University Hospital Würzburg

Würzburg, Germany

Treatment of brain av-malformation with partial resection and coiling (program ID: 226959)

Ralf-Ingo Ernestus

Head Physician
Prof. Dr. med.

Ralf-Ingo Ernestus

Department of Neurosurgery and Pediatric Neurosurgery

Specialized in: neurosurgery, pediatric neurosurgery
About the department keyboard_arrow_down

The Department of Neurosurgery at the University Hospital of Würzburg was founded in 1934 and is the first independent Department of Neurosurgery in Germany. With current 90 beds, the Department is headed by Prof. Dr. med. Ralf-Ingo Ernestus. Operative microneurosurgical treatment and researches are focused on neuro-oncology, skull base surgery, vascular neurosurgery, spine diseases, intraoperative monitoring and neuronavigation. 

The Department of Neurosurgery at the University Hospital of Würzburg treats patients with all diseases of the brain, spinal cord, spine and peripheral nerves. There are treated adults, infants and children. An experienced medical team of the Department under the direction of Prof. Dr. med. Ralf-Ingo Ernestus annually provides diagnosis and counseling to over 5,600 patients. 

Five state-of-the-art operating rooms at the University Hospital of Würzburg are used for surgery in patients with cerebral hemorrhage, tumors of the brain, spinal cord and brain injuries. Surgery is performed in correspondence with all the latest principles. In addition to minimally invasive and endoscopic techniques, there are also used neurosurgical techniques, such as brainstem stimulation, hearing implants, neurostimulation for Parkinson’s disease, tremor and dystonia, as well as nerve transplantation. There are also used all modern intraoperative imaging and navigation methods. The Sections of Neurotraumatology and Neurosurgical Intensive Care Medicine at the Department of Neurosurgery are ready to provide medical care day and night. 

The Department of Neurosurgery under the direction of Prof. Dr. med. Ralf-Ingo Ernestus maintains intensive cooperation with the Section of Neuroradiology, while providing combined interventional and surgical medical care upon vascular abnormalities. To provide an optimal treatment, the Department cooperates with the Departments of Neurology, Otolaryngology, Maxillofacial Surgery, Radiation Therapy and Ophthalmology at the University Hospital Würzburg. 

The Section of Pediatric Neurosurgery closely cooperates with the Department of Pediatric and Adolescent Medicine. There is offered specialized counseling on the issues related to neuro-oncology, spine, neurofibromatosis, movement disorders (incl. Parkinson’s disease), pains, peripheral nerves, pituitary and spinal anomalies. 

The main clinical focuses of the Department of Neurosurgery at the University Hospital of Würzburg are:

  • Oncological diseases
    • Brain tumors
    • Spine tumors
  • Vascular disease of the brain and spinal cord
    • Aneurysms
    • Angiomas
  • Spine diseases
    • Herniated discs
    • Spinal stenosis
    • Slipped vertebrae (spondylolisthesis)
    • Spinal tumors
  • Hydrocephalus
  • Peripheral nerves
  • Stenosis

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 


Type of program :
Expected duration of the program:

The program includes:

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