Head injuries are in all industrialized countries influenced by the high number of road accidents as a leading cause of disease and death. Young men aged from 20 to 40 are particularly often affected. Our Neurosurgical University Clinic carries out all procedures that are necessary for extensive and modern monitoring and treatment of patients suffering from concussion.
An emergency call centre and helicopter landing site are available at our clinic. The interdisciplinary first care takes place in the central casualty department with an integrated emergency trauma room in the currently most modern newly constructed clinic building in Germany. The cooperation with other disciplines and the arrangement of necessary therapeutic modalities ensure optimal treatment of all injuries. There is spiral CT, MRI as well as angiography availability round the clock.
Surgery:
There are all possibilities available for the acute surgical procedure, including the operating microscope. The subject of our work is – apart from the emergency care of the patient – the treatment of sequelae after head injuries. The plastic reconstruction of cerebral and craniofacial injuries takes place here in close cooperation with the ENT Clinic and the Clinic for Oral and Maxillofacial Surgery (LINK). The treatment possibilities for post traumatic hydrocephalus are also the subject of our own research activities.
Intensive medical treatment:
Less severe injuries are dealt with in a ward area. Treatment of seriously injured patients takes place in the interdisciplinary intensive care unit or recovery ward. Also here there is a neurosurgeon at disposal round the clock for specialist therapies from our area of expertise. With the intracranial pressure measurement, measurement of cerebral tissue PO2, cerebral microdialysis, transcranial Doppler sonography and neuroelectrophysiological monitoring all current monitoring procedures are represented.
Early rehabilitation:
Apart from the Neurological Rehabilitation Centre Greifswald a modern institution of early rehabilitation is available next door, where patients can be moved after completion of acute treatment.
Fig. 1.
A: Bleeding induced by injury between the skull and the meninges surrounding the brain (epidural haematoma); it is an urgent emergency case.
B: After emergency surgery: due to the rapid surgery the threat to life could be prevented. The patient recovered very well from the serious trauma.
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