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.
Emsey Hospital, a JCI-accredited facility, offers specialized vagus nerve stimulation services with access to experienced neurologists and state-of-the-art epilepsy monitoring technology.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":150,"price_to":300,"currency":"USD","id":32822},"diagnostic":{"id":37,"name":"Ultrasound","alias":"u.s."}},{"prices":{"price_from":120,"price_to":120,"currency":"USD","id":50788},"diagnostic":{"id":522,"name":"Online Consultation with Neurosurgeon","alias":"online-consultation-with-neurosurgeon"}}],"reviews":[],"clinic":{"id":1173,"alias":"emsey-hospital","name":"Emsey Hospital","short_description":"Emsey Hospital is a multi-specialty medical center on the Asian side of Istanbul. It is the first hospital to receive the International Health Tourism Authorization Certificate (001) from the Turkish Ministry of Health. The hospital is especially known for orthopedics, spine surgery, bone marrow transplantation, and oncology.
GDL High Specialty Neurosurgery is a focused neurosurgery clinic in Guadalajara, Mexico. It treats around 700 patients each year with a team of two specialists. The clinic's single department is dedicated entirely to neurosurgical care.
GDL High Specialty Neurosurgery is a focused neurosurgery clinic in Guadalajara, Mexico. It treats around 700 patients each year with a team of two specialists. The clinic's single department is dedicated entirely to neurosurgical care.
Estophia Hospital is a private clinic in Istanbul with 87 doctors across 28 departments. Orthopedics, urology, aesthetic medicine, and weight loss surgery are its strongest areas.
Estophia Hospital is a private clinic in Istanbul with 87 doctors across 28 departments. Orthopedics, urology, aesthetic medicine, and weight loss surgery are its strongest areas.
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.
","images":[{"base_url":"clinic/6a78a873f2c62","title":"Modern waiting area at Hermes Clinics with comfortable seating and decor"},{"base_url":"clinic/6a78a875d529d","title":"Patient room at Hermes Clinics with hospital bed, TV, and modern furnishings"},{"base_url":"clinic/6a78a87791497","title":"Modern clinic lobby at Hermes Clinics with grand piano and stylish decor"},{"base_url":"clinic/6a78a87971c3a","title":"Modern glass facade of Medical Park clinic in Istanbul, Turkey"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":false}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Ankara","id":386,"alias":"ankara"},"address":"FOLKART TIME, Kazım Dirik Mah Ankara Cad. 296 Sok. No:8 1.Blok K:3 Daire:306, 35080 Bornova/İzmir, Türkiye"},"rating":{"rating":4.5,"google":4.3,"percent_of_satisfied_clients":85},"statistics":{"number_of_reviews":20,"doctors_number":1,"year_foundation":2019},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Biruni University Hospital is a TEMOS-accredited university hospital with 134 doctors across 70 departments. It opened in 2016 and treats both adults and children. Its core specialties are neurosurgery, cardiology, oncology, and hematology oncology.
Biruni University Hospital is a TEMOS-accredited university hospital with 134 doctors across 70 departments. It opened in 2016 and treats both adults and children. Its core specialties are neurosurgery, cardiology, oncology, and hematology oncology.
Dr. Mehmet Beşir SÜRME has performed 1,100+ neurosurgical procedures with specialized training in pediatric neurosurgery from Agostino Gemelli Hospital in Rome. The all-inclusive VNS program may cost around $25,000 – typically covering surgery, the stimulator device, up to 10 days hospital stay, transfers, and hotel accommodation. Eskişehir City Hospital holds Health Tourism Certification by Turkey's Ministry of Health and maintains excellent patient ratings.
Neurosurgeon Dr. Mehmet Beşir SÜRME is a state multi-specialty medical center in Eskisehir, Turkey. It focuses on neurosurgery, spinal surgery, and pediatric neurosurgery. The clinic is headed by a specialist in deep brain stimulation and is certified for health tourism.
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.
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.
Dr. Teyyub Hesenov has _doctor_7952_years_ of neurosurgery experience, specializing in Vagus Nerve Stimulator Implantation and Deep Brain Stimulation. He trained at Marmara University in Turkey and has published multiple peer-reviewed papers on neurosurgical techniques. The procedure typically costs around $23,000–$25,000. Melhem International Hospital serves 200,000+ patients annually and was the first in Azerbaijan to perform Parkinson's surgery.
Melhem International Hospital is a private multi-specialty center in Baku, Azerbaijan. It is the first facility to perform Parkinson’s surgery in the country. The hospital specializes in neurosurgery, cardiology, and pediatric neurosurgery. It holds ISO certification.
Prof. Heo is a leading neurologist specializing in epilepsy treatment, serving as head of the Neurology Department at Severance Hospital. He holds memberships in The Korean Epilepsy Society and The Korean Neurological Association. The JCI-accredited hospital follows international standards for neurological care.
Severance Hospital is a JCI-accredited multidisciplinary hospital affiliated with Yonsei University in Seoul. It specializes in radiosurgery, robotic surgery, cardiac surgery, and oncology.
Memorial Şişli Hospital holds JCI accreditation and offers specialized DBS packages from $25,000, typically covering surgery, MRI/CT scans, 4 days ward stay, ICU care, and transfers. Prof. Dr. Zafer Orkun Toktas consults on complex DBS cases as part of a multidisciplinary neurosurgery team. The hospital maintains world-class surgical standards with 4.6/5 patient ratings across 287+ reviews.
","text_type":"mt_wow_description","best_texts":{"techniques":"Deep brain stimulation (DBS) surgery, Parkinson protocol MRI","good_fit_for":"Parkinson's disease candidates","why_its_ranked":"JCI-accredited neurosurgery team evaluates each case individually. Hospitalization packages include 14-day stays with stimulator programming. 4.6/5 patient rating based on 312 reviews."},"additional_data":{"advertising_id":"96:illness_kind:2"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":30000,"price_to":30000,"currency":"USD","id":14659},"operation":{"id":146,"name":"Deep brain stimulation (DBS) surgery","alias":"deep-brain-stimulation"}},{"prices":{"price_from":410,"price_to":520,"currency":"USD","id":51862},"diagnostic":{"id":136,"name":" Electromyography ","alias":"electromyogram-emg"}},{"prices":{"price_from":120,"price_to":120,"currency":"USD","id":29051},"diagnostic":{"id":522,"name":"Online Consultation with Neurosurgeon","alias":"online-consultation-with-neurosurgeon"}}],"reviews":[],"clinic":{"id":96,"alias":"memorial-healthcare-group","name":"Memorial Şişli Hospital","short_description":"Memorial Şişli Hospital in Istanbul is one of Turkey’s leading multidisciplinary medical centers, operating on a 53,000 m² area with 252 beds, 13 operating rooms, and advanced intensive care units. Opened in 2000, it became the first hospital in Turkey and the 21st worldwide to earn Joint Commission International (JCI) accreditation, confirming world-class standards.
\n\nThe hospital is recognized for its expertise in oncology, organ and bone marrow transplantation (90% organ transplant success rate), IVF, neurosurgery, bariatric surgery, robotic surgery, and genetics. Equipped with cutting-edge technology and specialized centers, Memorial Şişli attracts patients from 167 countries each year, combining top-level medical care with Istanbul’s unique cultural and travel opportunities.
\n","images":[{"base_url":"clinic/634ffae9b76cd","title":"Memorial Şişli Hospital modern clinic building in Istanbul, Turkey"},{"base_url":"clinic/5ba3aa9d874b8","title":"Patient room at Memorial Şişli Hospital, Istanbul with modern furnishings and TV"},{"base_url":"clinic/5ba3aa9ebbdf9","title":"Patient room and lounge area at Memorial Şişli Hospital, Istanbul"},{"base_url":"clinic/634ffa7dd8799","title":"Reception desk at Memorial Şişli Hospital with modern decor in Istanbul"}],"flags":[{"name":"is_hide","value":false},{"name":"has_active_agencies","value":true}],"geo":{"country":{"name":"Turkey","id":46,"alias":"turkey","iso_code":"TR"},"city":{"name":"Istanbul","id":107,"alias":"istanbul"},"address":"Kaptan Paşa Mah, Halit Ziya Türkkan Sok Famas Plaza No:19 D:C, 34385 Şişli/İstanbul, Turkey"},"rating":{"rating":4.6,"google":4.7,"percent_of_satisfied_clients":87},"statistics":{"number_of_reviews":436,"doctors_number":189,"year_foundation":2000},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db982e01da4b.jpeg","name":"International Organization for Standardization","country_code":"CH"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}],"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}]}}},{"card":{"text":"Hisar Hospital Intercontinental, a JCI-accredited facility, offers Deep Brain Stimulation (DBS) surgery with prices typically around $9,900–$12,100. The clinic's neurosurgical team leverages advanced functional neurosurgery techniques, though no specific DBS-experienced doctors are listed in the provided data.
","text_type":"mt_wow_description","best_texts":{"why_its_ranked":"JCI-accredited hospital. Robotic surgery center enables millimetric precision for DBS electrode placement. 640-slice CT and open 3T MRI give highly accurate imaging with minimal radiation."},"additional_data":{"advertising_id":"426:illness_kind:2"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":20700,"price_to":20700,"currency":"USD","id":62795},"operation":{"id":146,"name":"Deep brain stimulation (DBS) surgery","alias":"deep-brain-stimulation"}},{"prices":{"price_from":200,"price_to":200,"currency":"USD","id":17554},"diagnostic":{"id":97,"name":"Scintigraphy","alias":"scintigraphy"}},{"prices":{"price_from":160,"price_to":160,"currency":"USD","id":16454},"diagnostic":{"id":182,"name":"Consultation with an ophthalmologist","alias":"consultation-ophthalmologist"}}],"reviews":[],"clinic":{"id":426,"alias":"hisar-intercontinental-hospital","name":"Hisar Hospital Intercontinental","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/426-6abe204028557.png","short_description":"Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Associate professor specializing in neurosurgery with advanced training at the University of Wisconsin – a leader in vagus nerve stimulation techniques.
Dr. Melih Ucer is a neurosurgeon and associate professor at Biruni University Hospital in Istanbul. He served as a visiting scholar at the University of Wisconsin Clinic of Neurosurgery. Dr. Ucer specializes in complex brain and spine surgeries. He treats conditions like spinal stenosis, brain tumors, and cerebral aneurysms.
Biruni University Hospital is a TEMOS-accredited university hospital with 134 doctors across 70 departments. It opened in 2016 and treats both adults and children. Its core specialties are neurosurgery, cardiology, oncology, and hematology oncology.
Dr. Ozkardes specializes in neurology with extensive experience in vagus nerve stimulation at Biruni University Hospital.
Dr. Abdullah Ozkardes is a neurologist at Biruni University Hospital in Istanbul. He specializes in the treatment of epilepsy, Parkinson's disease, and multiple sclerosis. Dr. Ozkardes provides stem cell therapy and deep brain stimulation (DBS). He previously served as Chief Physician at Kutahya Air Hospital.
Biruni University Hospital is a TEMOS-accredited university hospital with 134 doctors across 70 departments. It opened in 2016 and treats both adults and children. Its core specialties are neurosurgery, cardiology, oncology, and hematology oncology.
Specializing in pediatric neurosurgery for _doctor_9336_years_, Dr. Baskan focuses on complex cases at Biruni University Hospital.
Dr. Fikret Baskan is a neurosurgeon at Biruni University Hospital in Istanbul. He is a Faculty Member at Biruni University Department of Neurosurgery. Dr. Baskan has focused on pediatric neurosurgery for nearly a decade. He treats complex cases like brain tumors, spinal cord malformations, and hydrocephalus.
Biruni University Hospital is a TEMOS-accredited university hospital with 134 doctors across 70 departments. It opened in 2016 and treats both adults and children. Its core specialties are neurosurgery, cardiology, oncology, and hematology oncology.
Dr. Teyyub Hesenov specializes in neurosurgery with training from Dokuz Eylul and Marmara University in Turkey.
Dr. Teyyub Hesenov is a neurosurgeon at Melhem International Hospital in Baku. He focuses on neuromodulation and complex tumor resections. Dr. Hesenov was the first to perform Parkinson’s surgery in Azerbaijan. He earned his medical degree and specialist training at major Turkish universities. His practice includes adult and pediatric neurosurgery.
Melhem International Hospital is a private multi-specialty center in Baku, Azerbaijan. It is the first facility to perform Parkinson’s surgery in the country. The hospital specializes in neurosurgery, cardiology, and pediatric neurosurgery. It holds ISO certification.
The doctor is a leading neurologist in South Korea, specializing in epilepsy treatment. Currently, the doctor serves as the Head of the Neurology Department at Yonsei Severance Hospital.
The doctor graduated from Yonsei University College of Medicine and is an active member of several professional organizations, including The Korean Epilepsy Society, The Korean Neurological Association, and The Korea Medical Association.
","specialities":[{"id":"nrl.001","name":"Neurologist","illness_kind_id":7},{"id":"nrl.003","name":"Epileptologist","illness_kind_id":7}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0},"certificates":[{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c72da455b7.jpeg","name":"The Korean Epilepsy Society"},{"url":"https://s3.eu-central-1.amazonaws.com/bookimed/doctor/certificate/659c72f0e6ee2.jpeg","name":"The Korea Medical Association"}]},"clinic":{"id":254,"alias":"severance-hospital","name":"Severance Hospital","short_description":"Severance Hospital is a JCI-accredited multidisciplinary hospital affiliated with Yonsei University in Seoul. It specializes in radiosurgery, robotic surgery, cardiac surgery, and oncology.
Dr. Mehmet Besir Surme is a neurosurgeon at Eskişehir City Hospital in Turkey. He specializes in pediatric neurosurgery and complex brain tumor removal. Dr. Surme completed an international fellowship in pediatric neurosurgery in Rome, Italy. He has authored scientific publications with over 40 citations in his field.
Neurosurgeon Dr. Mehmet Beşir SÜRME is a state multi-specialty medical center in Eskisehir, Turkey. It focuses on neurosurgery, spinal surgery, and pediatric neurosurgery. The clinic is headed by a specialist in deep brain stimulation and is certified for health tourism.
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.
This surgery cuts brain nerve fibers to stop severe epilepsy without removing brain tissue.
"},"359":{"operation":{"name":"Vagus nerve stimulation ","alias":"vagus-nerve-stimulation","use_for_listing":true},"country_price":{"US":{"amount":38000,"max_amount":58000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":15000,"max_amount":35000,"currency":"USD","clinic_count":7,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":24000,"max_amount":32000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":24000,"max_amount":33000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":24700,"max_amount":32000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":true,"TR":true,"MX":false,"DE":false,"CA":false,"AE":false,"TH":false,"PL":false,"KR":false,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":true,"MY":false,"VN":false,"BR":false,"AZ":true},"description":"This therapy sends electrical impulses to the brain, controlling mood and seizure activity, beneficial for psychiatric and epilepsy patients.
"},"408":{"operation":{"name":"Surgical treatment of epilepsy","alias":"surgical-treatment-of-epilepsy","use_for_listing":true},"country_price":{"US":{"amount":85000,"max_amount":140000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":9600,"max_amount":14500,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":14000,"max_amount":23000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":24000,"max_amount":39000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":75900,"max_amount":0,"currency":"USD","clinic_count":1,"price_kind":"from","price_source":"offer","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":true},"description":"Brain tissue removal causing seizures, improving patients\" quality of life and reducing medicines.
"},"410":{"operation":{"name":"Medication treatment for epilepsy","alias":"medication-for-epilepsy","use_for_listing":true},"country_price":{"US":{"amount":2500,"max_amount":5200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1300,"max_amount":1800,"currency":"USD","clinic_count":4,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":900,"max_amount":1600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":1200,"max_amount":3500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":900,"max_amount":2300,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false,"ES":false},"description":"This therapy uses drugs to control seizures, helping patients lead normal, active lives.
"}}},"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}},"responsibleDoctor":{"id":270,"alias":"antonio-russi","name":"Antonio Russi","photo":"doctor/5acf6037229bd","advisory_text":"Prof. Antonio Russi is recognized as the best epileptologist in Spain. The Doctor specializes in non-surgical therapy of severe and rare epilepsy stages. He helps children and adults to get rid of seizures for good.\nProf. Antonio Russi is an apparent expert in epilepsy diagnosing and choosing the most appropriate drugs in each particular case. 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.","linkedin":"","specialities":[{"id":"nrl.001","name":"Neurologist","illness_kind_id":7},{"id":"nrl.003","name":"Epileptologist","illness_kind_id":7}]},"direction":{"id":7,"name":"Neurology","alias":"neurology"},"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":"Check the surgeon’s credentials and experience, including how many of these surgeries they have performed","scope":"procedure","source":{"url":"https://mcpress.mayoclinic.org/living-well/facing-a-diagnosis-and-navigating-the-journey-ahead/","host":"mcpress.mayoclinic.org","quote":"Who is performing the surgery? What are their credentials and experience? How many of these surgeries have they done?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C2","text":"Check that the clinic provides follow-up visits to ensure the pulse generator works and has not moved","scope":"procedure","source":{"url":"https://www.mayoclinic.org/tests-procedures/vagus-nerve-stimulation/about/pac-20384565","host":"mayoclinic.org","quote":"You need to make follow-up visits to your healthcare professional to make sure that the pulse generator is working and hasn't moved out of place.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C3","text":"Check when the clinic will turn on and program the pulse generator after implantation","scope":"procedure","source":{"url":"https://www.mayoclinic.org/tests-procedures/vagus-nerve-stimulation/about/pac-20384565","host":"mayoclinic.org","quote":"If you had the device implanted to treat epilepsy or depression, your healthcare team turns on the pulse generator during a medical visit a few weeks after surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":403}},{"id":"C4","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":"C5","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}}],"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":"Vocal cord paralysis","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17598-vagus-nerve-stimulation","host":"my.clevelandclinic.org","quote":"Vocal cord paralysis .","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","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":"W3","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":"W4","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/procedure=stimulyaciya-bluzhdauschego-nerva/page=3/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":205},"manualSeo":[],"updatedAt":"2026-11-11T14:12:17.000Z","activeCountries":["TR","AT","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}