- Cerebrospinal fluid and hydrocephalus
- Spinal Dysraphism and Malformations
- Meningioma and schwannoma management
- Traumatic Brain Injury and Neurovascular Disturbances
- Glioma Diagnosis and Treatment
- Cerebral Venous Sinus Thrombosis
- Brain Metastases and Treatment
- Spinal Fractures and Fixation Techniques
- Neurosurgical Procedures and Complications
- Fetal and Pediatric Neurological Disorders
- Neurofibromatosis and Schwannoma Cases
- Vascular Malformations Diagnosis and Treatment
- Head and Neck Surgical Oncology
- Neurological and metabolic disorders
- Child Abuse and Related Trauma
- Thyroid Cancer Diagnosis and Treatment
- Cerebrovascular and Carotid Artery Diseases
- Botulinum Toxin and Related Neurological Disorders
- Neurological disorders and treatments
- Intracranial Aneurysms: Treatment and Complications
- Radiation Therapy and Dosimetry
- Pelvic and Acetabular Injuries
- Pregnancy-related medical research
- Cardiac Arrest and Resuscitation
- Neurological Complications and Syndromes
Medizinische Hochschule Hannover
2014-2024
Unfallkrankenhaus Berlin
2017
Klinikum Kassel
2017
Dietrich Bonhoeffer Klinikum
2017
Freehand ventricular catheter placement may represent limited accuracy for the surgeon's intent to achieve primary optimal position.To investigate of a guide assisted by simple mobile health application (mhealth app) in multicenter, randomized, controlled, blinded study (GAVCA study).In total, 139 eligible patients were enrolled 9 centers. Catheter was evaluated 3 different components: number cannulation attempts, grading scale, and anatomical position tip. The endpoint rate grade I...
Cerebrospinal fluid (CSF) circulation disturbances may occur during the course of disease in patients with glioblastoma. Ventriculoperitoneal shunting has generally been recommended to improve symptoms glioblastoma patients. Shunt implantation for glioblastoma, however, presents as a complex situation and produces different problems other contexts. Information on complications glioma rarely subject investigation. In this retrospective study, we analysed restropectively outcome...
Idiopathic intracranial hypertension (IIH) is characterized by increased cerebrospinal fluid (CSF) pressure and normal or slit ventricles. Lumboperitoneal shunting had been favored many investigators for CSF diversion in IIH decades; however, it has associated with various side effects. Because of the small ventricular size adequate positioning a catheter challenging.Here, we investigated usefulness electromagnetic (EM)-guided placement ventriculoperitoneal IIH.Eighteen patients were...
Purpose The Pipeline Vantage flow diverter with Shield technology (PV) used in this study is a 4th-generation (FD) designed to reduce thrombogenicity, promote endothelialization of the implant and increase efficiency achieving aneurysm closure. In study, we report occlusion rate, complication rate clinical outcome short-term dual antiplatelet therapy (DAPT) treatment unruptured intracranial saccular aneurysms using PV. Methods We retrospectively identified patients treated between September...
Intracranial metastases from thyroid cancer are rare. Although the prognosis of patients is generally favorable, with intracranial has been considered unfavorable having a lower survival rate than those without involvement. Many questions about their management remain unclear. The aim this study was to analyze characteristics, treatments, and outcomes brain cancer. Among 4320 recorded in our institutional database over 30-year period, 20 metastasis were retrospectively collected analyzed....
Posterior fossa or midline tumors are often associated with hydrocephalus and primary tumor removal without perioperative placement of an external ventricular drain (EVD) is commonly accepted as first-line treatment. Shunting prior to posterior surgery (PFS) mostly reserved for symptomatic cases special circumstances. There limited data regarding the anticipated risk pneumocephalus management using semi-sitting position (SSP) in such a scenario. Here, we therefore assessed safety performing...
Ventriculoperitoneal shunt implantation has become standard treatment for cerebrospinal fluid diversion, besides endoscopic third ventriculostomy certain indications. Postoperative X-ray radiography series of skull, chest and abdomen combined with cranial CT are obtained routinely in many institutions to document the position valve settings adult patients. Measures reduce postoperative radiation exposure needed, however, there is only limited experience such efforts. Here, we aim compare...
Cavernous sinus meningiomas (CSM) pose one of the most difficult to treat subgroup skull base meningiomas. The purpose this study was evaluate efficacy an interdisciplinary treatment approach for symptomatic CSM which incorporated conservative function preserving microsurgery and routine adjuvant fractionated stereotactic radiotherapy (FSRT).
Intracranial metastases from thyroid cancer are rare. Although the prognosis of patients is generally favorable, with intracranial has been considered unfavorable owing to lower survival rates among such compared those without involvement. Many questions about their management remain unclear. The aim present study was analyze characteristics, treatment modalities, and outcomes brain cancer. Among 4320 recorded in our institutional database over a 30-year period, data 20 metastasis were...
Cerebrospinal fluid (CSF) shunting has become the standard treatment for idiopathic normal pressure hydrocephalus (NPH). Nevertheless, there is still disagreement on diagnostic criteria selecting patients surgery and optimal shunt management. The primary aim of present study was to provide an update status best practice, use different algorithms therapeutic management NPH in European country. METHODS : A standardized questionnaire with sections assessment clinical symptoms signs NPH,...
A 20-yr-old man survived a gunshot injury to the head (Fig. 1A) during Libyan civil war. CT scan showed an 8-mm-caliber bullet that had entered through left parietal skull and was located subcortically close posterior aspect of internal capsule. Though severe right-sided hemiparesis gradually recovered over months, involuntary flexion wrist fingers physical therapy were noted. These movements became more pronounced within weeks. In repeat 8 mo after initial trauma, spontaneous downward...
Abstract Alagille syndrome (AS) is a rare multisystem disease of the liver, heart, eyes, face, skeleton, kidneys, and vascular system. The occurrence pseudotumor cerebri (PTCS) in patients with AS has been reported only exceptionally. Owning to its rarity mostly atypical presentation, diagnosis natural history affected remain uncertain. We report an case PTCS 4-year-old boy known who presented bilateral papilledema (PE) on routine ophthalmological examination. Visual findings deteriorated...
Background/Aim: The therapy of recurrent, previously irradiated, high-grade gliomas is still a major interdisciplinary challenge, and the overall prognosis remains poor. Reirradiation has been established as component management relapse, in addition to further debulking surgery systemic options. Herein, we present moderately hypofractionated reirradiation concept with simultaneous integrated boost for such irradiated tumors. Patients Methods: From October 2019 January 2021, 12 patients...
Abstract Objective: Posterior fossa or midline tumors are often associated with hydrocephalus and primary tumor removal without perioperative placement of an external ventricular drain (EVD) is commonly accepted as first-line treatment. Shunting prior to posterior surgery (PFS) mostly reserved for symptomatic cases special circumstances. There limited data regarding the anticipated risk pneumocephalus management using semi-sitting position (SSP) in such a scenario. Here, we therefore...