{"meta":{"humanUrl":"https://ua.bookimed.com/clinics/country=germany/city=solingen/procedure=deep-brain-stimulation/","canonicalUrl":"https://ua.bookimed.com/clinics/country=germany/city=solingen/procedure=deep-brain-stimulation/","jsonUrl":"https://ua.bookimed.com/clinics/country=germany/city=solingen/procedure=deep-brain-stimulation/data.json","title":"Глибока стимуляція мозку (DBS) в Солінген 2026: ціни, клініки та відгуки","description":"Глибока стимуляція мозку (DBS) в Солінген коштує від $35,000. Знайдіть найдоступніший варіант із безкоштовною оцінкою.","heading":"Глибока стимуляція мозку (DBS) в Солінген: ціни та клініки","locale":"ua","schemaVersion":"ClinicListingPageDataV1","snapshotId":"a7b0e6ca-b063f05b","contentVersion":"a7b0e6ca","generatedAt":"2026-11-14T19:38:11.907Z"},"filters":{"country":"germany","city":"solingen","procedure":"deep-brain-stimulation","page":1},"pagination":{"page":1,"totalCount":1,"totalPages":1},"breadcrumbs":[{"name":"Home","url":"/"},{"name":"Clinics","url":"/clinics/"},{"name":"Німеччина","url":"/clinics/country=germany/"},{"name":"Золінген","url":"/clinics/country=germany/city=solingen/"},{"name":"Глибока стимуляція мозку (DBS)","url":"/clinics/country=germany/procedure=deep-brain-stimulation/"}],"entities":[{"name":"Німеччина","alias":"germany","type":"country","id":22},{"name":"Золінген","alias":"solingen","type":"city","id":341},{"name":"Глибока стимуляція мозку (DBS)","alias":"deep-brain-stimulation","type":"procedure","id":146}],"clinics":{"clinics":[{"text":"

Професор Марсель Діне спеціалізується в галузі неврології з 2004 року, приділяючи особливу увагу глибокій стимуляції мозку (DBS) за академічної підтримки Кельнського університету. Повний пакет послуг DBS може коштувати близько 85 000 євро — зазвичай ця сума покриває операцію, 4–7 днів госпіталізації, МРТ, ЕЕГ та консультації невролога. Клініка має численні сертифікати від ВООЗ, Німецького онкологічного товариства та TÜV RHEINLAND, що гарантує дотримання міжнародних стандартів. Професор Діне отримав дослідницьку нагороду Фонду Крістіана та Клаудії Хемпель за клінічні дослідження стовбурових клітин.

","text_type":"mt_wow_description","best_texts":{"techniques":"Глибока стимуляція мозку (DBS)","good_fit_for":"Пацієнти, які потребують комплексного неврологічного обстеження","why_its_ranked":"Пропонує детальну передопераційну діагностику, включаючи МРТ голови, неврологічні обстеження та консультації радіологів. Є університетською клінікою з міжнародним співробітництвом."},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":550,"price_to":700,"currency":"USD","id":47778},"diagnostic":{"id":96,"name":"КТ (комп'ютерна томографія)","alias":"ct"}},{"prices":{"price_from":170,"price_to":170,"currency":"USD","id":13490},"diagnostic":{"id":37,"name":"УЗД","alias":"u.s."}}],"reviews":[],"clinic":{"id":268,"alias":"medical-center-in-solingen","name":"Medical Center in Solingen","short_description":"

Академічна клініка Золінген (Solingen) — багатопрофільна лікарня в Німеччині, в ТОП-і найкращих шпиталів країни за версією журналуFocus .

\n\n

Спеціалізація — онкологія, нейрохірургія, гастроентерологія, кардіологія та ортопедія.

\n\n

2 лікарі клініки входять до списку рекомендованих фахівців Німеччини за версією Focus та Guter Rat — професор Вольфганг Швенк, хірург черевної порожнини, та професор Петер Херінг, спеціаліст з лікування гіпертонії та хвороб нирок.

\n\n

Щороку до Золінгену звертаються понад 60 000 пацієнтів.

\n","images":[{"base_url":"clinic/5c87c67033d52","title":"Сучасний фасад будівлі клініки Medical Center у Золінгені, Німеччина"},{"base_url":"clinic/5ab24b5fb69f7","title":"Медперсонал переглядає розклад операцій на екрані в Medical Center у Золінгені"},{"base_url":"clinic/5ab24b6047e9a","title":"Кабінет КТ у Медичному центрі в Золінгені з пацієнтом і лікарем"},{"base_url":"clinic/5ab24b60a6459","title":" room"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Німеччина","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Золінген","id":341,"alias":"solingen"},"address":"Gotenstraße 1, 42653 Solingen, Germany"},"rating":{"rating":4.7,"google":3.3,"percent_of_satisfied_clients":92},"statistics":{"number_of_reviews":69,"doctors_number":400,"year_foundation":1863},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb7161d3319.jpeg","name":"Найкращий лікар з міжхребцевих гриж","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"Німецьке онкологічне товариство DKG","country_code":"DE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":110},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[{"id":26246,"user":{"id":1057335,"name":"Gerard Patrick Muckian","country_code":"IE"},"ratings":[{"name":"main","value":5},{"name":"doctor","value":5},{"name":"personal","value":5},{"name":"comfort","value":5},{"name":"translation","value":5}],"text":{"ua":"Я чітко пам’ятаю свою розмову з хірургом. Найбільше мене вразило те, що він чесно розповів про ризики та ускладнення, що задало тон відкритості у всьому процесі встановлення мого VP-шунта. Наразі я почуваюся під час відновлення приблизно так, як і очікував. Персонал клініки надавав мені підтримку та підтримував зв’язок зі мною після операції. Також можу підтвердити, що жодних додаткових витрат, окрім тих, що були зазначені в початковому кошторисі, не було. Усе було організовано на високому рівні. Єдина порада, яку я можу дати майбутнім пацієнтам, — це взяти з собою багато літератури, щоб було чим зайнятися під час періоду відновлення.","en":"I remember my conversation with the surgeon clearly. What stood out most was that he was honest about the risks and complications, which set a transparent tone for the entire process of getting my VP shunt. So far, I'm feeling about as expected in my recovery. The clinic staff has been supportive and they stayed in touch with me after the surgery. I can also confirm there were no additional expenses on top of what was originally quoted. Everything was handled well. My one piece of advice for a future patient would be to bring plenty of reading material for the downtime."},"order":{"operation":{"id":646,"name":{"ua":"Хірургічне втручання при гідроцефалії","en":"Hydrocephalus surgeries, shunt surgeries"}}},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2026-07-11T12:11:15.416+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":true},{"name":"coordinator_mentioned","value":false}],"summary":{"positive":{"ua":"Усе було організовано на високому рівні.","en":"Everything was handled well."}}},{"id":3689,"user":{"id":2155,"name":"Ольга ","country_code":"UA","country_name":{"ua":"Україна","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":2},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":2},{"name":"relative_price","value":2}],"text":{"ua":"Добрий день. Оперувала 10.04.2019 спондеалістез у докторів Буля та Флоє, спільна операція нейрохірурга та ортопеда. Лікарі прекрасні із золотими руками. Власне за цих лікарів і була обрана ця клініка, і в цьому велике спасибі координатору Олені. Операція пройшла чудово, відновлення після операції, під пильним контролем лікарів та фізіотерапевтів, також пройшло добре. Сама клініка за зручністю рівня середньої приватної клініки у Києві. Персонал уважний та завжди готовий допомогти. Палата була простора, чиста та світла. Дещо засмутила робота міжнародного відділу, давали підписувати документи німецькою мовою без паперового перекладу хоча б англійською, я вже мовчу про російську мову. Іноді на консультації спілкувалися з лікарями німецькою, не перекладаючи буквально про що говорять. Але незважаючи на це, клінікою, лікарями та компанією Букімед залишилася дуже задоволена, і можу рекомендувати професорів Буля та Флоє.","en":"Good day. Operated on 10.04.2019 spondealistez at the doctors of Bul and Flo, joint operation of a neurosurgeon and an orthopedist. Doctors are beautiful with golden hands. Actually because of these doctors this clinic was chosen, and in this many thanks to the coordinator Alyona. The surgery went great, recovery after surgery, under the close supervision of doctors and physiotherapists, also went well. The clinic itself is on the level of convenience of an average private clinic in Kiev. The staff is attentive and always ready to help. The chamber was spacious, clean and bright. The work of the international department was a little upset, they were allowed to sign documents in German without a paper translation at least into English, I’m not talking about the Russian language. Sometimes they consulted with doctors in German, without literally translating what they were talking about. But despite this, I was very pleased with the clinic, the doctors and the company Bukibmed, and I can recommend the professors Buhl and Flo."},"order":{"illness":{"id":329,"name":{"ua":"Спондилолістез","en":"Spondylolisthesis"}}},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-04-30T10:51:41.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ua":"«Я залишився дуже задоволений клінікою, лікарями та компанією «Букібмед», і можу порекомендувати професорів Була та Фло».","en":"\"I was very pleased with the clinic, the doctors and the company Bukibmed, and I can recommend the professors Buhl and Flo.\""}}},{"id":4120,"user":{"id":41499,"name":"Рауф ","country_code":"AZ","country_name":{"ua":"Азербайджан","en":"Azerbaijan"}},"ratings":[{"name":"main","value":5},{"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":"Все нормально, влаштували дистанційну консультацію, щоб зрозуміти, чи можна робити операцію. Такий формат напевно потрібен, дуже корисно. Можу сказати, що б заздалегідь пацієнти записали всі свої питання, щоб потім не думали, що запитувати у лікаря, так само заздалегідь потрібно подумати чого в принципі хочете від консультації і тоді вона точно буде корисною.","en":"Everything is fine, they arranged a remote consultation to understand whether it is possible to perform an operation. This format is definitely needed, very useful. I can say that the patients would write down all their questions in advance, so that later they would not think that they should ask the doctor, you also need to think in advance what you want in principle from the consultation and then it will definitely be useful."},"order":{"illness":{"id":42,"name":{"ua":"Міжхребцева грижа","en":"Herniated disk"}}},"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":"2019-06-24T00:00:00.000+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":"Можу сказати, що пацієнти записували б наперед всі свої питання, щоб потім не думали, що треба звертатися до лікаря, також потрібно заздалегідь подумати, чого ви в принципі хочете від консультації і тоді вона обов'язково буде корисний.","en":"I can say that the patients would write down all their questions in advance, so that later they would not think that they should ask the doctor, you also need to think in advance what you want in principle from the consultation and then it will definitely be useful."}}},{"id":5168,"user":{"id":12393,"name":"Viktoriia Solikha","country_code":"UA","country_name":{"ua":"Україна","en":"Ukraine"}},"ratings":[{"name":"main","value":5},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"ua":"Добрий вечір! Була в клініці на консультації в перших числах вересня. прискорити процес лікування, а навпаки, роз'яснили ризики та різні способи лікування, що втішило і вселило надію на сприятливе вирішення моєї проблеми.","en":"Good evening !!! I was in the clinic for a consultation in early September. Dr. Bul and the staff are very polite, attentive, calm, and what is surprising, they are not trying to make money on you, but they offer options for cheaper treatment and testing. No one tried to scare or speed up the treatment process, but on the contrary, explained the risks and different methods of treatment, which encouraged and inspired hope for a favorable resolution of my problem."},"order":{"illness":{"id":236,"name":{"ua":"Пухлина головного мозку","en":"Brain tumor"}}},"doctor_info":{"id":199,"name":"Ralf Buhl","alias":"ralf-buhl"},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-09-16T08:52:57.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"coordinator_mentioned","value":true},{"name":"deactivated_clinic","value":false}],"comment_about_bookimed":{"ua":"Задоволена повністю, тому що відповідали на всі поставлені питання, координували та супроводжували з моменту звернення до клініки до повернення додому.","en":"I am completely satisfied, as they answered all the questions posed, coordinated and accompanied me from the moment I went to the clinic until I returned home."},"summary":{"positive":{"ua":"– Ніхто не намагався налякати чи прискорити процес лікування, а навпаки, пояснював ризики та різні методи лікування, що надихало та вселяло надію на сприятливе вирішення моєї проблеми.","en":"- No one tried to scare or speed up the treatment process, but on the contrary, explained the risks and different methods of treatment, which encouraged and inspired hope for a favorable resolution of my problem."}}},{"id":4988,"user":{"id":128151,"name":"TATIANA MARICHEVA","country_code":"RU"},"ratings":[{"name":"main","value":5},{"name":"comfort","value":4},{"name":"coordination","value":4},{"name":"doctor","value":4},{"name":"manager","value":5},{"name":"personal","value":4},{"name":"translation","value":4},{"name":"relative_price","value":2}],"text":{"ua":"Клініка гарна, доктор Буль нейрохірург, високий професіонал в онкології, консультацію дав вичерпну!","en":"The clinic is good, Dr. Bull is a neurosurgeon, a high professional in oncology, he gave an exhaustive consultation!"},"order":{"illness":{"id":236,"name":{"ua":"Пухлина головного мозку","en":"Brain tumor"}}},"doctor_info":{"id":199,"name":"Ralf Buhl","alias":"ralf-buhl"},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-09-04T17:16:18.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ua":"Дав вичерпну консультацію!","en":"He gave an exhaustive consultation!"}}},{"id":6459,"user":{"id":164227,"name":"Валерий ","country_code":"UA","country_name":{"ua":"Україна","en":"Ukraine"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"ua":"Я робив 20 років тому в Німеччині схожу операцію - зараз безперечно краще, зараз післяопераційний період скоротився до дня і він менш болючий. Лікарня хороша, подвійна палата та умови комфортні. У палаті є душ, це зручно. Ми розмовляли з Ральфом Булем, з лікарем перед операцією. Після першої консультації залишилася невизначеність робити операцію чи ні. У цьому плані лікарі обережні і якщо є ризик операції з ускладненнями – можуть запропонувати уколи та фізіотерапію, що дешевше та безпечніше. Проте в моєму випадку лікар ще раз переглянув МРТ і вирішив операцію зробити. Лікування достатнє, зайвого не колють, давали знеболювальне. Загалом все добре, післяопераційний період невеликий і все поки що добре. Безперечно, у нас такого не було б результату.","en":"I did a similar operation 20 years ago in Germany - now it’s definitely better, now the postoperative period has been reduced to a day and it is less painful. The hospital is good, double ward and the conditions are comfortable. There is a shower in the room, it’s convenient. We spoke with Ralph Bull, a doctor before the operation. After the first consultation, there remained uncertainty whether to do the operation or not. In this regard, doctors are careful and if there is a risk of surgery with complications, they can offer injections and physiotherapy, which is cheaper and safer. Nevertheless, in my case, the doctor once again reviewed the MRI and decided to do the operation. Adequate treatment, do not inject too much, gave pain medication. In general, everything is fine, the postoperative period is small and everything is good so far. We definitely would not have such a result."},"order":{"illness":{"id":42,"name":{"ua":"Міжхребцева грижа","en":"Herniated disk"}}},"doctor_info":{"id":199,"name":"Ralf Buhl","alias":"ralf-buhl"},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2020-01-21T11:40:10.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ua":"«Такого результату у нас би точно не було». Відповідь: Про лікаря: «Перед операцією ми говорили з лікарем Ральфом Буллом». Про клініку: "Лікарня хороша, двомісна палата і умови комфортні. В кімнаті є душ, зручно". Про результати: «В цілому все добре, післяопераційний період невеликий і поки все добре». Про досвід: «Після першої консультації залишилася невизначеність, робити операцію чи н","en":"\"We definitely would not have such a result.\"Return: About the doctor: \"We spoke with Ralph Bull, a doctor before the operation.\" About the clinic: \"The hospital is good, double ward and the conditions are comfortable. There is a shower in the room, it’s convenient.\" About the results: \"In general, everything is fine, the postoperative period is small and everything is good so far.\" About the exp"}}},{"id":4745,"user":{"id":80678,"name":"Ihor Sushko","country_code":"UA","country_name":{"ua":"Україна","en":"Ukraine"}},"ratings":[{"name":"main","value":4},{"name":"comfort","value":5},{"name":"coordination","value":5},{"name":"doctor","value":5},{"name":"manager","value":5},{"name":"personal","value":5},{"name":"translation","value":5},{"name":"relative_price","value":2}],"text":{"ua":"Загалом враження, звичайно, позитивні, з нашою медициною і порівнювати не можна. І за статистикою лікування безпосередньо моєї проблеми результативність звичайно набагато вища. Тяжко звичайно з мовним бар'єром, окрім наших дівчаток у міжнародному центрі, за 7 днів слова російської не почув, це, звичайно, було складно, а так у принципі допомагали перекладачки теж, коли був з ними разом. Раджу всім друзям тепер Bookimed завжди допоможуть.","en":"In general, the impressions are certainly positive, and it is impossible to compare with our medicine. And according to the statistics of the treatment of my problem itself, the effectiveness is of course much higher. Of course, it’s hard with the language barrier, except for our girls in the international center, I didn’t hear a Russian word in 7 days, it was certainly difficult, and in principle translators also helped when I was with them. I advise all friends now Bookimed will always help."},"order":{"illness":{"id":42,"name":{"ua":"Міжхребцева грижа","en":"Herniated disk"}}},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2019-08-09T07:13:40.000+00:00","flags":[{"name":"is_approved","value":true},{"name":"is_anonymously","value":false},{"name":"is_notification_sent","value":true},{"name":"would_recommend","value":true},{"name":"has_client_feedback","value":true},{"name":"deactivated_clinic","value":false}],"summary":{"positive":{"ua":"Раджу всім друзям тепер Букімед завжди допоможе.","en":"I advise all friends now Bookimed will always help."}}},{"id":15069,"user":{"id":144928,"name":"Muhammad Seleem ","country_code":"KW"},"ratings":[{"name":"main","value":4},{"name":"relative_price","value":2},{"name":"doctor","value":4},{"name":"personal","value":3},{"name":"comfort","value":3},{"name":"coordination","value":5},{"name":"translation","value":5},{"name":"nps","value":6},{"name":"manager","value":5}],"text":{"ua":"Загалом, досвід був чудовим. Єдиною проблемою, з якою я зіткнувся, була затримка з отриманням висновку лікаря.","en":"All in all, the experience was excellent. The only issue that I had was the delay that I am facing in receiving the doctor’s report."},"order":{"illness":{"id":236,"name":{"ua":"Пухлина головного мозку","en":"Brain tumor"}}},"clinic_info":{"id":268,"name":"Medical Center in Solingen","alias":"medical-center-in-solingen","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}]},"created_at":"2024-04-25T13:05:22.409+00:00","flags":[{"name":"is_approved","value":true},{"name":"has_client_feedback","value":true},{"name":"is_anonymously","value":false},{"name":"would_recommend","value":false},{"name":"is_notification_sent","value":false},{"name":"deactivated_clinic","value":false}],"client_response":{"preview_to_review_text":{"ua":"Загалом, досвід був чудовим. Єдиною проблемою, з якою я зіткнувся, була затримка з отриманням висновку лікаря.","en":"All in all, the experience was excellent. The only issue that I had was the delay that I am facing in receiving the doctor’s report."},"what_like_text":{"ua":"Приміщення хороше.","en":"The facility is good."},"what_not_like_text":{"ua":"Затримка з отриманням звіту.","en":"Delay in getting the report."}},"summary":{"positive":{"ua":"Загалом, досвід був чудовим.","en":"All in all, the experience was excellent."}}},{"id":6728,"user":{"id":6911,"name":"Umulkheir Nur Issack","country_code":"KE"},"ratings":[{"name":"main","value":1},{"name":"comfort","value":1},{"name":"coordination","value":2},{"name":"doctor","value":1},{"name":"manager","value":4},{"name":"personal","value":3},{"name":"translation","value":3},{"name":"relative_price","value":2}],"text":{"ua":"Я провів онлайн-консультацію з лікарем, ти очікував гарного відгуку, але натомість він виявився жахливим, але, можливо, я не знав, але в іншому вони середні.","en":"I did an online consultation with the doctor thou was expecting a good feedback but instead it turned out to be a heartbreaking one but it was a fact maybe that I didn't knew but otherwise they are average."},"order":{"illness":{"id":2773,"name":{"ua":"Стеноз хребетного каналу","en":"Spinal stenosis"}}},"clinic_info":{"id":295,"name":"Bremen-Mitte Clinic","alias":"clinic-bremen-nord","flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}]},"created_at":"2020-02-17T08:26:46.000+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":"Так, я залишився задоволений.","en":"Yes I was satisfied."}}],"meta":{"total_count":20,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"promoClinics":{"clinics":[{"text":"

Професор Марсель Діне спеціалізується в галузі неврології з 2004 року, приділяючи особливу увагу глибокій стимуляції мозку (DBS) за академічної підтримки Кельнського університету. Повний пакет послуг DBS може коштувати близько 85 000 євро — зазвичай ця сума покриває операцію, 4–7 днів госпіталізації, МРТ, ЕЕГ та консультації невролога. Клініка має численні сертифікати від ВООЗ, Німецького онкологічного товариства та TÜV RHEINLAND, що гарантує дотримання міжнародних стандартів. Професор Діне отримав дослідницьку нагороду Фонду Крістіана та Клаудії Хемпель за клінічні дослідження стовбурових клітин.

","text_type":"mt_wow_description","best_texts":{"techniques":"Глибока стимуляція мозку (DBS)","good_fit_for":"Пацієнти, які потребують комплексного неврологічного обстеження","why_its_ranked":"Пропонує детальну передопераційну діагностику, включаючи МРТ голови, неврологічні обстеження та консультації радіологів. Є університетською клінікою з міжнародним співробітництвом."},"additional_data":{"advertising_id":"268:illness_kind:2"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":170,"price_to":170,"currency":"USD","id":13490},"diagnostic":{"id":37,"name":"УЗД","alias":"u.s."}},{"prices":{"price_from":60,"price_to":150,"currency":"USD","id":28109},"diagnostic":{"id":83,"name":"Аналіз крові загальний","alias":"total-blood"}}],"reviews":[],"clinic":{"id":268,"alias":"medical-center-in-solingen","name":"Medical Center in Solingen","short_description":"

Академічна клініка Золінген (Solingen) — багатопрофільна лікарня в Німеччині, в ТОП-і найкращих шпиталів країни за версією журналуFocus .

\n\n

Спеціалізація — онкологія, нейрохірургія, гастроентерологія, кардіологія та ортопедія.

\n\n

2 лікарі клініки входять до списку рекомендованих фахівців Німеччини за версією Focus та Guter Rat — професор Вольфганг Швенк, хірург черевної порожнини, та професор Петер Херінг, спеціаліст з лікування гіпертонії та хвороб нирок.

\n\n

Щороку до Золінгену звертаються понад 60 000 пацієнтів.

\n","images":[{"base_url":"clinic/5c87c67033d52","title":"Сучасний фасад будівлі клініки Medical Center у Золінгені, Німеччина"},{"base_url":"clinic/5ab24b5fb69f7","title":"Медперсонал переглядає розклад операцій на екрані в Medical Center у Золінгені"},{"base_url":"clinic/5ab24b6047e9a","title":"Кабінет КТ у Медичному центрі в Золінгені з пацієнтом і лікарем"},{"base_url":"clinic/5ab24b60a6459","title":" room"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Німеччина","id":22,"alias":"germany","iso_code":"DE"},"city":{"name":"Золінген","id":341,"alias":"solingen"},"address":"Gotenstraße 1, 42653 Solingen, Germany"},"rating":{"rating":4.7,"google":3.3,"percent_of_satisfied_clients":92},"statistics":{"number_of_reviews":69,"doctors_number":400,"year_foundation":1863},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5ceb7161d3319.jpeg","name":"Найкращий лікар з міжхребцевих гриж","country_code":"UA"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9832f9d8cf.jpeg","name":"Німецьке онкологічне товариство DKG","country_code":"DE"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":1,"total_pages":1}},"listingTexts":{"entity_texts":{},"texts":{"txt_procedure_3_clinics":{"text":"

Що може містити підготовка до DBS?

Перед проведенням глибокої стимуляції мозку пацієнт має пройти такі діагностичні обстеження:

За тиждень до операції пацієнту заборонено приймати протизапальні препарати та алкоголь, курити. У ніч перед операцією не можна їсти та приймати будь-які медикаменти.

Як проводиться DBS?

Система глибокої стимуляції мозку складається з трьох компонентів: провідний провід (електрод), подовжувач та нейростимулятор.

Під час процедури нейрохірург вводить тонкі електроди у головний мозок та впливає на певні його ділянки електричними розрядами малої напруги. Стимулятор лікар фіксує під шкірою в області грудної клітки. Електроди з'єднуються зі стимулятором за допомогою подовжувача, який проводять під шкірою в області шиї та ключиці.

Глибока стимуляція мозку за хвороби Паркінсона займає від 5 до 7 годин. Під час процедури пацієнт перебуває у свідомості. Для правильного та точного налаштування обладнання, пацієнту періодично потрібно рухати кінцівками, пальцями, очима чи вимовляти певні фрази.

Регулювання нейростимулятора займає більшу частину всієї операції (3-4 години). Після остаточного налаштування розріз закривається за допомогою спеціальної пластини і зашивається.

\"Настройка

Що відбувається після операції?

Поліпшення стану пацієнта помітне вже у перші години після операції . Зникає тремтіння в кінцівках, відновлюється координація рухів та артикуляція. Через кілька днів покращується сон та загальний стан організму.

\"Глубокая

Кожні 3 тижні після операції пацієнту рекомендують відвідувати невролога для перевірки та коригування параметрів стимулятора. Усього потрібно 3-4 подібні візити до фахівця.

Мобільні телефони, мікрохвильові печі та електромагнітні сенсори не заважають роботі стимулятора.

Часті питання про глибоку стимуляцію мозку

Чи потрібна трепанація черепа для проведення операції?

– Ні, всі дії нейрохірург проводить через тонкі проколи розміром до 1 см.

Операція проводиться під місцевою анестезією чи наркозом?

– Під час глибокої стимуляції мозку пацієнт перебуває під дією місцевої анестезії.

Які ускладнення можуть виникнути під час операції та після неї?

- Ймовірність виникнення ускладнень після глибокої стимуляції мозку – менше 1%. Серед них – крововилив у мозок, інфекція, побічні реакції на анестезію.

Чи є обов'язковим знімок МРТ для глибокої стимуляції мозку? Що робити, якщо я маю кардіостимулятор і я не можу пройти цю процедуру?

- МРТ – це найінформативніший метод діагностики перед глибокою стимуляцією мозку. Якщо немає можливості провести обстеження, ви можете пройти комп'ютерну томографію.

"},"guide_mc":{"text":"

День 1

День 2-3

День 4

День 5-7

1-2 тижні

3-4 тижні

5-6 тиждень

Будь ласка, зверніть увагу, що терміни відновлення кожного пацієнта відрізняються залежно від індивідуальних обставин і специфіки операції DBS. Завжди звертайтеся до свого лікаря за індивідуальною порадою.

"}}},"relations":{"countries":[{"name":"Ізраїль","alias":"israel","iso_code":"IL"},{"name":"Індія","alias":"india","iso_code":"IN"},{"name":"Іспанія","alias":"spain","iso_code":"ES"},{"name":"Італія","alias":"italy","iso_code":"IT"},{"name":"Австрія","alias":"austria","iso_code":"AT"},{"name":"Азербайджан","alias":"azerbaijan","iso_code":"AZ"},{"name":"Греція","alias":"greece","iso_code":"GR"},{"name":"Китай","alias":"china","iso_code":"CN"},{"name":"Німеччина","alias":"germany","iso_code":"DE"},{"name":"ОАЕ","alias":"united-arab-emirates","iso_code":"AE"},{"name":"Південна Корея","alias":"republic-of-korea","iso_code":"KR"},{"name":"Таїланд","alias":"thailand","iso_code":"TH"},{"name":"Туреччина","alias":"turkey","iso_code":"TR"},{"name":"Україна","alias":"ukraine","iso_code":"UA"},{"name":"Японія","alias":"japan","iso_code":"JP"}],"cities":[{"name":"Вупперталь","alias":"wuppertal"},{"name":"Ессен","alias":"essen"},{"name":"Бремен","alias":"bremen"},{"name":"Золінген","alias":"solingen"},{"name":"Франкфурт на Майні","alias":"frankfurt-am-main"},{"name":"Берлін","alias":"berlin"}],"operations":[{"name":"Дисектомія","alias":"removal-of-lumbar-disc-discectomy"},{"name":"Видалення пухлини головного мозку","alias":"removal-of-the-brain-tumor"},{"name":"Гамма-ніж","alias":"gamma-knife"},{"name":"Фокусована ультразвукова абляція (HIFU)","alias":"high-intensity-focused-ultrasound-ablation-hifu"},{"name":"Видалення пухлини спинного мозку","alias":"removal-of-spinal-cord-tumor"},{"name":"Глибока стимуляція мозку (DBS)","alias":"deep-brain-stimulation"},{"name":"Трансназальне видалення пухлини","alias":"transnasal-resection-of-tumor"},{"name":"Ламінектомія","alias":"laminectomy"},{"name":"Стереотаксичні операції","alias":"stereotaxic-surgeries"},{"name":"Видалення менінгіоми","alias":"removal-of-meningioma"},{"name":"Медикаментозне лікування хвороби Паркінсона","alias":"medication-treatment-for-parkinsons-disease"},{"name":"Медикаментозне лікування розсіяного склерозу","alias":"medicational-treatment-for-multiple-sclerosis"},{"name":"Спінальна фузія (Спондилодез)","alias":"manimally-invasive-fusion-surgery"},{"name":"Променева терапія пухлин головного мозку","alias":"radiation-therapy-for-brain-tumor"},{"name":"Операція при раку язика","alias":"tongue-cancer-surgery"},{"name":"Видалення міжхребцевої грижі з передопераційною діагностикою","alias":"removal-of-herniated-disc"},{"name":"Видалення пухлини гіпофіза","alias":"pituitary-tumor-surgery"},{"name":"Хірургія пухлини головного мозку","alias":"brain-tumor-surgery"},{"name":"Форамінотомія","alias":"foraminotomy"},{"name":"Гамма-ніж при пухлини головного мозку","alias":"gamma-knife-for-brain-tumor"},{"name":"Передня шийна дискектомія","alias":"anterior-cervical-discectomy"},{"name":"Кібер-ніж","alias":"cyberknife"},{"name":"Видалення міжхребцевої грижі","alias":"removal-of-herniated-disc-discectomy-and-cage-fusion"}],"diagnostics":[{"name":"МРТ одного відділу","alias":"mri-one-department"},{"name":"УЗД","alias":"u.s."},{"name":"Аналіз крові загальний","alias":"total-blood"},{"name":"Аналіз крові розгорнутий","alias":"extended-analysis-of-blood"},{"name":"Аналіз крові біохімічний","alias":"biochemical-analysis-of-blood"},{"name":"Сцинтиграфія","alias":"scintigraphy"},{"name":"МРТ хребта","alias":"mri-of-the-spine"},{"name":"Рентген хребта","alias":"spine-x-ray"},{"name":"Трепан-біопсія","alias":"core-needle-biopsy"},{"name":"МРТ головного мозку із контрастом","alias":"mri-of-the-brain-with-contrast-medium"},{"name":"МРТ поперекового відділу","alias":"mri-of-the-lumbar"},{"name":"Діагностика очей за допомогою щілинної лампи","alias":"slit-lamp-examination"},{"name":"Біопсія головного мозку","alias":"brain-biopsy"},{"name":"Переглянути результати МРТ","alias":"revision-of-mri-results"},{"name":"КТ придаткових пазух носа","alias":"ct-of-the-paranasal-sinuses"},{"name":"Онлайн консультація нейрохірурга","alias":"online-consultation-with-neurosurgeon"},{"name":"Консультація нейрохірурга","alias":"consultation-neurosurgeon"},{"name":"Поперекова пункція","alias":"the-study-of-spinal-fluid"},{"name":"КТ (комп'ютерна томографія)","alias":"ct"}],"illnesses":[{"name":"Пухлина головного мозку","alias":"brain-tumor"},{"name":"Стеноз хребетного каналу","alias":"spinal-stenosis"},{"name":"Спондилолістез","alias":"spondylolisthesis-of-the-lumbar-spine"},{"name":"Невринома слухового нерва","alias":"acoustic-neuroma"},{"name":"Краніостеноз","alias":"craniostenosis"},{"name":"Міжхребцева грижа","alias":"herniated-disk"},{"name":"Кіста головного мозку","alias":"brain-cyst"},{"name":"Пухлини спинного мозку","alias":"spinal-cord-abscess"},{"name":"Неврит лицевого нерва","alias":"neuritis-of-the-facial-nerve"},{"name":"Кавернома","alias":"cavernoma"},{"name":"Остеохондроз","alias":"osteochondrosis"},{"name":"Епілепсія","alias":"epilepsy"},{"name":"Головний біль","alias":"headache"},{"name":"Розсіяний склероз","alias":"multiple-sclerosis"},{"name":"Хвороба Паркінсона","alias":"parkinson-s-disease"},{"name":"Бічний аміотрофічний склероз","alias":"amyotrophic-lateral-sclerosis"}],"illnessKinds":[{"name":"Нейрохірургія","alias":"neurosurgery"},{"name":"Неврологія","alias":"neurology"}],"illness_kinds":[{"name":"Нейрохірургія","alias":"neurosurgery"},{"name":"Неврологія","alias":"neurology"}]},"popularSearches":[{"name":"Видалення міжхребцевої грижі","alias":"removal-of-herniated-disc-discectomy-and-cage-fusion","type":"operation","id":538},{"name":"Глибока стимуляція мозку (DBS)","alias":"deep-brain-stimulation","type":"operation","id":146},{"name":"Кібер-ніж","alias":"cyberknife","type":"operation","id":110},{"name":"Гамма-ніж","alias":"gamma-knife","type":"operation","id":112},{"name":"Видалення пухлини головного мозку","alias":"removal-of-the-brain-tumor","type":"operation","id":101},{"name":"УЗД","alias":"u.s.","type":"diagnostic","id":37},{"name":"МРТ одного відділу","alias":"mri-one-department","type":"diagnostic","id":6},{"name":"Консультація невролога","alias":"consultation-neurologist","type":"diagnostic","id":130},{"name":"Консультація зі складанням плану лікування","alias":"consultation-with-creation-of-treatment-plan","type":"diagnostic","id":457},{"name":"Консультація нейрохірурга","alias":"consultation-neurosurgeon","type":"diagnostic","id":42},{"name":"Міжхребцева грижа","alias":"herniated-disk","type":"illness","id":42},{"name":"Пухлина головного мозку","alias":"brain-tumor","type":"illness","id":236},{"name":"Стеноз хребетного каналу","alias":"spinal-stenosis","type":"illness","id":2773},{"name":"Аденома гіпофіза","alias":"hypophyseal-adenoma","type":"illness","id":87},{"name":"Артеріовенозна мальформація","alias":"arteriovenous-malformation","type":"illness","id":606}],"operationPrices":{"operation_prices":{"146":{"operation":{"name":"Глибока стимуляція мозку (DBS)","alias":"deep-brain-stimulation","use_for_listing":true},"country_price":{"UA":{"amount":14000,"max_amount":24000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"US":{"amount":65000,"max_amount":110000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":15000,"max_amount":25900,"currency":"USD","clinic_count":26,"price_kind":"from_range","price_source":"mixed","scope":"country"},"DE":{"amount":35000,"max_amount":43000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":24000,"max_amount":38000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":28000,"max_amount":41000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":true,"TR":true,"MX":false,"DE":true,"CA":false,"AE":false,"TH":false,"PL":false,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":true,"AU":false,"IN":true,"MY":false,"VN":false,"BR":false,"AZ":true},"description":"

Ця терапія використовує електричні струми для стимуляції ділянок мозку, ефективно та безпечно лікуючи виснажливі неврологічні симптоми.

"},"456":{"operation":{"name":"Медикаментозне лікування хвороби Паркінсона","alias":"medication-treatment-for-parkinsons-disease","use_for_listing":true},"country_price":{"UA":{"amount":500,"max_amount":950,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"US":{"amount":2800,"max_amount":6000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":900,"max_amount":1800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":1800,"max_amount":4800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":900,"max_amount":1600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"CZ":{"amount":700,"max_amount":1600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"UA":true,"US":false,"TR":false,"DE":false,"TH":false,"CZ":false},"description":"

Ця терапія спрямована на лікування симптомів неврологічного розладу за допомогою таких препаратів, як леводопа та інгібітори MAO-B.

"}}},"cityPrices":{"operation_prices":{"146":{"operation":{"id":146,"name":"Глибока стимуляція мозку (DBS)","alias":"deep-brain-stimulation"},"city_price":[{"amount":35000,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"tariff","scope":"city","city":{"id":342,"name":"Ессен","alias":"essen","profile":{"city_id":342,"city_type":"Central city of Germany's Ruhr region","access":["Düsseldorf Airport (DUS), 30 km from Essen"],"sources":["https://en.wikipedia.org/wiki/Essen","https://en.wikipedia.org/wiki/Düsseldorf_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":35000,"max_amount":43000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":119,"name":"Гамбург","alias":"gamburg","profile":{"city_id":119,"city_type":"Second-largest city in Germany","access":["Hamburg Airport (HAM), 9 km north of city center"],"sources":["https://en.wikipedia.org/wiki/Hamburg","https://en.wikipedia.org/wiki/Hamburg_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":35000,"max_amount":43000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":341,"name":"Золінген","alias":"solingen","profile":{"city_id":341,"city_type":"Bergisches Land city east of Düsseldorf","access":["Düsseldorf Airport (DUS), nearest airport to Solingen"],"sources":["https://en.wikipedia.org/wiki/Solingen"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":28000,"max_amount":40000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":23,"name":"Берлін","alias":"berlin","profile":{"city_id":23,"city_type":"Capital and largest city of Germany","access":["Berlin Airport (BER), 18 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Berlin","https://en.wikipedia.org/wiki/Berlin_Brandenburg_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]},"456":{"operation":{"id":456,"name":"Медикаментозне лікування хвороби Паркінсона","alias":"medication-treatment-for-parkinsons-disease"},"city_price":[{"amount":1800,"max_amount":4800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":119,"name":"Гамбург","alias":"gamburg","profile":{"city_id":119,"city_type":"Second-largest city in Germany","access":["Hamburg Airport (HAM), 9 km north of city center"],"sources":["https://en.wikipedia.org/wiki/Hamburg","https://en.wikipedia.org/wiki/Hamburg_Airport"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":1800,"max_amount":4800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":341,"name":"Золінген","alias":"solingen","profile":{"city_id":341,"city_type":"Bergisches Land city east of Düsseldorf","access":["Düsseldorf Airport (DUS), nearest airport to Solingen"],"sources":["https://en.wikipedia.org/wiki/Solingen"],"status":"ok","checked_at":"2026-11-03"}}},{"amount":4000,"max_amount":10000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":23,"name":"Берлін","alias":"berlin","profile":{"city_id":23,"city_type":"Capital and largest city of Germany","access":["Berlin Airport (BER), 18 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Berlin","https://en.wikipedia.org/wiki/Berlin_Brandenburg_Airport"],"status":"ok","checked_at":"2026-11-03"}}}]}}},"videoReviews":[{"id":"f294c547-c026-4625-97c0-0fa54e397efe","link":"https://player.vimeo.com/video/1096278202?badge=0&autopause=0&player_id=0&app_id=58479","description":"Це справді тривалий процес, але я з нетерпінням чекаю на результати!","userName":"Elissa","user_name":"Elissa","preview":"https://i.vimeocdn.com/video/2030306975-cc21de7cf319a314f716eee0537340f1b56a6b419fc965a2cbc32517bd968856-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T10:25:33.219+00:00","clinicName":"Lokman Hekim Istanbul Hospital","clinic":{"name":"Lokman Hekim Istanbul Hospital","alias":"lokman-hekim-istanbul"},"clinicUrl":"/clinic/lokman-hekim-istanbul/","relations":{"operations":[{"name":"Ринопластика (пластика носа)","alias":"rhinoplasty-nose-job"},{"name":"Ринопластика кінчика носа","alias":"tip-rhinoplasty"}]}}],"hasVideoReviewsByContext":true,"responsibleDoctor":{"id":645,"alias":"ali-zirh","name":"Ali Zirh","photo":"doctor/6a5e1b08044b5","advisory_text":"Більше ніж 1500 успішних операцій на лікування хвороби Паркінсона та інших розладів руху; понад 1000 процедур глибокої стимуляції мозку (DBS).","advisoryText":"Більше ніж 1500 успішних операцій на лікування хвороби Паркінсона та інших розладів руху; понад 1000 процедур глибокої стимуляції мозку (DBS).","specialities":[{"id":"nrs.001","name":"Нейрохірург","illness_kind_id":2},{"id":"nrs.005","name":"Фахівець зі стереотаксичної та функціональної нейрохірургії","illness_kind_id":2}]},"updatedAt":"2026-11-11T18:12:47.000Z","activeCountries":["DE","TR","UA","CZ","TH"],"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":2,"days_in_country":7,"rehabilitation_days":4,"satisfied_percent":78,"treatment_duration_hours":4},"illness_kind_details":{"requests_processed":21657}},"direction":{"id":2,"name":"Нейрохірургія","alias":"neurosurgery","name_forms":{"base_form":"Нейрохірургія","form_1":"нейрохірургії","form_2":"нейрохірургії","form_3":"нейрохірургічні","form_4":"нейрохірург","form_5":"нейрохірурга","form_6":"нейрохірурги","form_7":"нейрохірургічну","form_11":"нейрохірурги","form_12":"нейрохірургів"}},"illness_kind":{"id":2,"name":{"en":"Neurosurgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["local","local_sedation","general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"Office-type work after standard bilateral DBS lead and pulse generator implantation; depends on job demands, symptoms and device programming."},"complication_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Major events only: symptomatic hemorrhage, infection needing antibiotics or hardware removal, lasting neurological or hardware deficit. Minor events excluded."},"contraindications":["Significant dementia or severe cognitive impairment","Active uncontrolled psychiatric illness (e.g., severe depression or psychosis)","Poor levodopa response in Parkinson's disease (relative)","Atypical parkinsonism (e.g., MSA, PSP) with expected poor benefit","Bleeding disorders or anticoagulation that cannot be safely managed","Active infection","Unacceptable anesthetic or medical risk due to severe comorbidity","Brain MRI abnormalities making trajectory unsafe (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Standard bilateral DBS implantation; short inpatient stay with postoperative monitoring and imaging."},"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":"Strenuous activity and head/neck strain; light walking earlier."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Time to optimized stimulation programming and medication adjustment; varies by condition and target."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"Hospital stay 1–3 nights; fly after first wound check, once pneumocephalus resolves. Sutures out at 10–14 days."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":10,"max":14,"unit":"days","qualifier":"Wound inspection and suture/staple removal."}},{"purpose":"assessment","requirement":"routine","after":{"min":21,"max":42,"unit":"days","qualifier":"Typical initial device activation and programming after lesion effect settles."}},{"purpose":"assessment","requirement":"routine","after":{"min":60,"max":180,"unit":"days","qualifier":"Repeated programming and medication adjustment visits."}}],"indications":["Parkinson's disease with motor fluctuations or dyskinesia despite medication","Medication-refractory tremor (essential tremor or Parkinson's tremor)","Dystonia refractory to medical therapy","Refractory epilepsy (anterior thalamic target)","Severe refractory obsessive-compulsive disorder"],"main_risks":["Intracranial hemorrhage","Infection of the device or wound","Hardware complications (lead migration, fracture, skin erosion)","Speech, swallowing or balance problems related to stimulation","Mood or cognitive changes","Seizure","Stimulation-related side effects (paresthesia, muscle contraction)"],"pain":"Brain tissue itself is not pain-sensitive; scalp and neck/chest incision discomfort is mild to moderate and usually controlled with simple analgesics over several days.","preparation":["Multidisciplinary evaluation (neurology, neurosurgery, neuropsychology, psychiatry)","Brain MRI for target planning","Medication response assessment (e.g., on/off testing in Parkinson's disease)","Routine preoperative blood tests and medical fitness check","Review of medications and anticoagulants with the care team","Fasting before surgery","Head hair clipping or shaving on the day of surgery"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Monitoring, postoperative imaging, mobilization and pain control.","restrictions":["No driving","Keep incisions dry"]},{"phase":"Early recovery (weeks 1-4)","description":"Wound healing; stimulation often not yet activated; microlesion effect may temporarily improve symptoms.","restrictions":["Avoid heavy lifting and straining","Avoid vigorous head/neck movements","Avoid manipulating the device"]},{"phase":"Programming phase (months 1-6)","description":"Device activation and stepwise stimulation and medication optimization over multiple visits.","restrictions":["Follow device and MRI safety precautions","Avoid strenuous activity until cleared"]},{"phase":"Long-term","description":"Periodic follow-up and eventual battery replacement.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery to usual daily activities after standard implantation; programming continues for months."},"result_longevity":"Benefit is typically long-lasting but symptoms of the underlying disease may progress; implantable pulse generators need replacement every few years (non-rechargeable) or about 10-15 years (rechargeable), depending on device and settings.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation for lead repositioning, hardware fracture or erosion, or infection within about 1–5 years. Battery replacement excluded."},"scars":"Small scalp incision(s) or burr-hole scars largely hidden by hair, plus a chest or abdominal incision for the pulse generator and possible palpable hardware under the skin.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"Usually one implantation admission for leads and generator; some centers stage the generator placement separately."},"stages":[{"code":"lead_implantation","label":"Stereotactic electrode (lead) implantation","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of initial surgery."}},{"code":"generator_implantation","label":"Implantable pulse generator placement (same day or staged)","after":{"min":0,"max":14,"unit":"days","qualifier":"Often same day; occasionally staged within about two weeks."}}],"qualifier":"Standard bilateral DBS; programming visits are follow-up, not counted as treatment sessions."},"success":{"metric":"Improvement in motor scores (UPDRS-III, off-medication) after subthalamic or pallidal DBS in Parkinson's disease","value":45,"unit":"percent","horizon":"1 year","population":"Adults with advanced Parkinson's disease and motor fluctuations","evidence_status":"limited"},"techniques":[{"name":"Awake frame-based or frameless DBS with microelectrode recording","suits_whom":"Patients able to cooperate for intraoperative testing; common for Parkinson's disease and tremor.","recovery":"Similar recovery; hospital stay of a few days."},{"name":"Asleep image-guided DBS (intraoperative MRI/CT)","suits_whom":"Patients unable to tolerate awake surgery, such as those with dystonia or severe anxiety.","recovery":"Similar recovery and programming timeline."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":8,"unit":"hours","qualifier":"Standard bilateral lead implantation with generator placement; longer with awake testing."},"initial_assessment_documents":["Brain MRI images and report","Neurologist report with diagnosis and disease duration","Videos of symptoms ON and OFF medication","Levodopa challenge test results (if available)","Neuropsychological or cognitive assessment (if available)","Current medication list with doses"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"1–2 trips: one of about 10–14 days incl. 1–3 hospital nights; programming can be a second trip."},"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":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that you can ask the treating team your questions about the 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":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the treatment 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":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated, so you know who follows you up","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":"2026-11-12","http_status":200}},{"id":"C5","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","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":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden or persistent severe headache","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Severe headache that happens suddenly or won’t go away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Bleeding from the incision sites","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Bleeding from your incisions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Sudden vision changes or double vision","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Sudden changes in your vision, such as seeing double, blurred vision or loss of vision.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Redness, swelling or warmth around incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Redness, swelling or unusual warmth — which are signs of infection —around your incisions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W5","text":"Fever of 101 F or higher","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Fever of 101 degrees F (38.3 degrees C) or higher.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","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":"T2","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":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/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":"2026-11-11","http_status":200}},{"id":"T4","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}},{"id":"T5","text":"Tells the home nurse when stitches and steri-strips should come out","document":"letter for practice nurse","source":{"url":"https://www.nbt.nhs.uk/our-services/a-z-services/movement-disorders-service/movement-disorders-patient-information/discharge-hospital-following-deep-brain-stimulation-surgery","host":"nbt.nhs.uk","quote":"You will be given a letter for your Practice Nurse advising when your stitches and steri-strips should be removed.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T6","text":"Identifies the implanted stimulator for any clinician, scan, or procedure at home","document":"device identification card","source":{"url":"https://stanfordhealthcare.org/medical-treatments/d/deep-brain-stimulation/risks.html","host":"stanfordhealthcare.org","quote":"You will receive an identification card from the company that manufactures the deep brain stimulator to carry with you at all times.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You prefer a nonsurgical treatment for your symptoms","name":"Levodopa","source":{"url":"https://www.nhs.uk/conditions/parkinsons-disease/treatment/","host":"nhs.uk","quote":"Most people with Parkinson's disease eventually need a medication called levodopa.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"awake-frame-based","name":"Awake frame-based or frameless DBS with microelectrode recording","how_it_works":{"text":"The patient may be woken for testing during surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"Depending on the reason for surgery, you may be woken up for awake testing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"asleep-image-guided-dbs","name":"Asleep image-guided DBS (intraoperative MRI/CT)","how_it_works":{"text":"A CT scan checks that the leads are placed accurately","source":{"url":"https://my.clevelandclinic.org/health/treatments/16909-deep-brain-stimulation","host":"my.clevelandclinic.org","quote":"They'll also do another CT scan to ensure the lead placement is accurate.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=germany/city=zolingen/procedure=glubokaya-stimulyaciya-mozga/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":18,"alias":"epilepsy","name":"Епілепсія"},{"id":23,"alias":"parkinson-s-disease","name":"Хвороба Паркінсона"},{"id":654,"alias":"essential-tremor","name":"Есенційний тремор"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}