germany is human health, his individual needs and wishes, therefore, despite the high-tech infrastructure, the focus remains on the human attitude and respect for each patient.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Hospital Bonn live in cozy single, double and triple rooms, designed in bright colors. The standard room furnishing includes a comfortable bed with a remote control, a bedside table, a wardrobe, a table and chairs, as well as a TV and a telephone. Each patient room is equipped with an ensuite bathroom with toilet and shower. The hospital also provides enhanced-comfort rooms.

Meals and Menus

The patients of the hospital are offered tasty and balanced three meals a day: breakfast, lunch and dinner. Every day each meal features three different menus, including a vegetarian one. If you for some reason do not eat all the food, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

Christian priests are available for the patients at any time. Representatives of other religions may be requested at any time.

Accompanying person

Your companion may stay with you in your room or at a hotel of your choice during the fixed program.

Hotel

You may stay at the hotel during the outpatient program. Our employees will support you for selecting the best option.

The hospital offers a full range of laboratory tests (general, hormonal, tests for infections, antibodies, tumor markers, etc.), genetic tests, various modifications of ultrasound scans, CT scans, MRI and PET / CT, angiography, myelography, biopsy and other examinations. Treatment with medications, endoscopic and robotic operations, stereotaxic interventions is carried out here, modern types of radiation therapy are also used. The hospital offers patients all the necessary therapeutic techniques.

  • Surgical treatment of the brain tumors, tumors of spinal cord and spine
  • Replacement of all joints, resection arthroplasty
  • Deep brain stimulation and vagus nerve stimulation in patients with epilepsy
  • Multimodal complex treatment of Parkinson disease
  • Thoracic endovascular aortic repair (TEVAR)

These are benign and malignant breast pathologies, malignant tumors of various localizations, neuromuscular diseases, stroke, retinal pathologies and various visual impairments, infertility, autoimmune diseases, epilepsy, coronary artery disease and myocardial infarction, leukemia and other pathologies.

  • Ophthalmology
  • Epileptology
  • Reproductive medicine
  • Hematology and oncology
  • Neurosurgery

Over 8,000 highly qualified doctors and other employees work at the hospital.