Професор Андреас Хуфнагель спеціалізується на неврологічних розладах і має _doctor_844_years_ досвіду роботи, включаючи лікування епілепсії. Університетська клініка Ессена пропонує передові хірургічні втручання за цінами, що зазвичай варіюються від 12 600 до 27 300 доларів США. Заклад поєднує наукові дослідження з клінічною практикою в галузі неврології.
Університетська клініка Ессен приймає на лікування пацієнтів з гематологічними, онкологічними та серцево-судинними захворюваннями.
Фахівці клініки розробляють та впроваджують інноваційні методики терапії.
Щороку тут проходять лікування понад 200 тисяч пацієнтів.
","images":[{"base_url":"clinic/5af9ae336d797","title":"Фасад Університетської клініки Ессена, сучасний кардіологічний центр у Німеччині"},{"base_url":"clinic/5af9acdf3a396","title":"Зовнішній вигляд клініки Університетська лікарня Ессена з садом і доріжками, Німеччина"},{"base_url":"clinic/5af9acdc36c24","title":"Вхід до університетської клініки Ессена з клумбою та сучасним скляним фасадом"},{"base_url":"clinic/5af9acda0ba79","title":"Фасад онкоцентру Університетської клініки Ессена, Німеччина"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Німеччина","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Ессен","id":342,"alias":"essen"},"address":"Hufelandstraße 55, 45147 Essen, Germany"},"rating":{"rating":0,"google":2.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":1909},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Кращі клініки світу 2021 за версією журналу Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"Кращі клініки світу 2022 за версією журналу Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Кращі розумні лікарні світу 2023 за версією журналу Newsweek","country_code":"US"}]}},{"text":"Клініка Альфреда Круппа знаходиться в місті Ессен. Вона включає 19 вузькопрофільних відділень та 10 сертифікованих центрів.
\n\nЩорічно медична установа приймає понад 80 000 пацієнтів.
\n\nОсновні напрямки клініки: загальна та вісцеральна хірургія, акушерство та гінекологія, нейрохірургія, неврологія, ортопедія та хірургія нещасних випадків, пластична, реконструктивна та естетична хірургія, урологія та урологічна онкологія.
\n","text_type":"short_description","reviews":[],"clinic":{"id":300,"alias":"alfried-krupp-krankenhaus","name":"Alfried Krupp Krankenhaus","short_description":"Клініка Альфреда Круппа знаходиться в місті Ессен. Вона включає 19 вузькопрофільних відділень та 10 сертифікованих центрів.
\n\nЩорічно медична установа приймає понад 80 000 пацієнтів.
\n\nОсновні напрямки клініки: загальна та вісцеральна хірургія, акушерство та гінекологія, нейрохірургія, неврологія, ортопедія та хірургія нещасних випадків, пластична, реконструктивна та естетична хірургія, урологія та урологічна онкологія.
\n","images":[{"base_url":"clinic/6405e7ff65721","title":"Фасад клініки Alfried Krupp Krankenhaus в Ессені, Німеччина"},{"base_url":"clinic/5ab24b9189f00","title":"Палата для пацієнтів у Alfried Krupp Krankenhaus, сучасний інтер'єр клініки в Німеччині"},{"base_url":"clinic/5ab24b91da3ce","title":"Пост медсестер в Alfried Krupp Krankenhaus, сучасний коридор лікарні в Німеччині"},{"base_url":"clinic/5ab24b9227669","title":"Палата для пацієнтів в Alfried Krupp Krankenhaus з двома ліжками та сучасним обладнанням"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Німеччина","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Ессен","id":342,"alias":"essen"},"address":"Alfried-Krupp-Straße 21 D-45131 Essen"},"rating":{"rating":0,"google":3.7,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":1872},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Кращі клініки світу 2021 за версією журналу Newsweek","country_code":"US"}]}}],"meta":{"total_count":2,"total_pages":1}},"clinicsMeta":{"total_count":2,"total_pages":1},"clinicsCount":2,"clinicsCountByEntity":{"clinic_count":135},"doctors":{"doctors":[{"doctor":{"id":844,"alias":"andreas-hufnagel","name":"Andreas Hufnagel","clinic_id":270,"photo":"doctor/5acf60cdc5345","first_year_working":0,"created_at":"2017-05-31T09:54:10.000+00:00","short_description":"Лікар є спеціалістом у лікуванні та діагностиці неврологічних і психіатричних розладів з понад 30-річним досвідом. Сфери експертизи включають захворювання мозку, біль, депресію та дегенерацію м'язів.<\\/p>
Використовуючи передові методи лікування, такі як акупунктура, магніто-електрична стимуляція, лазерне лікування та електрична стимуляція, лікар надає комплексну допомогу.<\\/p>
Закінчивши Університет Гіссена та пройшовши навчання в Новій Зеландії, лікар працював у Університетській лікарні Бонна та Неврологічній клініці Університету Ессена. Наразі лікар веде практику в Дюссельдорфі та викладає в Ессені.<\\/p>
Нагороджений Venia Legendi, лікар також є керуючим директором Neuroconsult GmbH.<\\/p>
","statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0},"certificates":[{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659d3933e1b34.jpeg","name":"Venia Legendi"}]},"clinic":{"id":270,"alias":"essen-university-hospital","name":"Essen University Hospital","short_description":"Університетська клініка Ессен приймає на лікування пацієнтів з гематологічними, онкологічними та серцево-судинними захворюваннями.
Фахівці клініки розробляють та впроваджують інноваційні методики терапії.
Щороку тут проходять лікування понад 200 тисяч пацієнтів.
","images":[{"base_url":"clinic/5af9ae336d797","title":"Фасад Університетської клініки Ессена, сучасний кардіологічний центр у Німеччині"},{"base_url":"clinic/5af9acdf3a396","title":"Зовнішній вигляд клініки Університетська лікарня Ессена з садом і доріжками, Німеччина"},{"base_url":"clinic/5af9acdc36c24","title":"Вхід до університетської клініки Ессена з клумбою та сучасним скляним фасадом"},{"base_url":"clinic/5af9acda0ba79","title":"Фасад онкоцентру Університетської клініки Ессена, Німеччина"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Німеччина","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Ессен","id":342,"alias":"essen"},"address":"Hufelandstraße 55, 45147 Essen, Germany"},"rating":{"rating":0,"google":2.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":0,"year_foundation":1909},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/609cdeda74941.jpeg","name":"Кращі клініки світу 2021 за версією журналу Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/636103a731801.jpeg","name":"Кращі клініки світу 2022 за версією журналу Newsweek","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6360fa074cde8.jpeg","name":"Кращі розумні лікарні світу 2023 за версією журналу Newsweek","country_code":"US"}]}}],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":4061,"user":{"id":132696,"name":"Vira Kuzmina","country_code":"UA","country_name":{"ua":"Україна","en":"Ukraine"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":5},{"name":"coordination","value":4},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":4},{"name":"relative_price","value":3}],"text":{"ua":"У клініці оперували тата (онко-урологія). Чудова палата, чудовий хірург доктор Вольфганг Ділленбург та зав. відділенням проф. Едуард Бехт. Протокольне обстеження на хорошій апаратурі, доброзичливі лікарі, чудовий післяопераційний догляд. Найбільше здивувало, що проф.Бехт особисто двічі на день робив обхід: уранці з мед.персоналом, у другій половині дня один. А загалом, усе заточено під довге повноцінне життя. Я дуже задоволена. Що сподобалося: пацієнту все детально роз'яснюють, пропонують кілька шляхів вирішення проблеми. Це чудово!","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. I am very pleased. What else I liked: the patient is explained everything in detail, offering several ways to solve the problem. It's great!"},"order":{"operation":{"id":494,"name":{"ua":"Медикаментозне лікування розсіяного склерозу","en":"Medication treatment for multiple sclerosis"}},"illness":{"id":27,"name":{"ua":"Розсіяний склероз","en":"Multiple sclerosis"}}},"doctor_info":{"id":504,"name":"Uta Meyding-Lamade","alias":"uta-meyding-lamade"},"clinic_info":{"id":136,"name":"Nordwest Clinic (Krankenhaus)","alias":"clinic-nordwest","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-06-20T06:52:58.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ua":"Сервісом задоволена. Дякую.","en":"I'm satisfied with the service. Thank you."},"summary":{"positive":{"ua":""Я дуже радий."","en":"\"I am very pleased.\""}}},{"id":2045,"user":{"id":88624,"name":"Сергей Григорьевич Kosachevskii","country_code":"RU"},"ratings":[{"name":"main","value":4},{"name":"comfort","value":0},{"name":"coordination","value":0},{"name":"doctor","value":0},{"name":"manager","value":5},{"name":"personal","value":0},{"name":"translation","value":0},{"name":"relative_price","value":0}],"text":{"ua":"Загалом враження позитивне. Але біль залишився, треба продовжувати лікування, але як незрозуміло для мене. Очевидно, потрібне додаткове обстеження. Якістю роботи координатора задоволено повною мірою. Дякую їй.","en":"In general, the impression is positive. But the pain has remained, it is necessary to continue treatment, but as it is not clear for me. Obviously, an additional examination is needed. The quality of the coordinator's work is fully satisfied. Thanks her."},"order":{"illness":{"id":42,"name":{"ua":"Міжхребцева грижа","en":"Herniated disk"}},"diagnostic":{"id":42,"name":{"ua":"Консультація нейрохірурга","en":"Consultation with a neurosurgeon"}}},"clinic_info":{"id":136,"name":"Nordwest Clinic (Krankenhaus)","alias":"clinic-nordwest","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":{"ua":"«В цілому враження позитивні».","en":"\"In general, the impression is positive.\""}}},{"id":6158,"user":{"id":153959,"name":"Ульви ","country_code":"AZ","country_name":{"ua":"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":{"ua":"Виписуємося з лікарні, підтримуватимемо зв'язок із цим лікарем. Процедури проходять жахливо, конкретної терапії ще не призначили, діагнозу немає. за нічліг платити гроші. Я незадоволений візитом.","en":"We are discharging from the hospital, we will keep in touch with this doctor. The procedures go terribly, there is no specific treatment prescribed yet, there is no diagnosis. Besides the fact that my daughter eats, has lunch, has dinner as in a usual sanatorium, they just rip off 600-700 euros per night - a lot of money when you don’t see the result, why stay, just overnight to pay money. I am not happy with the visit."},"order":{},"clinic_info":{"id":29,"name":"Charité - Universitätsmedizin Berlin","alias":"charite-universitatsmedizin-berlin","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2019-12-17T09:30:05.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":true},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":false},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}]}],"meta":{"total_count":10,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"guide_mc":{"text":"День 1
день 2
День 3
День 4
День 5
День 6-14
3-4 тиждень
5-6 тиждень
Тиждень 7+
Зверніть увагу, що випадок кожного пацієнта індивідуальний і може відрізнятися. Рішення щодо точного курсу лікування слід приймати у співпраці з вашим лікарем.
"}}},"articles":[{"id":"ua:diagnostika-epilepsii-u-detej-sloznosti-diagnostiki-u-detej","name":"Діагностика епілепсії у дітей Складнощі та особливості.","image":{"main":"https://bookimed.s3.eu-central-1.amazonaws.com/_images_without_dir/5bf44456d2825.jpeg","preview":"https://bookimed.s3.eu-central-1.amazonaws.com/_images_without_dir/5bf4445741f1a.jpeg"},"author":{"first_name":"Катерина","last_name":"Парасюк","avatar":"https://bookimed.s3.eu-central-1.amazonaws.com/admin/5d246ac7daab8.jpeg"}},{"id":"ua:hirurgiceskoe-lecenie-epilepsii-pomozet-li-operacia","name":"Операція при епілепсії: кому та коли призначають?","image":{"main":"https://bookimed.s3.eu-central-1.amazonaws.com/_images_without_dir/5ccbf7649cf9b.jpeg","preview":"https://bookimed.s3.eu-central-1.amazonaws.com/_images_without_dir/5c5a8037de191.jpeg"},"author":{"first_name":"Катерина","last_name":"Парасюк","avatar":"https://bookimed.s3.eu-central-1.amazonaws.com/admin/5d246ac7daab8.jpeg"}}],"relations":{"countries":[{"name":"Ізраїль","alias":"israel","iso_code":"IL"},{"name":"Індія","alias":"india","iso_code":"IN"},{"name":"Іспанія","alias":"spain","iso_code":"ES"},{"name":"Австрія","alias":"austria","iso_code":"AT"},{"name":"Азербайджан","alias":"azerbaijan","iso_code":"AZ"},{"name":"Бразилія","alias":"brazil","iso_code":"BR"},{"name":"Велика 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З 1987 року він займається діагностикою та лікуванням складних випадків епілепсії у пацієнтів різного віку, включаючи програму хірургічного лікування.\n\nПрофесор бере участь в організації міжнародних конгресів та конференцій, клінічних дослідженнях нових протиепілептичних препаратів.","specialities":[{"id":"nrl.001","name":"Невролог","illness_kind_id":7},{"id":"nrl.003","name":"Епілептолог","illness_kind_id":7}]},"updatedAt":"2026-11-11T14:12:17.000Z","activeCountries":["DE","TR","UA","CZ","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":"Неврологія","alias":"neurology","name_forms":{"base_form":"Неврологія","form_1":"неврології","form_2":"неврології","form_3":"неврологічні","form_4":"невропатолог","form_5":"невролога","form_6":"неврологи","form_7":"неврологічну","form_11":"неврологи","form_12":"неврологів"}},"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; varies by job, cognition, seizure status, driving rules."},"complication_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Any complication within 90 days, including visual field loss and transient deficits; permanent major deficits about 2-5%."},"contraindications":["Seizures that are not epileptic (e.g. psychogenic non-epileptic events)","Focus in eloquent cortex, unresectable without deficit; no palliative option","Generalized epilepsy without targetable focus (relative; consider neuromodulation)","Unfit for anesthesia or craniotomy from severe comorbidity (relative)","Active untreated intracranial infection or uncorrected bleeding disorder","Unmanaged severe psychiatric illness or inability to follow evaluation (relative)","Pregnancy (relative; timing individualized)"],"days_in_clinic":{"min":3,"max":7,"unit":"nights","qualifier":"Resective surgery admission after completed presurgical evaluation; may include a brief intensive care or step-down stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":6,"max":12,"unit":"weeks","qualifier":"Light activity such as walking earlier; 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; usually settles within 1-2 weeks.","preparation":["Presurgical video-EEG, MRI, neuropsychology; often PET/SPECT or intracranial EEG","Multidisciplinary epilepsy surgery team review and informed consent","Preoperative blood tests and anesthetic assessment","Review all medicines; continue antiseizure medication","Fasting before surgery as instructed","Arrange support at home and discuss driving restrictions"],"recovery_timeline":[{"phase":"Hospital stay (days 0-7)","description":"Neurological monitoring, pain control, early mobilization and continued antiseizure medication.","restrictions":["No driving","Stay under supervision"]},{"phase":"Early home recovery (weeks 1-6)","description":"Fatigue, headache and wound healing; gradual increase in walking and daily activities.","restrictions":["No driving","No heavy lifting or strenuous activity","Avoid swimming and bathing alone"]},{"phase":"Return to activity (weeks 6-12)","description":"Return to work or study and graded exercise as cleared; 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 procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Ask for examples of the practitioner’s experience with the surgery you plan to have","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Ask for examples of the practitioners’ experience with the surgery you are intending to have.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Check that a face-to-face consultation with the operating health professional takes place before any 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 operates","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Surgery offered as a package combined with holidays","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Be wary of package deals which combine surgery with holidays – any decision to have surgery should be taken based on medical reasons only.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"A hard sell, or no discussion of possible complications before booking","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":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Weakness and speech impairments","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/5015-epilepsy-surgery","host":"my.clevelandclinic.org","quote":"Brain tissue damage, resulting in neurological changes (like weakness and speech impairments) or stroke.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Delayed healing at the surgical site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/5015-epilepsy-surgery","host":"my.clevelandclinic.org","quote":"Delayed healing at the surgical site.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Severe pain after surgery","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/5015-epilepsy-surgery","host":"my.clevelandclinic.org","quote":"But let your provider know if the pain is severe or if you experience any additional symptoms.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the medicines given to continue treatment","document":"prescription 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 plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your epileptic focus can be monitored with an implanted device","name":"Responsive neurostimulation","source":{"url":"https://my.clevelandclinic.org/services/epilepsy-seizures-treatment","host":"my.clevelandclinic.org","quote":"RNS involves a device that’s implanted in your brain near where the epileptic focus is and continuously monitors brain waves.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"Your abnormal brain waves may occur far from one area","name":"Deep brain stimulation","source":{"url":"https://my.clevelandclinic.org/services/epilepsy-seizures-treatment","host":"my.clevelandclinic.org","quote":"A device is implanted deep in your brain that sends electrical pulses episodically (in a series) to disrupt abnormal epileptic brain waves that might happen far away from the DBS electrode.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A3","text":"You have not yet tried anti-seizure medications","name":"Anti-seizure medications","source":{"url":"https://my.clevelandclinic.org/services/epilepsy-seizures-treatment","host":"my.clevelandclinic.org","quote":"Your provider may first try anti-seizure medications to stop your seizures.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"anterior-temporal-lobectomy","name":"Anterior temporal lobectomy with amygdalohippocampectomy","how_it_works":{"text":"The procedure removes seizure-causing temporal lobe tissue","source":{"url":"https://my.clevelandclinic.org/health/diseases/17778-temporal-lobe-seizures","host":"my.clevelandclinic.org","quote":"A temporal lobectomy (removal of part of your temporal lobe) is the most common type of surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/5015-epilepsy-surgery","host":"my.clevelandclinic.org","quote":"You’ll need plenty of rest as you slowly return to your normal daily activities, in about four to six weeks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"lesionectomy","name":"Lesionectomy or focal cortical resection","how_it_works":{"text":"The procedure removes seizure-starting or abnormal brain tissue","source":{"url":"https://my.clevelandclinic.org/health/treatments/5015-epilepsy-surgery","host":"my.clevelandclinic.org","quote":"Removing the part of your brain where the seizures start or removing the abnormal brain tissue that’s causing the seizures.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":4,"max":6,"unit":"weeks","label":"4–6 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/5015-epilepsy-surgery","host":"my.clevelandclinic.org","quote":"You’ll need plenty of rest as you slowly return to your normal daily activities, in about four to six weeks.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}},{"id":"laser-interstitial-thermal","name":"Laser interstitial thermal therapy (LITT)","how_it_works":{"text":"Lasers target and eliminate the brain area where seizures begin","source":{"url":"https://my.clevelandclinic.org/services/epilepsy-seizures-treatment","host":"my.clevelandclinic.org","quote":"During this minimally invasive surgery, lasers are used to pinpoint the exact area of the brain where the seizures are happening and eliminate the focus (where the seizures begin).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":2,"unit":"weeks","label":"2 weeks","source":{"url":"https://healthcare.utah.edu/neurosciences/neurosurgery/laser-ablation","host":"healthcare.utah.edu","quote":"It takes about two weeks to recover fully and resume normal activity at home after leaving the 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