University Hospital Münster
PD. Dr. med. M. Schwake & Dr. med. M. Müther
Medical services of the Clinic for Neurosurgery of the
University Hospital Münster
Neurosurgery is a highly specialized field of medicine with numerous facets. Neurosurgery not only treats tumors (gliomas, glioblastomas, meningiomas, brain metastases, acoustic neuromas, hypopyse tumors), but also spinal diseases (herniated discs, stenoses), vascular diseases (aneurysms, AVM) and many more (trigeminal neuralgia, von Hippel-Lindau, normal pressure hydrocephalus).
The Department of Neurosurgery at Münster University Hospital covers the entire spectrum of neurosurgical operations and works closely with the other disciplines of the University Hospital. In the meantime, more than 3000 operations are performed annually in at least 3 operating theaters, 7000 patients are cared for on an outpatient basis, and countless consultations are carried out on the basis of image material sent in from Germany and abroad.
Intraoperatively, the latest technical procedures are used, which help to improve the safety of the therapies. These include neuronavigation, intraoperative monitoring of functions (neurophysiological monitoring), fluorescence procedures (ALA, ICG) for tumor and vascular operations, endoscopy, lasers, and most recently and as the first in North Rhine-Westphalia, intraoperative computed tomography intraoperative CCT . This newly developed system makes it possible to check during the operation whether, for example, a tumor removal is complete.
In the context of the care of neuro-oncological patients, we work together with specialists from other disciplines on an interdisciplinary basis within the framework of the Brain Tumor Center / Competence Center Neurooncology and the Comprehensive Cancer Center Münster (CCCM).
Brain Tumor Center – Münster University Hospital
Tumor diseases of the central nervous system (brain and spinal cord) in adults and children are highly diverse and often very complex in terms of therapy. The spectrum ranges from benign tumors (meningiomas, acoustic neuromas, pituitary adenomas, craniopharyngeomas) to malignant tumors (gliomas, glioblastomas, astrocytomas, oligodendrogliomas, lymphomas, medulloblastomas). Many tumor diseases that do not originally occur in the brain or the nervous system nevertheless show an involvement of the nervous system, e.g. via metastases (metastases, meningeosis neoplastica) or various so-called paraneoplastic neurological syndromes (PND) of the central as well as peripheral nervous system.
In order to optimally treat the various tumors, one single discipline is often not sufficient. Rather, physicians from numerous specialties must contribute their expertise.
Since the announcement that a patient is suffering from an unknown tumor in the brain or spinal cord and will require surgery can cause anxiety and uncertainty, we do not want to leave our patients alone with these feelings. To help them cope with the disease, specially trained psychooncologists are available at the Brain Tumor Center for a personal consultation.
The decision as to which treatment concept is best for the individual patient or whether additional diagnostics are still required is decided individually by the team in the weekly tumor conference and discussed with the patient and his family. Since such interaction between the various disciplines at the university hospital is of paramount importance for successful treatment, the Brain Tumor Center Münster was founded at UKM. The Brain Tumor Center Münster unites all specialists involved in brain tumor therapy and ensures a regulated cooperation of the clinics involved. Such cooperation can only be offered at maximum care hospitals and is unique in Westphalia.