Department of NeurosurgeryGreat care and precise minimally invasive surgical techniques

Neurosurgeons carry out surgical treatment of diseases and injuries of the following organs:

  • The  brain
  • The spinal cord
  • The peripheral nerves.

As these organs are extremely sensitive, any procedures carried out on the nervous system must be planned with great care and conducted with especially precise and minimally invasive surgical techniques – principally using microsurgery. Operating microscopes and computer-assisted stereotaxy and neuronavigation are therefore among the most important aids in the operating theater. In some operations in the ventricles of the brain, the spine and in compartment syndromes of the nerves (e.g. carpal tunnel syndrome), the use of neuroendoscopes can reduce the trauma associated with an operation. In complicated procedures on the central nervous system, outcomes are continually being improved through continual neuromonitoring (i.e. registering the response) of motor and sensory nervous pathways.

The department offers the whole spectrum of neurosurgery

  • Brain and spine surgery supported by neuronavigation
  • Surgical microscopy
  • ALA-fluorescence guided glioma-resection
  • Neuromonitoring• Endoscopic neurosurgery
  • Minimal invasive spinal stabilization
  • Clipping and coiling of cerebral aneuryms
  • Resection of Arteriovenous Malformations
  • Microvascular decompression of cranial nerves f.e. in trigeminal neuralgia
  • Pediatric neurosurgery.

What are the main areas of activity of the Neurosurgical Clinic and out-patient department?

  • Surgical treatment and aftercare of patients with tumors of the brain, spinal cord, spinal column or peripheral nerves, including chemotherapy, spinal stabilization procedures, stereotactic sampling, neuronavigated catheter placement for interstitial brachytherapy, the development of an individual treatment concept in the interdisciplinary neurooncological team.
  • Surgical treatment of stroke patients with spontaneous bleeding inside the cranium (e.g. in cases of aneurysm or arteriovenous malformation) or occlusions of the cranial arteries (incl. brain bypass operations), including children and adolescents with Moyamoya Syndrome.
  • Treatment of degenerative spinal conditions, such as prolapsed discs and stenosis of the lumbar, cervical or thoracic spinal canal, surgical stabilization of spondylolisthesis.
  • Operations on children, adolescents and adults with cerebrospinal fluid circulation disorders (hydrocephalus or syringomyelia) and on children with congenital deformities.
  • Care of patients with injuries to the skull, brain, spine or nerves
  • Neurosurgical Intensive Care
  • Out-patient operations in compartment syndromes of the peripheral nerves (e.g. carpal tunnel or sulcus ulnaris syndrome)
  • Neurosurgical assessments for courts, insurance companies and private persons
  • Out-patient consultation of patients referred by consultants


Dr. med. Elke Januschek

Dr. med. Elke Januschek
Tel.: +49 (0)69 8405-3881