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Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy (138499) | University Hospital Muenster - BookingHealth
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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;\">EEG (if available)<\/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>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 epilepsy&nbsp;with deep brain stimulation\u200b and installation 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\n<p>&nbsp;<\/p>\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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Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy

University Hospital Muenster

Muenster, Germany
Program id # 138499
Doctor photo
Dr. med. Angela Brentrup
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 Muenster offers the full range of surgical treatment of diseases of the nervous system in children. The department's priorities include the treatment of brain tumors, spina bifida, hydrocephalus, epilepsy. The experienced pediatric neurosurgeons work with young patients, they use all modern medical advances in their practice in order to ensure the effective treatment and prevention of the subsequent pathological changes in children. A huge role in the treatment success is played by an accurate diagnostics, therefore the department offers all advanced examinations of the nervous system, adapted to the children's needs. The department is headed by Dr. med. Angela Brentrup.

Many treatment methods for neurosurgical diseases in children are similar to those used in adults. However, some nervous system diseases in children require a special approach, for example, in the case of spina bifida (dysraphia). If the newborn's health condition allows, the defect should be eliminated as soon as possible. The timely treatment will help to prevent the risk of developing life-threatening inflammatory processes. The severe types of dysraphic disorders can lead to dropsy of the brain (hydrocephalus). The optimal treatment method is the emergency removal of excess cerebrospinal fluid through external drainage in the lateral ventricle. In prolonged treatment, the drainage tube is placed under the skin, to the right atrium or into the abdominal cavity. The subsequent systemic treatment of young patients with bypass surgery is carried out on an outpatient basis.

The surgical treatment of brain tumors in children is carried out using the very latest technologies, for example, doctors widely use neuronavigation, intraoperative radiation therapy. In the case of removal of brain tumors, the most important task of the surgeon is to maximally remove the pathological tissue and preserve the healthy brain structures, since their damage can lead to irreversible consequences. That is why doctors use 5-ALA drug, which accumulates in tumor cells and is a reliable guide during the surgery. Thus, the doctors can achieve an optimal tumor detection. In the treatment of some tumors (for example, gliomas), it is not enough to perform a single surgical intervention. Therefore, the patient is additionally prescribed radiation and/or chemotherapy.

The service range of the department includes the diagnostics and surgical treatment of the following nervous system diseases in children:

  • Brain tumors
  • Dropsy of the brain (hydrocephalus)
  • Craniosynostosis
  • Malformations
  • Congenital vascular malformations
  • Epilepsy
  • Traumatic brain injuries
  • Spina bifida
  • And other diseases and pathological conditions

Photo of the doctor: (c) Universitätsklinikum Münster 


About hospital

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals!

The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most advanced diagnostic and therapeutic capabilities ensuring the first-class medical services. The hospital integrates more than 30 specialized departments, as well as numerous institutes and centers, thus representing all the specialties of modern medicine. The hospital treats more than 64,000 inpatients and 500,000 outpatients every year, which  is an indisputable evidence of the highest quality of medical services.

The medical team of the hospital, consisting of more than 10,000 employers, is committed to preserving the physical health of patients, providing them with psychological support and compassionate attitude throughout the entire therapeutic process.

The hospital has succeeded in all specialties of medicine, however, main areas of its specialization include oncology, treatment of cardiovascular, neurological diseases, transplant medicine, psychiatry and psychosomatics, pediatrics with a special focus on rare diseases in children, traumatology, orthopedics, prenatal medicine, and reproductive medicine. In addition, key importance is given to scientific research and training of medical students, so that the specialists of the hospital make a momentous contribution to the development of medicine as a whole.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Hospital Muenster live in single or double rooms. The rooms are made in bright colors and modern design. Each room has an ensuite bathroom with shower and toilet. The standard room includes an automatically adjustable bed, a bedside table, a table and chairs for receiving visitors, a telephone and a TV. The hospital offers access to the Internet. If desired, the patient can also stay in the enhanced-comfort room.

Meals and Menus

The patients of the hospital are offered a tasty and balanced three meals a day: breakfast, lunch and dinner. The menu always features diet and vegetarian dishes. If for any reason you do not eat all the food, you will be provided with 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

Religious services are available upon request.

Accompanying person

During the inpatient program, an accompanying person may stay with you in a 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.

  • Stereotactic radiotherapy, including intracranial one
  • Thulium and holmium laser enucleation of the prostate
  • HIPEC for peritoneal cancer
  • Imlantation of mechanical heart support systems
  • Assisted reproductive technologies

These are arthrosis and sports injuries of the joints, benign neoplasms and malignant tumors of various localizations, spinal injuries, osteoporosis, benign prostatic hyperplasia, urolithiasis, inflammatory bowel disease and other pathologies.

  • Traumatology and hand surgery
  • Urology
  • General and abdominal surgery
  • Cardiology and cardiac surgery
  • Obstetrics and gynecology

The hospital's team consists of more than 10,000 highly qualified employees.