Functional stereotactic surgical and irradiation techniques
Prof. Hartmut Vatter is the specialist neurosurgeon in Bonn. Here, he is the Director of the Neurosurgery Clinic and Polyclinic of the University Hospital of the Rhenish Friedrich Wilhelm University, Bonn. The central concept of the Bonn Neurosurgery Department is its close co-operation with its neighbouring departments, so we are able to provide all treatment options for all the above-mentioned conditions at the highest standards and the most up to date level. In addition, the Neurosurgery Department of the University Hospital, Bonn is one of the largest facilities across the country, so we have well-founded experience in the entire range of neurosurgical conditions.
The expertise of our specialist neuroradiology colleagues in vascular neurosurgery is nationally and internationally renowned, both in the minimally invasive neurosurgical field and in interventional techniques.
Cerebral tumours of every type are treated in constant co-ordination with our neuro-oncology and radiotherapy colleagues, so that the optimum combination of minimally invasive neurosurgery, chemotherapy, radiosurgery or radiotherapy can be adapted individually for each patient with a cerebral condition in order to achieve the best possible result.
Epilepsy surgical procedures, for precise diagnosis or for the treatment of a medication-resistant epilepsy, are a focus of our facility. These are performed in close co-operation with the Epileptology Department and Bonn is one of the world’s leading centres in these techniques.
Another focus of our Department is spinal surgery, the entire range of which we are able to provide at the highest level. The range reaches from herniated discs in the region of the cervical and lumbar spine to endoscopic techniques in the region of the thoracic spine and to complex 360° stabilisation for instability of the spine of any type whatsoever. In addition, we provide surgical treatment for tumours, which may be located in the region of the bony spinal column, within the spinal canal, the nerves or the spinal cord.
One increasingly important field, in which we are also highly capable, is functional neurosurgery and stereotaxis. This field, including neuromodulation and special pain therapy, frequently represents a promising option for conventionally untreatable pain or pain that is difficult to treat. A further area of functional neurosurgery and stereotaxis is deep brain stimulation (DBS), by which intractable locomotor disorders (e.g. Parkinson’s disease, dystonia, essential tremor) and neuropsychiatric conditions (e.g. obsessive-compulsive disorders, depression, Alzheimer’s disease, Tourette’s syndrome) can be successfully treated. This, of course, requires close collaboration with our colleagues in Neurology and Psychiatry, with whom the optimum application of DBS is indicated.
Children are a particular focus in our Department. For this reason, the children of the Epileptology and the Neurosurgery Departments are nursed together in our ward. Together with specialised neurosurgeons, the children are treated by neuropaediatricians in the ward. The main conditions are epilepsies, malformation tumours and childhood cerebral tumours, for which the Pathology Department at Bonn is a Reference Centre. Together with the surgical treatment, further treatment takes place in close consultation with our own Department of Paediatric Oncology. Early childhood malformations such as open herniations or cerebral haemorrhage in the course of the birth are treated in conjunction with the Department of Obstetrics and Neonatology. Particularly for children, the option of intraoperative magnetic resonance imaging a significant advance since the postoperative examination can take place directly following the procedure and no further anaesthetic is required. Of course, the parents can also be accommodated overnight with their children during the child’s ward stay.
Computer tomography with 3-D reconstruction
Magnetic resonance imaging (also intraoperatively and under anaesthetic)
Digital rotation angiography with 3-D reconstruction
Pituitary gland surgery Acoustic neuromata Meningeomata of the base of the skull Chordomata / chondromata
Cerebral tumours (astrocytomata, ependymomata, glioblastomata) Cerebral and spinal metastases
Resection procedures (amygdalo-hippocampectomy) Malformation tumours (gangiogliomata, focal cortical dysplasia) Implantation of depth electrodes for diagnostics and cerebral stimulation Vagus nerve stimulation
Herniated discs (cervical, thoracic, lumbar spine) Ventral and dorsal stabilisation of the spine Tumours of the spine, the spinal canal and the spinal cord Inflammation of the spine (spondylodiscitis, arthritis)
Cerebral tumours (medulloblastoma, ependymoma, pilocytic astrocytoma) Malformation tumours Ossification of the cranial sutures (synostosis) Malformation of the cranium and the spinal canal (herniation, Arnold-Chiari malformation, Dandy-Walker syndrome) Hydrocephalus
The Neurosurgery Department of the University Hospital, Bonn has 4 optimally technically equipped and staffed operating theatres at its disposal. Patients are accommodated in modern furnished single or two-bed rooms. 10 monitored and 18 intensive care beds are also available. Naturally, all the medical staff speak German and English. We also have several doctors fluent in Arabic, Turkish, Greek, Romanian and Russian, so that reliable communication can always be established with patients from these cultural backgrounds. The treatment options, the entry requirements (for international patients) and a cost estimate are clarified via the administrative offices or via the “International Patient Service” of the University Hospital, Bonn.
Selected expert in the specialist field Neurosurgery