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Specialty: Neurology
Source: Der Nervenarzt

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Total 213 results found since Jan 2013.

Position paper on stroke aftercare of the German Stroke Society-Part  2: concept for a comprehensive stroke aftercare
Nervenarzt. 2021 Dec 21. doi: 10.1007/s00115-021-01232-8. Online ahead of print.ABSTRACTLong-term management after stroke has not been standardized in contrast to acute and rehabilitative stroke care. The fragmented outpatient sector of healthcare allows a high degree of flexibility but also variability in the quality of care provided. The commission on long-term stroke care of the German Stroke Society developed a concept on how to provide standardized multiprofessional long-term stroke care with a focus on patient-centered comprehensive care. We propose a diagnostic work-up in stages, with an initial patient-reported scr...
Source: Der Nervenarzt - December 21, 2021 Category: Neurology Authors: Benjamin Hotter Benno Ikenberg Stephen Kaendler Petra Knispel Martin Ritter Dirk Sander Christopher Schwarzbach Hans Joachim von B üdingen 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

Position paper on stroke aftercare of the German Stroke Society-Part  2: concept for a comprehensive stroke aftercare
Nervenarzt. 2021 Dec 21. doi: 10.1007/s00115-021-01232-8. Online ahead of print.ABSTRACTLong-term management after stroke has not been standardized in contrast to acute and rehabilitative stroke care. The fragmented outpatient sector of healthcare allows a high degree of flexibility but also variability in the quality of care provided. The commission on long-term stroke care of the German Stroke Society developed a concept on how to provide standardized multiprofessional long-term stroke care with a focus on patient-centered comprehensive care. We propose a diagnostic work-up in stages, with an initial patient-reported scr...
Source: Der Nervenarzt - December 21, 2021 Category: Neurology Authors: Benjamin Hotter Benno Ikenberg Stephen Kaendler Petra Knispel Martin Ritter Dirk Sander Christopher Schwarzbach Hans Joachim von B üdingen Markus Wagner Andreas Meisel Mitglieder Kommission Nachsorge der Deutschen Schlaganfall-Gesellschaft Source Type: research

Diagnostics and treatment of giant cell arteritis
Nervenarzt. 2021 Nov 3. doi: 10.1007/s00115-021-01216-8. Online ahead of print.ABSTRACTGiant cell arteritis (GCA) is the most common idiopathic systemic vasculitis in the age group over 50 years. It requires prompt diagnostics and treatment to avoid severe complications, such as visual loss or stroke. The tendency to relapse makes a glucocorticoid (GC) treatment necessary for several years and sometimes lifelong, which increases the risk of GC-induced long-term side effects. Therefore, additive GC-sparing treatment is recommended in the majority of patients. For this purpose, the anti-IL‑6 receptor antibody tocilizumab i...
Source: Der Nervenarzt - November 4, 2021 Category: Neurology Authors: Markus Kraemer Jana Becker Thorsten Alexander Bley Andreas Steinbrecher Jens Minnerup Bernhard Hellmich Source Type: research

Intracerebral hemorrhage under platelet inhibition and oral anticoagulation in patients with cerebral amyloid angiopathy
Nervenarzt. 2021 Oct 15. doi: 10.1007/s00115-021-01206-w. Online ahead of print.ABSTRACTOral anticoagulation in patients with cerebral amyloid angiopathy is a therapeutic challenge. The association of cerebral amyloid angiopathy with intracerebral hemorrhage, a high mortality of intracerebral hemorrhage especially under oral anticoagulation and the high risk of recurrent bleeding require a multidisciplinary approach and a thorough risk-benefit analysis. Vitamin K antagonists increase the risk of intracerebral bleeding and the accompanying mortality by 60% and should be avoided if possible or reserved for special clinical s...
Source: Der Nervenarzt - October 15, 2021 Category: Neurology Authors: R Hau ßmann P Homeyer M Hau ßmann M Brandt M Donix V Puetz J Linn Source Type: research