MD H. Kaube
Neurology and Headache Cente

MD H. Kaube

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Address

Leopoldstr. 59/II
80802 Munich
Germany
Nearest airport: Munich

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About MD H. Kaube

The problem of headaches is the main object of our research in the field of neurology, which is especially significant for us. We began working on this problem since the medical practice was established in 1986 by its former co-owner and the expert in the subject of headaches Dr. Volker Pfaffenrat; the work continues now by his follower, a national and international level specialist in headaches, Dr. Holger Kaube.

MD Reiter
MD Michael Reiter

In this case, the patient is in the spotlight for all of us, our medical team, including Dr. Kaube, Dr. Reiter and Dr. Simen, as well as for all employees of the practice.

The diagnostic and therapeutic procedures we use meet the most modern scientific standards and experts' recommendations. Moreover, we take into consideration the latest developments and studies in neurobiology.

Being a center that specializes in headaches, we often receive patients who have been suffering from chronic and complex migraine and cluster headache for a long time. We are convinced that it is possible for these patients to significantly improve their medical situation and the quality of life that used to be limited. Thanks to the many years of experience and a large number of successful treatment cases, we can accept and attend to patients with chronic illnesses with a reasonable optimism.

The integral part of our consultation is a thorough explanation of the causes of the disease and mechanisms of pain, because we believe that fundamental understanding of the illness and therapeutic possibilities is an important prerequisite for successful healing.

According to the prevailing opinion in modern neurobiology, the most cases of chronic pain syndromes are genetically conditioned and therefore incurable. Instead of "restoration" of the affected organs, a holistic medical approach should be used, which includes both the recommendations from the doctor and the independent and responsible actions of the patient.

The ethical basis of our medical activity and the absolute vital principle is the following quote from the "Hippocratic Oath": "I will use treatment to help the sick according to my ability and judgment, but never with a view to injury and wrong-doing."

Diagnostics

We offer individual and detailed consultation on rational and/or necessary diagnostic procedures. Depending on the needs and in accordance with the individual clinical record they may include the following examination methods:

  • Additional neurophysiological diagnostics
  • Doppler-sonography of head blood vessels
  • Electroencephalogram
  • Method of evoked potentials
  • Brain stem reflexes
  • Laboratory tests of blood and, if necessary, spinal fluid acquired using lumbar puncture
  • Diagnosis of bowel function (H2 respiratory test for lactose, fructose and sorbitol intolerance)
  • Imaging methods, including magnetic resonance imaging, computed tomography and other radiological methods of head and spine examination (in close cooperation with highly qualified modern radiological centers)
  • Close cooperation with other medical disciplines (neurosurgery, orthopedics, surgical anesthesiology (pain therapy), dermatology and allergology, gynecology, ophthalmology, gastroenterology, cardiology, pulmonology and angiology)
  • Consideration of mental factors that increase headaches or are the consequence of chronic headache problems.

Therapy

Treatment of headaches in accordance with the recognized modern medical processes, such as:

  • Drug therapy for both urgent treatment and prevention of headaches. Our center also offers the possibility of therapy with botulinum toxin A.
  • Physiotherapy procedures for training and strengthening of the musculoskeletal apparatus is performed by experienced therapists who closely cooperate with our medical practice. Special attention is paid to cervical vertebrae and chewing apparatus.
  • Psychotherapeutic and behavioral-therapeutic procedures for relaxation, pain alleviation and prevention, that improve the therapy efficiency and constructiveness, in particular through successful cooperation with certified psychologist A. Kesser and Dr. W. Kesser.
  • Nutrition counseling: special attention is paid to factors causing headaches.
  • Educative (help for self-help) and psychoeducative procedures in the field of headache therapy are of great importance.

In especially difficult cases, when the usual therapeutic procedures are ineffective, we advise patients on the possibility of following pain-therapy procedures and organize, if it is worth it, a transfer to an appropriate surgical center:

  • Stimulation of occipital nerves (ONS)
  • Epidural stimulation proximate to the spinal cord (spinal cord stimulation = SCS)
  • Neuro-modulation of Sphenopalatinum ganglion (also Ganglion pterygopalatinum) with pulsating radio frequency (pulsed frequency)

For patients with acute cluster headaches and other so-called trigemino-autonomous pain syndromes, we offer a special service with emergency reception hours and reduced waiting times. Due to the large number of patients already registered in our center it is unfortunately impossible to avoid long waiting time during the initial registration. Since we very closely cooperate with the MVZ Pain Therapy Center on Hessshtrasse, we recommend patients suffering from headaches to apply there for an appointment of the first consultation as well. One can expect a much shorter waiting time there.

We also work closely with the Center of Pain Medicine of the Schwabing Clinic, Dr. Decker, under the direction of Thomas Helmer and Dr. Holger Kaube. The center also conducts surgical interventions in headache cases that are not susceptible to therapy.

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