{"meta":{"humanUrl":"https://ru.bookimed.com/clinics/country=germany/city=bremen/procedure=hirurgicheskoe-lechenie-epilepsii/","canonicalUrl":"https://ru.bookimed.com/clinics/country=germany/city=bremen/procedure=hirurgicheskoe-lechenie-epilepsii/","jsonUrl":"https://ru.bookimed.com/clinics/country=germany/city=bremen/procedure=hirurgicheskoe-lechenie-epilepsii/data.json","title":"Хирургическое лечение эпилепсии в Бремене 2026: цены, клиники и отзывы","description":"Хирургическое лечение эпилепсии в Бремене стоит от $40,000. Сравните 2 клиники: цены, врачи и отзывы пациентов. 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Отличная палата, замечательный хирург доктор Вольфганг Дилленбург и зав. отделением проф. Эдуард Бехт. Протокольное обследование на хорошей аппаратуре, доброжелательные доктора, прекрасный послеоперационный уход. Больше всего удивило, что проф.Бехт лично дважды в день совершал обход: утром с мед.персоналом, во второй половине дня один. А в общем все заточено под долгую полноценную жизнь. Я очень довольна. Что ещё понравилось: пациенту все детально разъясняют, предлагают несколько путей решения проблемы. Это здорово!","en":"The clinic operated on the father (oncology and urology). Excellent chamber, a wonderful surgeon Dr. Wolfgang Dillenburg and head. Department of prof. Edward Becht. Protocol examination on good equipment, friendly doctors, excellent postoperative care. Most of all I was surprised that Prof. Bekht personally made a detour twice a day: in the morning with medical staff, in the afternoon one. But in general, everything is sharpened by a long full life. 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Thanks her."},"order":{"illness":{"id":42,"name":{"ru":"Межпозвоночная грыжа","en":"Herniated disk"}},"diagnostic":{"id":42,"name":{"ru":"Консультация нейрохирурга","en":"Consultation with a neurosurgeon"}}},"clinic_info":{"id":136,"name":"Клиника Нордвест (Nordwest)","alias":"klinika-nordvest","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2018-08-18T06:09:05.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":false},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ru":"&quot;В целом впечатление положительное.&quot;","en":"\"In general, the impression is positive.\""}}},{"id":6158,"user":{"id":153959,"name":"Ульви ","country_code":"AZ","country_name":{"ru":"Азербайджан","en":"Azerbaijan"}},"ratings":[{"name":"main","value":2},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":0},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ru":"Выписываемся с больницы, будем поддерживать связь с этим врачем. 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Врач проводит диагностику и лечение всех форм эпилепсии, принимает пациентов с наиболее редкими и сложными диагнозами. Частную практику Антонио Русси начал в Институте неврологии и нейрохирургии Барселоны. С 1987 года он занимается диагностикой и лечением сложных случаев эпилепсии у пациентов всех возрастов, включая программу хирургического лечения.\n\nПрофессор участвует в организации международных конгрессов и конференций, клинических исследованиях новых противоэпилептических препаратов.","advisoryText":"Профессор Антонио Русси — лучший эпилептолог Европы. Врач проводит диагностику и лечение всех форм эпилепсии, принимает пациентов с наиболее редкими и сложными диагнозами. Частную практику Антонио Русси начал в Институте неврологии и нейрохирургии Барселоны. С 1987 года он занимается диагностикой и лечением сложных случаев эпилепсии у пациентов всех возрастов, включая программу хирургического лечения.\n\nПрофессор участвует в организации международных конгрессов и конференций, клинических исследованиях новых противоэпилептических препаратов.","specialities":[{"id":"nrl.001","name":"Невролог","illness_kind_id":7},{"id":"nrl.003","name":"Эпилептолог","illness_kind_id":7}]},"updatedAt":"2026-11-11T14:12:17.000Z","activeCountries":["DE","TR","CZ","PL","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":5,"days_in_country":10,"rehabilitation_days":30,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":25926}},"direction":{"id":7,"name":"Неврология","alias":"nevrologiya","name_forms":{"base_form":"Неврология","form_1":"неврологии","form_2":"неврологии","form_3":"неврологические","form_4":"невролог","form_5":"невролога","form_6":"неврологи","form_7":"неврологическую","form_11":"неврологи","form_12":"неврологов"}},"illness_kind":{"id":7,"name":{"en":"Neurology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":42,"max":90,"unit":"days","qualifier":"After resective surgery (e.g. temporal lobectomy) with desk work; 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contact sports, heavy lifting and swimming only after surgeon clearance and seizure-safety review."},"final_result_months":{"min":12,"max":24,"unit":"months","qualifier":"Seizure outcome is usually judged 1-2 years after surgery; medication taper decisions are individualized."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"After uncomplicated craniotomy, once neurosurgeon confirms stable neurological status, wound check and no seizure or CSF leak concerns."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound check and suture or staple removal."}},{"purpose":"assessment","requirement":"routine","after":{"min":60,"max":120,"unit":"days","qualifier":"Neurological review, seizure diary and medication review; often repeat MRI."}},{"purpose":"result_review","requirement":"routine","after":{"min":365,"max":730,"unit":"days","qualifier":"Seizure outcome and neuropsychological reassessment."}}],"indications":["Drug-resistant focal epilepsy (failure of two appropriately chosen antiseizure medications)","Well-localized resectable focus, such as mesial temporal sclerosis","Structural lesion causing epilepsy (e.g. tumor, cavernoma, focal cortical dysplasia)","Disabling seizures with concordant presurgical findings (video-EEG, MRI, neuropsychology)"],"main_risks":["Visual field deficit (e.g. superior quadrantanopia after temporal resection)","Memory or language decline, especially with dominant-hemisphere surgery","Infection, bleeding or stroke","Cerebrospinal fluid leak or hydrocephalus","Mood changes, depression or anxiety","Focal neurological deficit depending on resection site","Anesthesia-related risks"],"pain":"Moderate headache and incision or jaw pain in the first days, controlled with oral or intravenous analgesia; 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cognitive and mood follow-up.","restrictions":["Follow local driving rules after seizure-free interval","Avoid contact sports until cleared"]},{"phase":"Long-term follow-up (months 3-24)","description":"Seizure outcome assessment, imaging, neuropsychology and decisions on medication tapering.","restrictions":[]}],"rehabilitation_days":{"min":30,"max":90,"unit":"days","qualifier":"Ordinary functional recovery after resective surgery such as temporal lobectomy; formal therapy only if a deficit exists."},"result_longevity":"Seizure freedom after resective surgery is often long-lasting, with roughly 50-70% of temporal lobe cases seizure-free at 5 years. Late relapses occur in some patients; durability depends on epilepsy type, lesion and completeness of resection.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat resective surgery for persistent or recurrent seizures within several years; rare early reoperation for bleeding or infection."},"scars":"Curved or linear scalp incision, usually in the hairline or behind it, healing to a thin scar largely hidden by hair; temporary shaved area possible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One resective operation after completed presurgical evaluation; invasive monitoring, when needed, is a separate preceding stage."},"stages":[{"code":"resection","label":"Resective surgery (e.g. anterior temporal lobectomy) under general anesthesia","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Typical single-stage resection; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Seizure freedom after temporal lobe resection","value":65,"unit":"percent of patients","horizon":"1-2 years after surgery","population":"Adults with drug-resistant mesial temporal lobe epilepsy and concordant presurgical findings","evidence_status":"limited"},"techniques":[{"name":"Anterior temporal lobectomy with amygdalohippocampectomy","suits_whom":"Drug-resistant mesial temporal lobe epilepsy","recovery":"Hospital stay about 3-7 days; return to work about 6-12 weeks."},{"name":"Lesionectomy or focal cortical resection","suits_whom":"Epilepsy from a defined lesion (tumor, cavernoma, dysplasia) outside critical cortex","recovery":"Similar to craniotomy; hospital stay about 3-7 days."},{"name":"Laser interstitial thermal therapy (LITT)","suits_whom":"Small deep focus such as mesial temporal sclerosis or hypothalamic hamartoma","recovery":"Shorter stay, often 1-2 nights; faster return to activity."},{"name":"Disconnective surgery (corpus callosotomy, hemispherotomy)","suits_whom":"Selected drop-attack seizures or widespread unilateral damage, often in children","recovery":"Longer inpatient stay; individualized rehabilitation."},{"name":"Vagus nerve stimulator implantation (palliative)","suits_whom":"Drug-resistant epilepsy not suitable for resection","recovery":"Day case or 1 night; return to normal activity in days to 2 weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for a single resective craniotomy such as anterior temporal lobectomy; excludes anesthesia preparation and recovery."},"initial_assessment_documents":["Brain MRI epilepsy protocol on disc","Video-EEG monitoring report","Neurologist's epilepsy summary letter","List of tried antiseizure medications and doses","Neuropsychological testing report (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single resective operation after remote review; 10-14 days stay. Second trip only if invasive monitoring or in-person evaluation needed first."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you can ask the treatment team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards at the clinic or hospital","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated before you go ahead","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the surgeon you consult will be the person carrying out the 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procedure","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"A face-to-face consultation with the health professional who will carry out any planned surgery or treatment must take place before any procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly or accept a cheap, time-limited offer","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The surgeon you consult may not be the person who 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copies","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Home doctor needs imaging to compare and follow up care","document":"scans and x-ray copies","source":{"url":"https://travelhealthpro.org.uk/news/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare 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