Neurological Intensive Care
Prof. Dr Stephan Vielhaber MD
(Deputy Medical Director)
Dr. Claudius Bartels
Our range of treatments
The Neurological Intensive Care clinic deals with the diagnosis and treatment of acute life-threatening primary and secondary illnesses of the central and peripheral nervous systems. Some indications for intensive medical monitoring (and, if necessary, intubation and artificial respiration) include disruptions of consciousness, loss of protect ive reflexes, increases in intracranial pressure due to large cerebral infarcts or inflammatory illnesses, neuromuscular weakness, and persistent convulsion.
Patient care is interdisciplinary, and is carried out with the direct collaboration of colleagues in the Anaesthesiology and Intensive Care clinic. About 80 to 100 patients with primary neurological illnesses are treated annually by the Neurological Intensive Care clinic. Patients with space occupying cerebral infarctions, intracranial bleedings, and subarachnoidal hemorrhages are the most frequently admitted, followed by patients with convulsive status epilepticus, myasthenic
crisis and severe forms of Guillain-Barré syndrome. Other conditions leading to admission are infl ammatory central nervous system diseases (meningoencephalitis), metabolic or hypoxic encephalopathies, as well as poisoning by psychotropic drugs. Admitted patients come from Saxony-Anhalt
and adjacent parts of Lower Saxony.
The ward’s diagnostic capabilities include the monitoring of EEGs and evoked cortical responses, ENG/EMG, and extraand transcranial Dopplerand duplex sonography. In addition, if indicated, extended cerebral monitoring (ICP, EEG, BIS) as well as hemodynamic monitoring (PiCCO, Vigileo) can be carried out. Modern imaging procedures, such as CT (computer tomography), MRI, angiography (including MR spect roscopy) and perfusion measurement, are available through a collaboration with the Institute for Neuroradiology. Cerebrospinal fluid diagnostics with advanced neurobiochemical markers take place in the wards internal neurobiochemical laboratory.
The intensive care ward off ers up-to-date mechanical respirators. Neuroimmunological diseases can be treated on site by means of plasmapheresis or immuneoabsorption. A broad spectrum of options is offered for the treatment of neurovascular diseases. For patients with intracranial pressure increases following cardiopulmonary resuscitation, on-site therapeutic hypothermia is possible (Arctic Sun 2000). External cerebrospinal fluid drainage and decompressive craniotomy (opening of the cranium) to relieve excessive intracranial pressure can be carried out by neurosurgery colleagues. Physical therapy exercises, as well as Ergotherapy and speech therapy, are provided by two experienced physiotherapists.
- Prof. Th. Hachenberg MD, Anesthesia and Intensive Care Clinic University Hospital of Magdeburg
- Prof. R. C. Braun-Dullaeus MD, Cardiology, Angiology and Pneumology Clinic University Hospital of Magdeburg
- Prof. R. Firsching MD, Neurosurgery Clinic University Hospital of Magdeburg
- Prof. M. Skalej MD, Institute of Neuroradiology University Hospital of Magdeburg