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Treatment of Parkinsons disease with deep brain stimulation (DBS) and implantation of neurostimulator (107983) | Charite University Hospital Berlin - BookingHealth
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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&nbsp;foci of pathological electrical activity in the brain. After that, the preparation according to the preoperative standard will begin.<\/p>\n\n<p style=\"text-align: justify;\">The first stage of treatment is the <strong>implantation of stimulating electrodes into the brain<\/strong>. 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.<\/p>\n\n<p style=\"text-align: justify;\">The second stage of treatment is the <strong>implantation of a neurostimulator<\/strong>, which will generate electrical impulses that regulate the work of the brain. 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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.<\/p>\n<\/div><div class=\"program_required_documents mt-4\"><h4>Required documents<\/h4><ul>\n\t<li style=\"text-align: justify;\">Medical records<\/li>\n\t<li style=\"text-align: justify;\">MRI\/CT scan (if available)<\/li>\n<\/ul>\n<\/div>","program_full_story_crm":"<ul>\n\t<li>Initial presentation in the clinic<\/li>\n\t<li>clinical history taking<\/li>\n\t<li>review of medical records<\/li>\n\t<li>physical examination<\/li>\n\t<li>laboratory tests:\n\t<ul>\n\t\t<li>complete blood count<\/li>\n\t\t<li>general urine analysis<\/li>\n\t\t<li>biochemical analysis of blood<\/li>\n\t\t<li>inflammation indicators (CRP, ESR)<\/li>\n\t\t<li>TSH, fT3, fT4<\/li>\n\t\t<li>L-Dopa-Test<\/li>\n\t\t<li>indicators of blood coagulation<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>neurological examination<\/li>\n\t<li>CT\/MRI scan<\/li>\n\t<li>neuropsychological tests (if indicated):\n\t<ul>\n\t\t<li>ENMG (electroneuromyography)<\/li>\n\t\t<li>EEG (electroencephalography)<\/li>\n\t\t<li>SEPs (somatosensory evoked potentials)<\/li>\n\t\t<li>VEPs (visually evoked potentials)<\/li>\n\t\t<li>BAEP tests (brainstem auditory evoked potentials)<\/li>\n\t<\/ul>\n\t<\/li>\n\t<li>stationary EEG monitoring<\/li>\n\t<li>preoperative care<\/li>\n\t<li>surgical treatment of Parkinson&#39;s disease with deep brain stimulation and implantation of<br \/>\n\tneurostimulator (including the cost of neurostimulator)<\/li>\n\t<li>1-day intensive care unit stay<\/li>\n\t<li>postoperative MRI control<\/li>\n\t<li>symptomatic treatment<\/li>\n\t<li>control examinations<\/li>\n\t<li>the cost of essential medicines and materials<\/li>\n\t<li>nursing services<\/li>\n\t<li>full hospital accommodation<\/li>\n\t<li>developing of further guidance<\/li>\n<\/ul>\n<div class=\"program_how_program_going mt-4\"><h4>How program is carried out<\/h4><p style=\"text-align: justify;\"><strong>During the first visit<\/strong>, the physician will conduct a clinical examination and neurological examination, and go through the results of the available diagnostic tests. 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Treatment of Parkinsons disease with deep brain stimulation (DBS) and implantation of neurostimulator in Charite University Hospital Berlin

Charite University Hospital Berlin

Berlin, Germany
Program id # 107983
Doctor photo
Prof. Dr. med. Peter Vajkoczy
Department of Adult and Pediatric Neurosurgery
Specialized in: adult and 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
    • L-Dopa-Test
    • 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 Parkinson's disease with deep brain stimulation and implantation 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 foci of pathological electrical activity 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
  • MRI/CT scan (if available)

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About the department

The Department of Adult and Pediatric Neurosurgery at the Charite University Hospital Berlin 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. The Chief Physician of the department is Prof. Dr. med. Peter Vajkoczy.

The department has advanced operating rooms equipped with intraoperative imaging systems (for example, Zeego® intraoperative angiography, AIRO© intraoperative computed tomography, intraoperative magnetic resonance imaging), neuromonitoring systems, X-ray machines, surgical microscopes, etc. Thus, the department's excellent infrastructure allows surgeons to carry out simple and extremely complex interventions with the best possible accuracy and the most favorable treatment outcome.

The service range of the department includes:

  • Diagnostics and treatment of cerebrovascular diseases
    • Intracranial aneurysms
    • Circulatory disorders of the brain (bypass grafting)
    • Cerebral and spinal cord vascular malformations
      • Dural arteriovenous fistulas
      • Arteriovenous malformations
      • Cavernomas
  • Diagnostics and treatment of diseases of the spine and spinal cord
    • Degenerative spinal diseases
      • Spondyloarthrosis
      • Osteochondrosis/spondylosis
      • Spinal stenosis
      • Kyphosis and scoliosis
    • Spinal disc herniation
    • Spinal fractures
    • Spinal tumors
    • Inflammatory spinal diseases (spondylodiscitis, spondylitis)
  • Diagnostics and treatment of brain and skull base tumors 
    • Brain tumors
      • Glioblastomas
      • Astrocytomas
      • Oligodendrogliomas
    • Skull base tumors
      • Acoustic neuromas
      • Meningiomas
      • Pituitary adenoma and craniopharyngiomas
      • Brain metastases
  • Diagnostics and treatment of peripheral nerve disorders
    • Compression syndromes of the upper limbs
      • Carpal tunnel syndrome
      • Cubital tunnel syndrome and Guyon's canal syndrome
      • Thoracic outlet syndrome
    • Compression syndromes of the lower limbs and body
      • Meralgia paresthetica
      • Common peroneal nerve lesions
      • Subcutaneous nerve neuralgia (nervus saphenus)
      • Morton's metatarsalgia
      • Foot nerve compression syndrome
    • Traumatic lesions of the peripheral nerves and brachial plexus
    • Peripheral nerve tumors
    • Peripheral nerve pain syndromes
  • Functional neurosurgery
    • Deep brain stimulation in movement disorders
    • Spinal cord stimulation for the treatment of pain syndromes
    • Trigeminal neuralgia
    • Vagus nerve stimulation
  • Diagnostics and treatment of cerebrospinal fluid circulation disorders 
    • Hydrocephalus, including normal pressure hydrocephalus
    • Arnold-Chiari malformation
  • Diagnostics and treatment of neurosurgical diseases in children and adolescents
    • Hydrocephalus
      • Ventriculocisternostomy (endoscopic ventriculostomy)
      • Endoscopic plastic surgery of the brain's water system (aqueductoplasty)
      • Computer-guided endoscopy
    • Craniosynostosis (conservative and surgical treatment)
      • Simple type of pathology (with one suture)
      • Multiple craniosynostoses
      • Syndromic craniosynostoses
    • Spasticity
      • Selective dorsal rhizotomy
    • Arnold-Chiari malformation
    • Arachnoid cyst
    • Tumors of the central nervous system 
      • Low-grade astrocytomas
      • Medulloblastomas
      • Ependymomas
      • Craniopharyngiomas
      • Epiphyseal tumors
      • Malformational tumors (for example, dysembryoplastic neuroepithelial tumours, gangliogliomas, hamartomas)
      • Tumors of the spine and spinal cord (intramedullary and extramedullary tumors)
    • Spinal malformations
      • Spina bifida aperta
      • Spina bifida occulta
      • Diastematomyelia
      • Lipomyelomeningocele
      • Dermal sinus
      • Hidden spinal cord dysraphia
  • Other neurosurgical diseases in adults and children, other treatment methods

Curriculum vitae

  • Since 2008 Head of the Department of Adult and Pediatric Neurosurgery, Charite University Hospital Berlin.
  • Since 2006 Visiting Professor in Neurosurgery.
  • 2003 - 2007 Deputy Head of the Department of Neurosurgery, University Hospital Mannheim.
  • 2001 - 2002 Senior Physician, Department of Neurosurgery, University Hospital Mannheim.
  • 2001 Habilitation in Neurosurgery.
  • 1995 - 2001 Residency, Department of Neurosurgery, University Hospital Mannheim.
  • 1992 - 1996 Thesis, Institute for Surgical Research, University Hospital Grosshadern, University of Munich.
  • 1988 - 1995 Study of Medicine at the Ludwig Maximilian University of Munich.

Activities in the Scientific Societies, Honors, Awards

  • 2003 Research Award for Young Neurosurgeons of the World Federation of Neurosurgical Societies (WFNS).
  • 2003 Wolfgang Hoffmeister Award, Medical Faculty of Clinical Medicine in Mannheim, Heidelberg University.
  • 2002 Research Award, German Academy of Neurosurgery.
  • 2002 Hemedex Pioneer Investigator Award.
  • 2002 Hermann Rein Award, German Society for Microcirculation and Vascular Biology.
  • 1998 Pharmacia & Upjohn Young Investigator Award, American Association for Cancer Research (AACR).
  • 1998 Reisepreis, American Association for Cancer Research (AACR).
  • 1990 - 1995 Fellow of the German Research Foundation.

Research Focuses

  • Angiogenesis.
  • Microcirculation.
  • Acute and chronic ischemia.
  • Oncology.
  • Endothelial cell biology.

Photo of the doctor: (c) Charité – Universitätsmedizin Berlin 


About hospital

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! 

The hospital in Germany provides modern diagnostics and treatment of patients, as well as the training of practicing physicians and scientists. More than half of all German Nobel Prize winners in the field of medicine and physiology, such as Emil von Behring, Robert Koch and Paul Ehrlich, trained and worked in the hospital. The structure of the medical complex includes over 100 specialized departments and institutes, which allows the doctors to guarantee their patients' services in all the existing medical fields. The hospital in Germany has outstanding experience in treating particularly complex clinical cases.

The hospital annually diagnoses and treats more than 152,693 inpatients and about 692,920 outpatients. It also has a huge medical team consisting of 4,225 scientists and doctors and and more than 4,500 nursing staff members who provide top-class medical treatment in Germany. The key task for all specialists of the medical facility is restoring the patient's health or preserving in critical cases. At the same time, the hospital offers a friendly atmosphere, and each patient feels care, respect and sympathy.

The excellent technical medical equipment, highly skilled personnel, availability of innovative diagnostic and treatment techniques, and high ethical standards form a solid foundation for successful clinical and scientific activities. Thus, the hospital is a leading provider of high-quality treatment in Germany.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the Charite University Hospital Berlin live in comfortable rooms made of modern design. Each room is equipped with an ensuite bathroom with a toilet and a shower. The standard room furnishing includes an automatically adjustable bed, a bedside table, a wardrobe for storing clothes, a table and chairs for receiving visitors, and a TV. If desired, Wi-Fi access can be provided. The hospital also offers enhanced-comfort rooms.

Meals and Menus

The patient and his accompanying person have a daily choice of three menus. If for any reason, you do not like the food, you will be offered an individual menu. Please inform the medical staff about your dietary preferences before the treatment.

Further details

Standard rooms include:

Toilet
Shower
Wi-Fi
TV

Religion

Religious services are available upon request.

Accompanying person

During the inpatient program, an accompanying person may stay with you in a patient room or at the hotel of your choice.

Hotel

During the outpatient program, you can live at a hotel of your choice. Managers will help you to choose the most suitable options.

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.

  • Proton therapy
  • CyberKnife treatment
  • Hyperthermic intraperitoneal chemotherapy (HIPEC)
  • PSMA therapy with Lutetium-177
  • Joint replacement in adults and children

These are oncological diseases, benign neoplasms of the brain and spinal cord, heart valve defects, diabetes mellitus and its complications, joint diseases and other pathologies.

  • Neurosurgery
  • Oncology
  • Plastic and reconstructive surgery
  • Interventional radiology
  • Proton therapy (Proton Therapy Center BerlinProtonen)

The medical team includes more than 4,225 highly qualified scientists and doctors.