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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

The certification of centers for weaning from mechanical ventilation in neurological and neurosurgical early rehabilitation by the German Society for Neurorehabilitation
Nervenarzt. 2021 Oct 14. doi: 10.1007/s00115-021-01207-9. Online ahead of print.ABSTRACTSpecialized centers for weaning in neurological and neurosurgical early rehabilitation can be certified by the German Society for Neurorehabilitation (DGNR) since 1 October 2021. The certification criteria are indicators for structure and process quality and for treatment results for weaning of neurological patients from mechanical ventilation. In Germany these patients are treated in departments for neurological and neurosurgical early rehabilitation in acute care hospitals as well as in specialized rehabilitation hospitals. Acknowledg...
Source: Der Nervenarzt - October 14, 2021 Category: Neurology Authors: Martin Gro ß Marcus Pohl Thomas Platz Tobias Schmidt-Wilcke Source Type: research

Interactions between the brain and heart
Nervenarzt. 2021 Aug 17. doi: 10.1007/s00115-021-01170-5. Online ahead of print.ABSTRACTThe brain and heart are closely interconnected. Physiologically, the brain influences the way the heart beats. An example for this physiological influence is the control of the heart rate via efferences of the autonomic nervous system. Clinical examples for this direction of interactions include cardiac complications after stroke as well as takotsubo cardiomyopathy; however, the heart and brain are reciprocally connected so that heart activity also influences the brain beyond its function as the generator of bloodflow supplying the brai...
Source: Der Nervenarzt - August 17, 2021 Category: Neurology Authors: Sarah Deking Jan Liman Source Type: research

Thrombectomy in stroke-from clinical studies to daily practice
Nervenarzt. 2021 Aug;92(8):731-732. doi: 10.1007/s00115-021-01149-2. Epub 2021 Aug 5.NO ABSTRACTPMID:34351440 | DOI:10.1007/s00115-021-01149-2
Source: Der Nervenarzt - August 5, 2021 Category: Neurology Authors: G ötz Thomalla Jens Fiehler Source Type: research

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