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Department of paraplegic rehabilitation

Dr. med. Andreas Hildesheim
neurology, neurological rehabilitation

About the department

The department of paraplegic rehabilitation at Neurological Rehabilitation Center Godeshohe Bonn treats patients with spinal cord injuries caused by accidents or diseases, regardless of the severity and level of the lesions. Doctors also specialize in treating high cervical spinal cord paralysis patients who require ventilation. The department is one of 25 nationally recognized centres for the treatment of paralysis of the lower extremities and a model institution of the federal government. The department has state-of-the-art equipment for the restoration of body functions. For example, Lokomat is the leading robotic rehabilitation device that provides repetitive and most physiological movement training. Doctors also use Armeo robotic arm rehabilitation for patients who lack voluntary arm movement due to a neurological injury or disorder.

In case of paralysis, it is essential to start treatment and rehabilitation as soon as possible. The department has a wide range of therapeutic agents and exercise equipment following the latest standards, including robotic rehabilitation, a gym, and a swimming pool for the best treatment and therapy. In addition, an interdisciplinary team of doctors individually approaches each clinical case and selects a therapy complex depending on the patient's symptoms.

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Treatment and diagnostic focus of the department

Diagnosis: 

  • Spastic spinal paraplegia
  • Hereditary spastic paraplegia
  • Brain and spinal cord injuries
  • Stroke
  • Tumours of the brain or spinal cord
  • Polio
  • Cerebral paralysis
  • Peripheral neuropathy
  • Parkinson's disease
  • Guillain-Barré syndrome
  • Multiple sclerosis

Diagnostic: 

  • Anamnesis 
  • Physical examination 
  • Laboratory and biochemical tests
  • Magnetic resonance imaging 
  • Computed tomography 
  • Ultrasound examination 
  • Evoked potential (measure the electrical activity of the brain and spinal cord)
  • Electroencephalography (using small, metal discs attached to the scalp to measure electrical activity in the brain)
  • Electromyography muscle response or electrical activity in response to a nerve's stimulation)
  • Electroneurography (measuring the conduction velocities of peripheral nerves)

Treatment: 

  • Physiotherapy
  • Sports therapy
  • Occupational therapy
  • Robotic treadmill (Lokomat®)
  • Robotic Arm Rehabilitation (Armeo®)
  • Weaning from ventilation
  • Medical treatment
  • Special antispastic therapy (botulinum toxin, baclofen pumps)
  • Psychological support
  • Treatment of neurogenic disorders of the bladder and urination
  • Neuro-urological minimally invasive surgery
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Doctor profile

Education

  • 1988 - 1994 Studied medicine at the Free University of Berlin

Experience

  • 1994 - 2001 Resident Physician, Center for Neurology and Psychiatry at the University Hospital Cologne
  • Since 2001 Specialist in Neurology and Specialist in Physical and Rehabilitation Medicine, Neurological Rehabilitation Center Godeshohe Bonn
  • Since 2022 - present Chief Physician of the Center for Paraplegia, Central Rhine Community Hospital

Awards, memberships, publications

  • Working Group on Botulinum Toxin of the German Society of Neurology
  • German Society for Clinical Neurophysiology and Functional Imaging
  • German Society for Music Psychology
  • German Society of Neurologists
  • German Society for Neurorehabilitation
  • German-speaking Medical Society for Paraplegia
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