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Specialty: Neurology
Source: Der Nervenarzt

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Total 213 results found since Jan 2013.

Neurothrombectomy 2022-Extension of indications and technical innovations
Nervenarzt. 2022 Jul 26. doi: 10.1007/s00115-022-01353-8. Online ahead of print.ABSTRACTFor advanced territorial ischemia numerous retrospective and prospective studies have shown a positive effect of mechanical thrombectomy (MT) compared to best medicinal treatment alone. For patients with minor stroke (NIHSS < 6) there is currently a lack of evidence for MT. Appropriate study protocols must differentiate between patients with large vessel occlusion with disproportionately mild symptoms and more distal vascular occlusion and therefore correspondingly fewer clinical symptoms. The role of intravenous lysis treatment befo...
Source: Der Nervenarzt - July 26, 2022 Category: Neurology Authors: Charlotte S Weyland Martin Bendszus Source Type: research

Stroke aftercare: task and opportunity of neurology
Nervenarzt. 2022 Apr;93(4):366-367. doi: 10.1007/s00115-021-01244-4. Epub 2022 Apr 14.NO ABSTRACTPMID:35426072 | DOI:10.1007/s00115-021-01244-4
Source: Der Nervenarzt - April 15, 2022 Category: Neurology Authors: Helmuth Steinmetz Source Type: research

Cerebral venous sinus thrombosis : An overview of causes, diagnostics and treatment
This article presents the most common causes, including a digression on vaccine-induced immune thrombotic thrombocytopenia (VITT) as well as recommendations for clinical, laboratory testing and imaging diagnostics. In addition, relevant complications with particular reference to epileptic seizures within the framework of the disease entity and guideline-based acute treatment and secondary prophylaxis are presented.PMID:35412038 | PMC:PMC9004207 | DOI:10.1007/s00115-022-01283-5
Source: Der Nervenarzt - April 12, 2022 Category: Neurology Authors: Jan Heckelmann Manuel Dafotakis J örg B Schulz Source Type: research

New aspects in neurointensive and emergency medicine: the most important studies in a review and overview
Nervenarzt. 2022 Apr 5. doi: 10.1007/s00115-022-01285-3. Online ahead of print.ABSTRACTThis review article summarizes the major clinical studies in neurological emergency and intensive care medicine from the end of 2020 to 2021 on the topics: recanalizing treatment in ischemic stroke, usefulness and effect of brain tissue oxygen monitoring in subarachnoid hemorrhage, efficacy of induced hypothermia in patients with cardiac arrest (CA), value of early cranial imaging after CA, relevance of rapid management and effects of different anticonvulsants in status epilepticus and incidence of critical illness polyneuropathy myopath...
Source: Der Nervenarzt - April 5, 2022 Category: Neurology Authors: Angelika Alonso Rainer Kollmar Konstantin Dimitriadis Source Type: research

Stroke alarm-Arterial ischemic stroke as one of the most time-critical emergencies in children and adolescents
Nervenarzt. 2022 Jan 24:1-9. doi: 10.1007/s00115-021-01252-4. Online ahead of print.ABSTRACTArterial ischemic stroke in childhood and adolescence is one of the most time-critical emergencies in pediatrics. Nevertheless, it is often diagnosed with a considerable time delay which may be associated with low awareness, the sometimes nonspecific clinical presentation with a wide variety of differential diagnoses, and less established 'acute care structures'. The revascularisation strategies in adult stroke care are also potential and promising treatment options for children, even if available evidence is still limited. In the p...
Source: Der Nervenarzt - January 24, 2022 Category: Neurology Authors: Lucia Gerstl M Olivieri F Heinen C Bidlingmaier A S Schroeder K Reiter F Hoffmann K Kurnik T Liebig C G Trumm N A Haas A Jakob I Borggraefe Source Type: research

Position paper on stroke aftercare of the German Stroke Society-Part  1: long-term care after stroke: status quo of the reality and deficits of care in Germany
Nervenarzt. 2022 Jan 3. doi: 10.1007/s00115-021-01231-9. Online ahead of print.ABSTRACTThe acute treatment of stroke patients in Germany is of a very high standard, guaranteed by its system of stroke units. Stroke as a disease has an acute phase followed by a chronic phase that requires a high level of qualified aftercare given by multidisciplinary and interdisciplinary teams. In 2020, the German Stroke Society (DSG) founded a commission for long-term stroke care. The aim is to evaluate the current situation of long-term aftercare and suggest improvements for its structure. In this paper the status quo of aftercare is pres...
Source: Der Nervenarzt - January 3, 2022 Category: Neurology Authors: Stephen Kaendler Martin Ritter Dirk Sander Matthias Elstner Christopher Schwarzbach Markus Wagner Andreas Meisel Mitglieder Kommission Nachsorge der Deutschen Schlaganfall-Gesellschaft Source Type: research

Position paper on stroke aftercare of the German Stroke Society-Part 3: structural concepts for future forms of care of stroke aftercare
DISCUSSION: The specialized care by a neurologist should be central to a multidisciplinary, interprofessional and transsectoral treatment. Structural concepts of post-stroke care must take regional differences but also effective strategies for quality control into account. Certification processes and appropriate financing of follow-up registries at state and federal levels may pave the way for improvement over the medium term. Structured outpatient post-stroke care services should be open to all subgroups of stroke patients. Additionally, innovative technologies can make an important contribution to post-stroke care; howev...
Source: Der Nervenarzt - December 21, 2021 Category: Neurology Authors: Christopher J Schwarzbach Dominik Michalski Markus Wagner Tobias Winkler Stephen Kaendler Matthias Elstner Andrea Dre ßing Joseph Cla ßen Andreas Meisel Armin Grau Mitglieder Kommission Nachsorge der Deutschen Schlaganfall-Gesellschaft Source Type: research