Treatment of brain av-malformation with partial resection and coiling (program ID: 406432)

University Hospital Saarland Homburg

location_on Homburg, Germany
9.8/10 from 28 Votes
Specialized hospital
Joachim Oertel

Head Physician
Prof. Dr. med.

Joachim Oertel

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
  • partial resection of the av-malformation with
    subsequent coiling
  • histologically examination of the remote tissues
  • blood transfusions (if needed)
  • 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 


Required documents

  • Medical records
  • MRI/CT scan (if available)
  • MR/CT-angiography (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 Saarland offers the full range of services in this medical focus and specializes in the surgical treatment of all diseases of the central and peripheral nervous system in adults and children. The department is headed by Prof. Dr. med. Joachim Oertel.

The department has 64 beds, 4 state-of-the-art operating rooms, including an integrated stereotaxic operating room for diagnostic and therapeutic procedures. Treatment is provided by a competent team of surgeons in accordance with the highest standards and recommendations of the professional societies.

The range of medical services of the department includes:

  • Vascular neurosurgery
    • Treatment of cerebral aneurysms
    • Treatment of cavernous hemangiomas
    • Treatment of arteriovenous malformations (angiomas) and dural arteriovenous fistulas
    • Treatment of circulatory disorders due to vascular occlusion or narrowing
    • Treatment of Moyamoya disease
    • Treatment of other vascular pathologies
  • Treatment of brain tumors
    • Pituitary gland adenoma
    • Craniopharyngioma
    • Meningioma
    • Chordoma
    • Rathke's cleft cyst
    • Other neoplasms
  • Hydrocephalus treatment
    • Intracranial pressure measurement (telemetry methods)
    • Shunt implantation
    • Endoscopic third ventriculostomy
    • Other treatments
  • Treatment of spinal diseases
    • Treatment of herniated intervertebral discs
    • Treatment of spinal stenosis
    • Stabilizing procedures for degenerative diseases of the spine
    • Surgical treatment of spinal injuries, inflammatory processes and tumors
    • Treatment of spinal cord and spinal canal tumors
    • Endoscopic surgery
    • Other services
  • Treatment of arachnoid cysts
  • Treatment of vestibular schwannomas (acoustic neuromas)
    • Surgical removal of the neoplasm
    • Targeted tumor irradiation (radiosurgery)
    • Monitoring of tumor progression in its slow growth (especially in elderly or high-risk patients)
    • Other treatments
  • Treatment of peripheral nerve compression syndromes
    • Carpal tunnel syndrome
    • Cubital tunnel syndrome
    • Other compression syndromes
  • Stereotaxy
    • Stereotactic biopsy
    • Deep brain stimulation
  • Pediatric neurosurgery
    • Hydrocephalus treatment
    • Treatment of brain tumors in children (for example, pilocytic astrocytoma, medulloblastoma, ependymoma)
    • Craniosynostosis treatment
    • Treatment of spina bifida
    • Treatment of other pediatric neurosurgical diseases
  • Special methods of preoperative planning and intraoperative techniques for the treatment of intracranial lesions
    • Preoperative navigated transcranial magnetic stimulation (nTMS)
    • Preoperative diffusion tensor imaging (tractography)
    • Intraoperative neuronavigation
    • Intraoperative neuromonitoring, as well as cortex and subcortical intraoperative stimulation
  • Other medical services

Curriculum vitae

Prof. Dr. med. Joachim Oertel began his career in 1989 with studying medicine at the Hannover Medical School and at the Harvard Medical School in Boston. After receiving his doctor’s degree, he began working at the Neurosurgical Clinic at the Ernst Moritz Arndt University. After receiving the title of a Medical Specialist and completing habilitation at the Hannover Medical School, in 2006 he took the position of the leading Senior Physician in the municipal hospital Nordstadtkrankenhaus, Hannover. Since October 2008, he held the position of the leading Senior Physician in the Department of Neurosurgery at the University Hospital Mainz. On December 1, 2010, Prof. Dr. med.  Joachim Oertel was appointed as a Full Professor and Head of the Department of Adult and Pediatric Neurosurgery at the University Hospital Saarland.

Photo of the doctor: (c) Universitätsklinikum des Saarlandes

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