The Neurological Clinic is part of the Neuro-Center, located at the Salzdahlumer Strasse. In close collaboration with the Neurosurgery (Chief Physician Prof. Dr. Sollmann), Radiology / Neuroradiology (Chief Physician Prof. Dr. Schörner), Cardiology (Chief Physician Dr. Heintzen) and Vascular surgery (Chief Physician Dr. Harringer) departments our clinic covers the entire spectrum of neurological diagnostics and therapy.
Being the only neurological acute care clinic in Braunschweig and the surrounding area, we treat more than 4,000 inpatient cases in our 91-bed clinic per year. The clinic is spread over four stations with a nationwide certified stroke unit and neurological intensive care unit (four to five beds). Neurology in th Braunschweig maximum care hospital is one of the largest neurological clinics in North Germany.
The Stroke Unit is a special station with dedicated equipment for intensive monitoring of patients with stroke events. There they receive the optimal care in the decisive first hours to a few days after the stroke.
In addition, the following units are of a great importance for stroke care: the neurological intensive care unit (e.g. for patients requiring ventilation) as well as the interdisciplinary approach at a site with neuroradiology (e.g. for systemic and intraarterial thrombolysis, catheter thrombectomy, carotid stent, aneurysm coiling), cardiology (if surgical therapy is necessary) (e.g. for cardiac source of embolism) and vascular surgery (carotid surgery).
We are a MS center (Multiple sclerosis center) certified by the DMSG (German Multiple Sclerosis Society) and offer a broad spectrum of immunotherapy.
In our work we focus on the treatment of motion disorders, e.g. Parkinson's syndrome or dystonic disorders. We also offer botulinum toxin therapy for neurogenic movement disorders and spasticity.
The Neurological Intensive Care Unit is part of a large conservative intensive care unit operated together with the internists. Thereby it is possible to treat seriously ill patients, who are very often unconscious and need ventilation, completely within the neurology.
Neurology also treats approximately 7,000 neurological cases mainly on outpatient basis in the interdisciplinary emergency department.
A careful survey and physical examination is always required for a neurological examination. In most cases further additional examinations are necessary to classify the illness or check the course of treatment. In our clinic we offer a broad and complete spectrum of examination methods.
The first steps are clinical neurophysiological examination methods:
- Brain current measurement (electroencephalography, EEG)
- Measurement of the conduction pathways for vision (VEP, Visual evoked potential)
- for hearing (AEP, Auditory evoked potential)
- for skin sensation (SEP, Somatosensory evoked potentials) and
- for muscle innervation (transcranial magnetic stimulation, MEP (Motor evoked potentials))
- The measurement of nervous conduction velocity (neurography) and electrical muscle activity (EMG, Electromyography) as well as special reflexes (e.g. blink reflex).
- Electrooculography (EOG) detects disturbed eye movement patterns, which allows doctors to make conclusions about the functioning of different brain regions and the vestibular system (caloric).
- Event-related potentials (ERPs) also get raised, which arise from the EEG during attention and memory tasks.
The second step is the ultrasound examination of brain-supplying arteries, which allows the doctors to examine the blood flow in the veins that supply the brain and to determine dangerous vessel constrictions.
The third step is to examine the nervous fluids (cerebrospinal fluids) using a lumbar puncture. With the atraumatic puncture technique, this investigation is almost risk-free today and even temporary complaints are extremely rare. The analysis of the CSF is carried out in the clinic's own laboratory as well as in the Institute for Immunology, Microbiology and Hospital Hygiene at the Braunschweig Municipal Clinic (Chief Physician Prof. Dr. Dr. Bautsch).
In our sleep laboratory, the heart rate, the breathing curve, the muscle activity and the oxygen content of the blood are recorded (polysomnography) in addition to the brain currents. We focus here on neurological sleep disorders, e.g. narcolepsy.
The neuroradiological examinations (computer tomography, MRI, angiography) and interventions (for example, carotid stent, aneurysm coiling) are carried out at the Institute for Diagnostic Radiology and Nuclear Medicine (Chief Physician Prof. Dr. Schörner).
All treatment of neurological diseases is performed according to national and international standards. With nationally certified Stroke Unit and Neurological Intensive Care Unit, we offer the best options, especially in the treatment of neurologically severely ill patients.
For patients treated neuroradiologically and interventionally, the equipment and close proximity to the Institute for Diagnostic Radiology (Chief Physician Prof. Dr. Schörner, Senior Physician Dr. Sahl) is of great advantage. In particular, the possibility of thrombectomy is offered around the clock (24/7), in which a blood clot can be removed using a brain catheter put into the brain vein.
Patients requiring surgery can benefit from the good cooperation between neurology and neurosurgery (Chief Physician Prof. Dr. Sollmann). Both departments shade an infirmary.
In case of tumor diseases of the nervous system, radiotherapy and chemotherapy may also be necessary. This is why a cooperation with the Clinic for Radiooncology and Radiotherapy (Chief Physician Prof. Dr. Hoffmann) and with the Medical Clinic III: Oncology and Hematology (Chief Physician Prof. Dr. Krauter) is also of great importance.
Special features our clinic are its own neuropsychological services (M.Sc. J. Günther), speech and occupational therapies as well as a professional neurologically guided physical therapy that are important for the early rehabilitative treatment. However, our clinic is not a neurological rehabilitation clinic, which is why close cooperation with the regional rehabilitation clinics is available for further rehabilitative treatment.
There are special therapeutic options for neurogenic movement disorders (eg Botox outpatient clinic, see also German Heredo-Ataxia Society), special pain therapy, dizziness disorders, special neurovascular problems (certified national Stroke Unit), multicellular sclerosis (we are a MS center certified by German Multiple Sclerosis Society; DMSG), epilepsy, myasthenia (see also the German Myasthenia Society) and neurologically induced sleep disorders (see the spectrum of services).