Being a neurological competence centre, we treat neurological diseases of all phases and degrees of severities. In an ideal situation, a neurological patient who has recovered from an acute situation (such as e.g. a stroke) returns to his or her every-day life and occupation. Benefits for the patient: no transfers and no redundant diagnostics.
About 69 million people around the world suffer from Traumatic Brain Injury (TBI) each year. TBI is a non-degenerative injury to the brain from an external force, possibly leading to permanent or temporary impairment of cognitive, physical, and psychosocial functions. Common causes are vehicle collisions, falls, or violent assaults. Symptoms of mild TBI range from headaches, dizziness, sleep disturbances, and memory problems whereas the symptoms of moderate to severe TBI include slurred speech, seizures, or even the loss of consciousness. It requires intensive and neurological care to rehabilitate and recover.
A stroke is the result of a circulatory disorder in the brain. Symptoms can range from paralysis, sensory disturbances, swallowing and speech disorders, and impairment of cognitive abilities. A stroke is always an emergency and has to be treated immediately. This finding is based on the experience that all improvement measures within the first 3 hours (preferably in the first hour) have the best effect. Following acute treatment, lost skills can be partially or fully recovered in a specialized rehabilitation facility.
Multiple Sclerosis (MS) is a chronic inflammatory disease of the central nervous system (CNS). The cause is not yet clarified despite great research efforts. In addition to epilepsy, it is one of the most common neurological diseases affecting young adults and of considerable socio-medical significance. Symptoms can range from paralysis, sensory disturbance, problems with vision, incoordination, bladder and bowel disorders to dysphagia and speech disorders. Multiple Sclerosis is not curable. The aim of all therapeutic measures is to maintain the independence of the patient in everyday life and to ensure the best achievable quality of life.
Parkinson's disease is a slowly progressive neurological disease. It is one of the degenerative diseases of the extrapyramidal system. The symptoms are muscular rigidity, slowed movements, immobility, muscle tremors as well as postural instability. There is still no possibility of a causal treatment of Parkinson's disease. Therefore, Parkinson's therapy focuses on treating the symptoms, which is increasingly well possible. In the first years and sometimes even decades of the disease, it gives the patient an almost unhindered life and also relieves the subsequent course of the disease.
Alzheimer's disease is a neurodegenerative disorder that is particularly common at people over the age of 65 - but may also affect younger people. The disease is named after the German psychiatrist and neuropathologist Alois Alzheimer, who first described the disease in 1901. Characteristic for Alzheimer´s disease is an increasing deterioration of cognitive performance. This initially shows a deterioration in memory, especially regarding the short-term memory. A reduction of the orientation ability and mood disorders such as depression are common. Even in the early stages of the disease, minor abnormalities are discernible in neuropsychological tests. Alzheimer's disease is not curable so far. However, once the diagnosis is made, medical and therapeutic treatment approaches can slow down the disease and partially counteract the disease symptoms.
The term "amnesia" comes from the Greek and consists of a = "without, not" and mnesis = "memory". "Amnesia" thus denotes a loss of memory. It can affect a limited period of time or certain topics. Amnesia can be caused by various illnesses, injuries, or damage to the brain, e.g. traumatic brain injury, stroke, meningitis, or epileptic seizures. Even extreme mental stress caused by traumatic experiences can lead to amnesia, which in this case is usually not limited in time but content. Comprehensive and careful diagnosis is the basis for successful treatment of Amnesia.
Lyme disease is an infectious disease caused by bacteria. The transmission of Lyme disease is usually by infected ticks. It can affect various organs of the body, for example skin, nervous system, and heart. There are three stages of the disease. The first stage is characterized by weakness, headache, joint pain, and fever, whereas the second and third stage include flu-like symptoms, pain, paralysis, and neurological deficits. In the early stages of Lyme disease, a two-week antibiotic therapy is most effective. The sooner the treatment starts, the more surely it can prevent later complications and serious illnesses.
Encephalitis is an inflammation of the brain that is usually triggered by viruses. The effects of the illness are very different, the spectrum reaches from mild forms with short illness time up to heavy and lengthy progressions. The therapy is related to the individual case of illness. Encephalitis causes symptoms like awareness disorders, impairment of concentration and memory, behavioural changes, neurological deficits like speech disorders or paralysis, stiffness in the neck, or epileptic seizures. Generally, it is important to act fast in case of encephalitis. Therapy options include combinations of several antibiotics in the first phase as well as specific medications as soon as the cause of the encephalitis has been identified.
Epilepsy is the fourth most common neurological disorder. The epileptic seizures that occur are nonspecific, sudden, synchronous discharges of nerve cells due to a transient dysfunction. This activity may be restricted to certain areas (focal seizure) or involve multiple brain areas (generalized seizure). The primary goal of treatment is the prevention of further seizures, which can be achieved by drug treatment in about two-thirds of the patients.
Sleep disorders rank among the most common symptoms that people report and occur very often in the presence of neurological disorders. At Schmieder Clinic, we diagnose and treat all forms of sleep disorders in our Centre for Sleep Medicine (CSM). In many cases, treating these sleep disorders not only improves prognosis but also the patients’ quality of life. The diagnostic procedures are performed in spacious and quiet recording rooms that can be blacked out completely, equipped with en suite bathroom/toilet, using state-of-the art medical technology. After comprehensive diagnostic procedures, the patients receive individual treatment, depending on the severity of their sleep-wake disorder.
Chronic nerve pain affects the quality of life of many people and can be very distressing depending on pain intensity and frequency. The causes of neuropathic pain can be manifold and include internal, orthopaedic, and neurological disorders. The treatment of nerve pain requires a combined, multidisciplinary treatment. Drug therapy in conjunction with psychologists trained in pain treatment are a commonly used combination. Therapies such as physiotherapy and occupational therapy complete the spectrum. In certain indications, surgery may be useful.
Guillain-Barré syndrome (GBS), also known as Landry-Guillain-Barré-Strohl syndrome, is an acute neurological syndrome in which inflammatory changes of the peripheral nervous system occur. There are several forms of Guillain-Barré syndrome. The classic and most common form of Guillain-Barré syndrome is also referred to as acute inflammatory demyelinating polyneuropathy. The disease develops within a few weeks. Typically, within 4 weeks varying degrees of paralysis occur, beginning in the area of the leg and later also the arm musculature, as well as usually mild-grade sensory disturbances. It can lead to cranial nerve paralysis and disorders of the autonomic nervous system. After treatment in the acute phase, a rehabilitation program is needed to restore the nerve and muscle functions. The Schmieder Clinic is suitable for the treatment of GBS patients at all stages of their illness.
Comorbidities often occur in neurological diseases such as Traumatic Brain Injury or Multiple Sclerosis. As illnesses, accidents, and other personal tragedies cause profound changes in the lives of those affected as well as their environment, mental, and physical complaints are particularly added. Prerequisite is a respectful open therapeutic attitude. Patients receive correspondingly all functional therapy modules of a neurological rehabilitation clinic (physiotherapy, occupational therapy, speech therapy, sports therapies, etc.) as well as relaxation groups, mindfulness, psychological therapy, creative therapies (body-oriented procedures, design therapies, music therapy), and psychoeducational groups.