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Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy (226939) | University Hospital Würzburg - BookingHealth
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Deep brain stimulation (DBS) and implantation of neurostimulator in epilepsy in University Hospital Würzburg

University Hospital Würzburg

Würzburg, Germany
Program id # 226939
Doctor photo
Prof. Dr. med. Ralf-Ingo Ernestus
Department of Adult and Pediatric Neurosurgery
Specialized in: adult and pediatric neurosurgery
Specialization

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 Adult and Pediatric Neurosurgery at the University Hospital Würzburg offers the diagnostics and treatment of the entire spectrum of neurosurgical diseases. The department specializes in the treatment of brain tumors, vascular diseases and intracerebral hemorrhages, spinal diseases, deep brain stimulation, etc. Special competence lies in the field of pediatric neurosurgery. The department offers the very latest highly accurate and minimally invasive treatment methods. The department is headed by Prof. Dr. med. Ralf-Ingo Ernestus.

One of the main activities of the department is the surgical treatment of brain tumors. With the help of the very latest methods, it treats the whole spectrum of brain tumors, as well as tumors of the meninges, pituitary, brain metastases, CNS lymphomas or tumors of the cranial nerves (for example, an acoustic neuroma). In the treatment of brain neoplasms, there is maintained active cooperation with the Departments of Neuroradiology, Radiation Therapy, Neurology, Oncology, Nuclear Medicine, etc.

The department performs microsurgical interventions to treat the vessels of the brain and spinal cord. When performing these interventions, the doctors use various imaging methods that promote the best possible accuracy and safety for patients. For example, intraoperative vascular imaging is performed using fluorescein angiography. 3D-angiography methods, such as the innovative O-arm angiography system, provide accurate three-dimensional images with minimal radiation exposure.

The department ranks among the leading Pediatric Neurosurgery Centers in Germany. The offered service spectrum includes the treatment of all neurosurgical diseases, tumors, malformations, injuries in children and adolescents of all age groups. The department specializes in the treatment of CNS tumors, skull pathologies (various types of craniostenosis), as well as spine and spinal cord malformations (spina bifida). Other focuses are on the correction of impaired circulation of the cerebrospinal fluid (hydrocephalus), treatment of traumatic brain injuries and vagus nerve stimulation (VNS therapy) in epilepsy. In addition, the department has an exceptional experience in the treatment of very rare diseases.

The diagnostic and therapeutic spectrum of the department includes the following options:

  • Brain tumors
    • Gliomas (primary brain tumors)
    • Meningiomas
    • Acoustic neuroma or vestibular schwannoma
    • Pituitary tumors
    • Brain metastases
  • Spinal tumors
    • Primary spinal tumors
    • Spinal meninges tumors
    • Nerve sheath tumors
    • Tumors of the spinal bone structures
  • Vascular diseases and intracerebral hemorrhages
    • Aneurysms
    • Vascular malformations (angiomas and atrioventricular fistulas)
    • Intracerebral hemorrhages
  • Spinal diseases
    • Degenerative diseases of the cervical, thoracic and lumbar spine (herniated intervertebral discs, spinal stenosis, vertebral displacement, vertebral body fracture, etc.)
    • Vascular diseases (arteriovenous malformations / angiomas, atrioventricular fistulas, etc.)
    • Spinal tumors (spinal cord tumors, meningiomas, neuromas, metastases)
    • Infectious diseases (spondylodiscitis, osteomyelitis, intraspinal abscesses)
    • Spinal injuries
    • Chronic spinal pain
  • Enlargement of the brain ventricles (hydrocephalus)
  • Peripheral nerves
    • Nerve ending injuries
    • Impingement syndromes
  • Deep brain stimulation in movement disorders
  • Pediatric neurosurgery
    • CNS tumors
    • Skull pathologies (various types of craniostenosis)
    • Spine and spinal cord malformations (spina bifida)
    • Impaired cerebrospinal fluid circulation (hydrocephalus)
    • Treatment of traumatic brain injuries
    • Vagus nerve stimulation (VNS therapy) in epilepsy
  • Diagnostics and treatment of other neurosurgical diseases, malformations and injuries in adults and children

Photo of the doctor: (c) Universitätsklinikum Würzburg 

About hospital

According to the FOCUS magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals!

The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and advanced expert experience. The hospital is the maximum care medical center and covers all fields of modern medicine. The hospital has an impeccable international reputation and treats a large number of patients from other countries every year.

A distinctive peculiarity of the hospital is active interdisciplinary cooperation. A large number of diseases are diagnosed and treated within the specialized centers, which medical teams rely on the unique experience of treatment of a wide variety of clinical cases. For example, such centers include the General Cancer Center, the Stem Cell Therapy Center, the Breast Health Center, the Gastrointestinal Center, the Thoracic Surgery Center, etc. In total, the hospital has more than 40 centers of this kind. Therefore, the patients of the hospital are confident that they will be offered the most relevant treatment in accordance with the very latest medical recommendations.

In addition to the most advanced achievements and methods of modern medicine, the medical team of the hospital makes every effort to create a comfortable, friendly atmosphere, which promotes patient well-being and recovery.

Photo: (с) depositphotos

Accommodation in hospital

Patients rooms

The patients of the University Hospital Würzburg live in comfortable rooms made in a modern design and bright colors. The patient room includes a bed with a remote control, a bedside table with a sliding table, a wardrobe, a TV. The patient rooms have the possibility of Internet connection. The enhanced-comfort rooms are equipped with a safe, a fridge and upholstered furniture.

Meals and Menus

The patients of the hospital are offered a varied and tasty three meals a day. There is a daily choice of several menus, including a dietary one. In case of intolerance to any food, please inform the medical staff about your food preferences in advance. After that, you will be offered an individual menu. Also, the hospital houses the cafes and cafeterias with a wide assortment of drinks, fresh pastries, fresh salads, sweets and other dishes.

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.