Dr. Cahit Kural brings _doctor_7527_years_ of neurosurgical experience with 900+ procedures performed. The VNS package may cost around $25,870 – typically covering surgery, 3 nights in a private hospital room, 7 nights hotel stay, transfers, and all preoperative consultations. The university hospital operates with 6 advanced neurosurgery suites and maintains a 99.9% success rate for similar procedures. Dr. Kural's expertise focuses exclusively on functional neurosurgery interventions.
Lokman Hekim University Ankara Hospital is a university hospital with 99.9% success rates in discectomy, brain tumor removal, and DBS. Its core specialties are neurosurgery, orthopedics, gastroenterology, and transplantology. It holds ISO certification and a government International Health Tourism Authorization.
Hermes Clinics is a doctor-founded healthcare center in Istanbul, Turkey. It specializes in bariatric surgery, plastic surgery, and dental care. A team of physicians founded the clinic in 2019. The medical team has coordinated care for over 30,000 patients. Treatment is provided through licensed partner hospitals and clinics across Istanbul.
Weight-loss services include gastric sleeve, bypass, and balloon procedures. Dental patients receive full-mouth restorations such as All-on-4 and All-on-6 implants. The clinic holds ISO 9001 certification for its international processes. Oncology care includes stereotactic radiosurgery with Gamma Knife and CyberKnife. Patients also get lifelong aftercare support after weight-loss surgery.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":1169,"alias":"hermes-clinics","name":"Hermes Clinics (Hermes Clinics A.Ş.)","short_description":"Hermes Clinics is a doctor-founded healthcare center in Istanbul, Turkey. It specializes in bariatric surgery, plastic surgery, and dental care. A team of physicians founded the clinic in 2019. The medical team has coordinated care for over 30,000 patients. Treatment is provided through licensed partner hospitals and clinics across Istanbul.
Weight-loss services include gastric sleeve, bypass, and balloon procedures. Dental patients receive full-mouth restorations such as All-on-4 and All-on-6 implants. The clinic holds ISO 9001 certification for its international processes. Oncology care includes stereotactic radiosurgery with Gamma Knife and CyberKnife. Patients also get lifelong aftercare support after weight-loss surgery.
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Private Koru Ankara Hospital is a JCI-accredited multi-specialty hospital in Ankara. It treats 350,000 patients annually. Main specialties include urology, gynecology, plastic surgery, and weight loss surgery.
Lokman Hekim University Ankara Hospital is a university hospital with 99.9% success rates in discectomy, brain tumor removal, and DBS. Its core specialties are neurosurgery, orthopedics, gastroenterology, and transplantology. It holds ISO certification and a government International Health Tourism Authorization.
Dr. Burak Orhan Boran has performed 1,100+ vagus nerve stimulation procedures over 22 years, specializing in neurosurgery. The procedure may cost around $21,500 – typically covering the operation, Aspire SR Model 106 implant, 5-day hospital stay (1 ICU + 4 normal), and pre-op tests. Hisar Hospital is JCI-certified, ensuring international safety standards. Dr. Boran trained in microsurgery at GATA Ankara and holds an associate professorship in neurosurgery.
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Memorial Şişli Hospital holds JCI accreditation – the first in Turkey – with a 4.6 rating from 300+ reviews. The clinic offers specialized VNS procedures with preliminary costs around $220, typically covering the implantation, pre-op consultation, and one-day hospital stay. Dr. Gokhan Silav provides detailed evaluations for chronic pain and treatment-resistant conditions. Additional diagnostics like brain MRI (around $750) and 12-hour EEG monitoring (approximately $1,800-2,100) may be required. The facility follows international safety standards with individualized treatment planning for epilepsy and psychiatric conditions.
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Medication therapy helps patients in 70% of cases.\n\nProf. Russi is included in the ranking of Top 100 Spanish doctors by the Forbes magazine, the world's authoritative edition.","specialities":[{"id":"nrl.001","name":"Neurologist","illness_kind_id":7},{"id":"nrl.003","name":"Epileptologist","illness_kind_id":7}]},"updatedAt":"2026-11-11T14:12:17.000Z","activeCountries":["TR","AT","ES","TH"],"operationIndicators":{"details":{"anesthesia":"local","days_in_clinic":1,"days_in_country":2,"rehabilitation_days":1,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":25926}},"direction":{"id":7,"name":"Neurology","alias":"neurology","name_forms":{"base_form":"Neurology","form_4":"neurologist","form_6":"neurologists","form_11":"neurologists"}},"illness_kind":{"id":7,"name":{"en":"Neurology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Typical for office-type work after implantation of the pulse generator and lead; depends on wound comfort and neck/chest incision healing."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Surgical or perioperative complications such as infection, vocal cord paresis, hematoma; serious ones under 3%. Stimulation side effects excluded."},"contraindications":["Prior bilateral or left cervical vagotomy (device contraindication)","Active systemic or implant-site infection","Inability to tolerate general anesthesia or surgery"],"days_in_clinic":{"min":2,"max":5,"unit":"nights","qualifier":"Overnight admission after surgery; flight home after surgeon clearance and neck swelling settles."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity earlier; strenuous upper-body and vigorous neck exercise wait until incisions heal."},"final_result_months":{"min":6,"max":24,"unit":"months","qualifier":"Benefit builds gradually with titration; seizure reduction often improves over 1–2 years. Response varies; some do not respond."},"fly_home_after_days":{"min":3,"max":5,"unit":"days","qualifier":"After surgeon clearance; depends on neck swelling, voice or swallowing symptoms, and flight length. Wound check can be done locally."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Incision check, often with suture removal if non-absorbable sutures used."}},{"purpose":"assessment","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Device activation and start of stimulation titration, commonly 2-4 weeks after implantation; subsequent adjustment visits follow."}}],"indications":["Drug-resistant epilepsy, adjunctive, when resective surgery unsuitable or ineffective","Treatment-resistant depression after multiple failed antidepressant trials"],"main_risks":["Surgical site infection, hematoma or pain at incision","Vocal cord paresis; vagus or cervical nerve injury, facial weakness","Bradycardia or asystole during intraoperative lead testing (rare)","Swallowing difficulty, aspiration, worsening sleep apnea","Lead fracture or device malfunction requiring reoperation","Anesthesia-related risks"],"pain":"Moderate incisional discomfort in the neck and chest/axilla for several days, usually managed with oral analgesics. Stimulation-related throat tingling or voice changes may occur after activation.","preparation":["Specialist evaluation confirming drug-resistant epilepsy or treatment-resistant depression and suitability","Preoperative assessment for general anesthesia, including medical history review","Fasting before general anesthesia as instructed","Review other implants and planned imaging; device affects MRI","Counseling on expected benefits, delayed onset, and battery replacement"],"recovery_timeline":[{"phase":"Day of surgery to first week","description":"Overnight admission; incisional soreness, neck swelling and transient hoarseness or swallowing discomfort are common.","restrictions":["Keep incisions dry and follow wound care instructions","Avoid heavy lifting and vigorous neck movement"]},{"phase":"Weeks 2-4","description":"Incisions heal; stimulation is typically switched on and gradually increased at clinic visits.","restrictions":["Avoid strenuous upper-body exercise until cleared"]},{"phase":"Months 1-12","description":"Stimulation settings are optimized stepwise and response is monitored.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery from implantation surgery; no formal rehabilitation program is usually required."},"result_longevity":"Therapy is ongoing while the device is active. Generator battery typically lasts several years depending on model and settings, and replacement surgery is needed when depleted; individual response varies.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Reoperation for lead or device malfunction, infection or repositioning, excluding planned battery replacement; within several years."},"scars":"Two small incisions: one in the left neck (often along a skin crease) and one in the upper chest or axilla for the generator; usually fade to fine scars.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical implantation procedure; later programming visits are follow-up care."},"stages":[{"code":"implantation","label":"Implantation of lead on left vagus nerve and pulse generator","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Standalone initial implantation; battery replacement and stimulation titration are separate."},"success":{"metric":"Patients with at least 50% seizure reduction","value":50,"unit":"percent of patients","horizon":"1-2 years after implantation","population":"Adults with drug-resistant epilepsy not suitable for resective surgery","evidence_status":"limited"},"techniques":[{"name":"Implantable cervical vagus nerve stimulator (lead on left cervical vagus nerve with chest-wall pulse generator)","suits_whom":"Adults with drug-resistant epilepsy or selected treatment-resistant depression who meet device criteria.","recovery":"Usually brief hospital stay; return to light activity within about 1–2 weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Operative time for a single primary implantation of lead and generator under general anesthesia."},"initial_assessment_documents":["Neurologist report with epilepsy or depression diagnosis","List of failed antiseizure or antidepressant drugs","Brain MRI report","EEG report","ECG report or cardiac history summary"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Implant surgery with 2-5 night stay. Activation 2-4 weeks later; a local neurologist avoids a second trip."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heart stops beating (cardiac arrest)","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17598-vagus-nerve-stimulation","host":"my.clevelandclinic.org","quote":"Your heart may stop beating ( cardiac arrest ).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Muscle weakness in the lower face","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17598-vagus-nerve-stimulation","host":"my.clevelandclinic.org","quote":"Muscle weakness in your lower face (facial muscle paresis).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Shortness of breath or trouble breathing","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17598-vagus-nerve-stimulation","host":"my.clevelandclinic.org","quote":"Coughing. Hoarseness. Change in voice. Neck pain or throat pain or tickling. Shortness of breath/trouble breathing ( dyspnea ).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"technique_details":{"status":"ok","items":[{"id":"implantable-cervical-vagus","name":"Implantable cervical vagus nerve stimulator (lead on left cervical vagus nerve with chest-wall pulse generator)","how_it_works":{"text":"An implanted device sends electrical pulses to the neck nerve","source":{"url":"https://my.clevelandclinic.org/health/treatments/17598-vagus-nerve-stimulation","host":"my.clevelandclinic.org","quote":"Vagus nerve stimulation (VNS) uses an implantable device to stimulate the vagus nerve in your neck.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":2,"unit":"days","label":"2 days","source":{"url":"https://my.clevelandclinic.org/health/treatments/17598-vagus-nerve-stimulation","host":"my.clevelandclinic.org","quote":"You can return to your everyday activities 48 hours after your device is implanted.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=turkey/city=ankara/procedure=stimulyaciya-bluzhdauschego-nerva/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{"operation_id":359,"operation_name":"Vagus nerve stimulation ","country_name":"Turkey","country_iso_code":"TR","seo_texts":{"base":"Start your epilepsy journey in Turkey with affordable diagnostic care. The Basic Diagnosis package ($2,000) includes doctor consultation, private room (individual chamber), and VIP transfers between airport, hotel, and clinic—ideal for evaluating candidacy for vagus nerve stimulation (VNS) or other epilepsy treatments.","standard":"Choose proven Vagus Nerve Stimulation (VNS) surgery in Turkey for drug‑resistant epilepsy or depression, from $20,000. Packages include neurosurgeon consultation, pre‑op MRI/CT, blood tests, hospitalization (ICU when needed), transfers, language support, with options for device programming, follow‑up, full board, or even a patient flight ticket.","premium":"Go all‑inclusive with premium VNS treatment for epilepsy and depression in Turkey (~$25,000). Enjoy expert neurosurgeons, comprehensive pre‑op MRI/CT and blood tests, 5‑night private hospitalization with 24/7 nursing, full board, airport‑hotel‑clinic transfers, multilingual assistance, postoperative medication management, follow‑ups, and rehabilitation—plus an afterward hotel stay on selected packages."},"prices_usd":{"base":{"min":2000,"max":2000,"median":2000,"count":1},"standard":{"min":20000,"max":25000,"median":24000,"count":3},"premium":{"min":25000,"max":25000,"median":25000,"count":2}}},"illnessesByOperation":[{"id":18,"alias":"epilepsy","name":"Epilepsy"},{"id":883,"alias":"west-syndrome","name":"West syndrome"}],"rendersOffersList":false,"fewClinics":false,"topCountriesCount":0}