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Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy (139341) | University Hospital for Neurosurgery Salzburg - 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 epileptogenic foci&nbsp;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<\/strong> 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.<\/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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Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy

University Hospital for Neurosurgery Salzburg

Salzburg, Austria
Program id # 139341
Doctor photo
Prof. Dr. med. Peter A. Winkler
Department of Neurosurgery
Specialized in: 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

Tumor formation of the brain and spinal cord, vascular diseases of the central nervous system and degenerative diseases of the spine are also treated here.

A team of professionals consisting of physicians, physiotherapists, occupational therapists, speech therapists, nurses, and administrative staff are headed by a University Professor, MD Peter A. Winkler.

The clinic has several departments, such as:

  • Department of Spine Diseases
  • Department of Vascular Diseases
  • Department of Hydrocephalus and Shunting
  • Department of Tumor Diseases

The list of diseases and conditions which are treated in the clinic:

  • Tumors of the brain and spinal cord
  • Brain, skull injuries, and their consequences
  • Bleeding in the brain and spinal cord
  • Vascular diseases of the brain and spinal cord, such as aneurysms, vascular malformations, arteriovenous fistula, etc.
  • Hydrocephalus
  • Diseases of the spine
  • Movement disorders such as Parkinson's disease and cerebellar tremor
  • Pituitary diseases such as pituitary adenoma, craniopharyngioma, and Rathke Cleft Cyst
  • Trigeminal neuralgia
  • Epilepsy
  • Neurological diseases in children

Thanks to the continuous professional development of physicians and medical staff, advanced technologies and treatment methods are used here. In the treatment of neurological diseases here applies microsurgery, neuronavigation, neuromonitoring, minimally invasive surgery, endovascular surgery, surgery of intervertebral discs, lumbar and cervical spine stabilization surgery, kyphoplasty, stereotactic and functional neurosurgery, epilepsy surgery, electrical stimulation of the vagus nerve.

Photo of the doctor: (c) Uniklinikum Salzburg


About hospital

University Clinic of Neurology specializes in the surgical treatment of acute and chronic diseases of the central and peripheral nervous system, its blood supply, and nerve sheaths, as well as in preoperative and postoperative care for patients. Tumor formation of the brain and spinal cord, vascular diseases of the central nervous system and degenerative diseases of the spine are also treated here.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The Salzburg University Hospital pays special attention to caring for its patients. The rooms have the facilities to guarantee the most pleasant stay for the patients. Each room has an en-suite bathroom with a shower and a toilet equipped to meet the needs of people with disabilities. The unique orthopaedic mattresses on the hospital beds provide the best support for the spine. The bedside stands can be easily transformed into a table. Be free to ask the medical personnel if you need to connect to the Internet.
The hospital offers single and double rooms. If you choose a single room, an accompanying person will be able to stay with you. A double room is shared with a patient of the same gender.
The enhanced comfort rooms are equipped with a safety box, a fridge and upholstered furniture.

Meals and Menus

The patient and the accompanying person are offered a daily choice of three menus. If you are on a specific diet for any reason, 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 clinic hotel or a hotel of your choice during the outpatient program. Our manager will help you choose the best option.