Craniotomy and surgical removal of subdural brain hematoma (program ID: 252805)

University Hospital Erlangen

location_on Erlangen, Germany
9.1/10 from 51 Votes
Specialized hospital
Michael Buchfelder

Head Physician
Prof. Dr. med.

Michael Buchfelder

Specialized in: adult and pediatric neurosurgery

Department of Adult and Pediatric Neurosurgery

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)
    • indicators blood coagulation
  • neurological examination
  • functionality x-ray 
  • CT/MRI scan
  • neuropsychological tests (on indications):
    • ENMG (electroneuromyography)
    • EEG (electroencephalography)
    • SEPs (somatosensory evoked potentials)
    • VEPs (visually evoked potentials)
    • BAEP tests (brainstem auditory evoked potential)
  • preoperative care
  • resection of subdural brain hematoma
  • blood transfusions (if needed)
  • 5-days intensive care unit stay
  • postoperative MRI control
  • symptomatic treatment
  • control examinations
  • neurorehabilitation 10 days
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation
  • developing of further guidance 

Required documents

  • Medical records
  • X-ray examination, MRI/CT scan (if available)
Type of program :
Expected duration of the program:

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About the department

The Department of Adult and Pediatric Neurosurgery at the University Hospital Erlangen 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 Chief Physician of the department is Prof. Dr. med. Michael Buchfelder.

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.

The surgical treatment is provided in four state-of-the-art operating rooms. In addition to the high-tech surgical microscopes, accurate neuronavigation systems and spinal surgery devices with the ability to perform complex 360-degree stabilization, the operating rooms are equipped with the 1.5 Tesla magnetic resonance tomography for intraoperative imaging.

The department provides outpatient medical care. There are offered many consultations, for example, on general neurosurgical pathologies, pituitary, spinal diseases, oncopathologies, epilepsy, neurovascular malformations, as well as preoperative and postoperative care. The specialists of the department annually provide their services to more than 5,500 outpatient patients with various neurosurgical diseases.

An important department’s focus is the diagnostics and surgical treatment of diseases of the nervous system in infants, young children and adolescents (in collaboration with the Department of Pediatric and Adolescent Medicine, the Department of Neuropediatrics, Pediatric Oncology). The therapeutic spectrum covers the treatment of common and rare neurosurgical diseases. The department has extensive experience in pediatric neurosurgery and offers all the relevant modern surgical treatment techniques.

The main clinical focuses of the department include:

  • Diagnostics and treatment of pituitary tumors (about 250 surgical procedures per year)
    • Microsurgical intervention
    • Endoscopic interventions
    • Operations with the use of intraoperative MRI
  • Diagnostics and treatment of acoustic neuroma
    • Monitoring of the patient in dynamics using MRI after the diagnostics
    • Radiosurgery or fractional radiation therapy
    • Neurosurgical procedure using a surgical microscope
    • Operations using intraoperative electrophysiological monitoring with recording of acoustic evoked potentials
    • Surgical interventions with facial and trigeminal nerve intraoperative stimulation
    • Surgery in the sitting position to protect facial and auditory nerves
  • Spinal surgery (more than 400 operations on the spine, including more than 100 stabilization procedures, including endoprosthetics of the vertebral bodies in all sections of the spine)
    • Microsurgery
    • Navigation surgery
    • Open interventions
  • Diagnostics and treatment of neurosurgical diseases in children of all age groups (in collaboration with the related disciplines)
  • Diagnostics and surgical treatment of epilepsy
    • Microsurgical resection of certain brain regions up to the total removal (usually temporal lobe removal)
    • Resection of specific brain regions, for example, hypocampectomy (amygdala removal)
    • Resection of the brain regions adjacent to the functionally important areas (for example, motor center, speech center, memory center, voice and visual path)
    • Removal of several lobes (multilobectomy)
    • Resection of epilepsy-related defects (tumors, scars, malformations)
    • Resection of the cerebral cortex (hemispherotomy) and its connecting structures (callosotomy), functionally important brain regions (multiple subpial transections)
    • Implantation of the vagus nerve deep stimulation system
  • Diagnostics and treatment of aneurysms
    • Open neurosurgical interventions (clipping, strengthening the aneurysm walls)
    • Neuroradiological endovascular procedures (coiling, stenting)
  • Diagnostics and treatment of hemangiomas (arteriovenous malformation)
    • Classical interventions
    • Neuroradiological endovascular procedures (embolization, radiosurgery)
    • Combination therapy (in rare cases)
  • Skull base surgery
    • Surgery in a sitting position
    • Intraoperative echocardiography
    • Electrophysiological monitoring
    • CUSA device (ultrasound aspiration system for the treatment of severe tumors)
    • Endoscopy
    • Microscopy
    • Intraoperative imaging
    • Neuronavigation
    • Laser surgery
    • Preoperative functional imaging
    • 5-ALA fluorescence diagnostics
    • Highly specialized, postoperative neurosurgical intensive care
  • Diagnostics and treatment of neurovascular compression syndromes (for example, trigeminal neuralgia, hemifacial spasm)
  • Intraoperative MRI and neuronavigation
    • Recurrence of pituitary adenoma
    • Brain tumors (low and high-grade gliomas) with unclear boundaries
    • Epilepsy surgery
    • Invasive diagnostics (implantation of electrodes in the brain) to accurately determine the localization of the epileptic focus
    • Brain neoplasm biopsy in hard-to-reach regions
  • Neurosurgical intensive care (early detection and treatment of brain and spinal cord dysfunctions associated with traumatic brain injury and spinal cord injury, intracranial hemorrhage or inflammation of the central nervous system and spinal cord)
  • Treatment within the framework of clinical trials
  • Other medical services

Photo of the doctor: (c) Universitätsklinikum Erlangen 

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