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Dr. med. Dierk-Marko Czybulka image

Department of neurosurgery

Dr. med. Dierk-Marko Czybulka

About the department

The department of neurosurgery at PAN Clinic Cologne deals with diagnosing and treating central and peripheral nervous system diseases. In addition to various brain diseases, spine problems represent the primary competence of the department. The department offers the entire spectrum of conservative and operative neurosurgery, that is, diagnosis, advice, treatment and aftercare of acute and chronic neurosurgical complaints such as back pain or problems with the spine. The therapy is optimally tailored to the individual requirements of each patient. The neurosurgical department is fully equipped with neuronavigation to ensure accurate surgical interventions. It uses the latest and most gentle surgical procedures, highly modern and precise medical technology and the opportunities offered by the spectrum of available medication. Another plus is the excellent experience of the neurosurgeons and caring nursing staff.

The department’s primary focus is back pain relief and treatment entire spine for degenerative, traumatic, infectious and tumour diseases. Minimally invasive microsurgical operations are used to speed up the patient’s recovery and avoid complications whenever possible. The department also presents the latest therapy methods, such as cryotherapy and laser therapy.

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Treatment and diagnostic focus of the department


  • Diseases of the spine (herniated discs, intraspinal tumours)
  • Diseases of the peripheral nerves (neuropathic pain, schwannomas, neurofibromas)
  • Diseases of the pituitary gland (pituitary adenomas, acromegaly, Cushing's diseases)
  • Neurovascular diseases (aneurysms and various vascular malformations, cavernomas and fistulas)
  • Other pathological conditions 


  • Anamnesis (history of the disease)
  • Physical examination 
  • MRI (magnetic resonance imaging)
  • X-Ray
  • CT (computer tomography)
  • Electroencephalogram (EEG)
  • Spinal tap (needle is inserted into the spinal canal to remove a sample of cerebrospinal fluid)
  • Electromyography (EMG) 
  • Nerve conduction velocity (NCV)

Treatment options:

  • The entire spectrum of conservative spinal therapy
  • Minimally invasive microsurgical operation for herniated discs and narrowing of the cervical spine, thoracic spine and lumbar spine
  • Surgical therapy in the area of ​​the cervical spine and lumbar spine 
  • Intervertebral disc prosthetics of the cervical spine
  • Icing/cryotherapy of the facet joints to treat therapy-resistant back pain 
  • Periradicular therapy
  • Stabilizing procedures for slipped vertebrae (spondylolisthesis)
  • Microsurgical removal of intraspinal tumours 
  • Second operations for screw fractures, implant misalignments and other complications after spinal surgery
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Doctor profile


  • 1991 - 1999 Study of Human Medicine, Philipps University of Marburg
  • 1999 - 2000 Internship
  • 2009 Board Certification in Neurosurgery, Medical Association of North-Rhine Westphalia


  • 2001 - 2004 Assistant Physician, Department of Neurosurgery, Hospital Aschaffenburg
  • 2005 - 2010 Assistant Physician, Department of Neurosurgery, Hospital Manheim
  • 2010 Acting Senior Physician
  • 2012 Senior Physician
  • 2015 Senior Physician, Department of Neurosurgery at the University Hospital Cologne
  • Since 2020 Chief Physician of the Department of Neurosurgery at the PAN Clinic Cologne
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