Dr. Ernst Walther
The Neuro Centre at Schoen Clinic Hamburg Eilbek specialises in the treatment and rehabilitation of severely affected patients. The specialist centre consists of the neurological-neurosurgical intensive care units with a total of 58 beds, an early rehabilitation treatment unit with 87 beds as well as another 15 inpatient treatment places in the Neurological Rehabilitation Department with Phases C and D. Furthermore, the Neuro Centre has an Acute Neurological Department. Specialists treat patients with illnesses and injuries to the nerves or the brain - from acute treatment and neurological and intensive neurological early rehabilitation as well as continuing rehabilitation, to follow-up treatment. Continuous monitoring for the duration of the healing process in the different phases can therefore be guaranteed in the Neuro Centre. The path back into life is a journey for our patients that requires a lot of time and patience. They often spend many weeks in the Neuro Centre. Our goal is to support our patients as well as their relatives on this journey with all our expertise.
All severely affected patients who require ventilation or those with unstable circulation and neurological or neurosurgical conditions are initially at the intensive care ward Intensive Care Unit. Particularly for this, a specialised treatment team is available, led by seven senior doctors from different areas of expertise within intensive care medicine (neurologists, neurosurgeons, anaesthetists, internal specialists) and a further 30 consultants with specialist therapists and qualified carers. When the patient’s state of health is stabilised, neurological-neurosurgical rehabilitation (Phase B) follows.
Pre-fertile treatment (Phase B) often begins in a state of unconsciousness or in a vegetative state. In addition to normalising breathing, eating and other functions, the focus of the treatment is on rehabilitation. This usually begins with being weaned off a tracheal cannula or initiating movement in paralysed extremities. Over the course of the treatment, perception and movement as well as the development and further development of communication options is trained in cases of language and speech disorders. The goal of this early stimulation of the nervous system is to obtain an ideal treatment result. For this, specialists rely on innovative or robot-assisted treatment methods for the relevant condition, sometimes as part of international studies. Critical advantages for patients are quicker restoration of lost brain functions and better adjustment to potentially remaining disabilities.
If possible, treatment for early rehabilitation transitions to continuing rehabilitation phases, when the patients have recovered sufficiently that they can actively take part in these tasks. The goal of the continuing rehabilitation measures (Phase C) is to reduce the patient’s limitations during everyday activities such that a life without care assistance is possible. The patient’s ability to actively take part in individual as well as group therapy sessions is crucial here. Transition to follow-up treatment (Phase D) is possible as soon as the patient can largely carry out everyday activities independently (whilst using appropriate aids). Our specially trained care and therapy assistants support patients on their way back to independence.
With a team of consultants, health care staff and nurses, practice nurses, physiotherapists and occupational therapists, speech therapists and neuro-psychologists as well as physical therapists, specialised experts are available to you and your relatives in the Neuro Centre. As a patient with neurological conditions and symptoms such as inflammation of the brain and spinal cord, dizziness or headaches, you will be extensively examined and treated in our Acute Neurology Department. We particularly focus on diagnostics and the treatment of polyneuropathies as well as on categorising dementia.