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  • 1
    Electronic Resource
    Electronic Resource
    Reconstruction of craniotomy burr-holes with autologous bone blugs made by a new hole-saw (1990)
    Springer
    Acta neurochirurgica 105 (1990), S. 132-134 
    Details
    ISSN: 0942-0940
    Keywords: De Martell drill ; hole-saw ; bone plugs ; Tiseel®
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A new craniotomy tool is described. The original De Martell drill was redesigned into a hole-saw for simultaneous production of burr-holes and appropriate autologous bone plugs. The plugs can easily be reinserted and locked in place using bone dust and Tiseel glue permitting appropriate healing and satisfactory cosmetic appaerance.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01669996
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  • 2
    Electronic Resource
    Electronic Resource
    Open thrombectomy combined with thrombolysis in massive intracranial sinus thrombosis (1994)
    Springer
    Acta neurochirurgica 128 (1994), S. 171-173 
    Details
    ISSN: 0942-0940
    Keywords: Superior sagittal sinus thrombosis ; sinotomy ; hydrocephalus ; tissue plasminogen activator
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A case of complete thrombosis of the superior sagittal sinus in a pregnant woman with multiple haemorrhages and hydrocephalus is described. Due to acute onset and progressive neurological deterioration, the dicision was taken to remove the clot surgically. A sinotomy was performed removing the thrombotic material followed by local infusion of tissue plasminogen activator (t-PA). The combination of surgical removal and thrombolysis was life-saving for this young patient.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01400670
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    Paper (German National Licenses)
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  • 3
    Electronic Resource
    Electronic Resource
    Microvascular decompression for trigeminal neuralgia (1989)
    Springer
    Acta neurochirurgica 99 (1989), S. 109-112 
    Details
    ISSN: 0942-0940
    Keywords: Trigeminal neuralgia ; microvascular decompression
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary An analysis of 57 patients with trigeminal neuralgia (TN) treated with microvascular decompression (MVD) is presented. Mean follow-up time was 3.1 years. Vascular compression of the trigeminal nerve root was noted in 54 cases. In the remaining 3 patients, adhesions were observed in two, whereas no obvious cause was found in one case. Among the patients with vascular compression, 43 (80%) became painfree immediately after surgery, and have remained so during the observation period. There was an indisputable relationship between the degree of observed vascular compression of the nerve and longterm complete pain relief. There was no mortality in association with the surgery. Major morbidity was seen in 3.6%, and partial facial sensory loss was seen in seven patients (12%). The implications of these findings are discussed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01402317
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    Paper (German National Licenses)
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  • 4
    Electronic Resource
    Electronic Resource
    Treatment of spontaneous intracerebral haemorrhage. A retrospective analysis of 74 consecutive cases with special reference to computertomographic data (1983)
    Springer
    Acta neurochirurgica 67 (1983), S. 19-28 
    Details
    ISSN: 0942-0940
    Keywords: Spontaneous intracerebral haemorrhage ; CT scan ; surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The surgical treatment of spontaneous intracerebral haemorrhage (SIH) is still a matter of controversy, although most Neurosurgeons agree that surgery is indicated in selected cases. The introduction of computer tomography (CT) permits a more accurate determination of the localization, size and expansion of an intracerebral haemorrhage. The aim of this study is to evaluate the results of surgical and conservative therapy in selected cases and to search for parameters that could help to predict the outcome and facilitate the decision between surgery and conservative therapy. Seventy-four patients treated following SIH during the years 1976–1980 were analyzed. The decision for surgical treatment was made on the basis of the patient's conditions and the findings in the CT scan. Thirty-nine patients with mainly medium-sized haemorrhages underwent surgery and 35 were conservatively treated. The mortality after three months was 5/39 (13%) in the surgical and 7/35 (20%) in the conservative group. The volume of haemorrhage was significantly larger in the patients who died and 9/10 patients with a haematoma volume above 80 ml died. Five of these 10 were operated and the other 5 not and surgery seemed to be of little benefit to this group. Dilatation of the contralateral ventricle is another indicator of a bad prognosis. Long-term follow-up investigation was carried out 4–38 months after the initial treatment. Total mortality was 19 out of 68 patients that could be reached for late follow-up. Eleven patients (29%) were fully recovered and 16 had minor neurological deficits. There was no difference in late results between the surgical and the conservative groups, but the patients in the surgical group were generally in a worse condition and had larger haemorrhages that the others. The fact that the total mortality in this material is lower than in other conservatively treated series favours surgery in selected cases of SIH. The use of CT gives valuable information as to the prognosis and especially the volume of haemorrhage seems to be a good prognostic factor.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01401664
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  • 5
    Electronic Resource
    Electronic Resource
    Ruptured Intracranial Aneurysms in Infancy. Diagnostic Difficulties and Overall Reflections Associated with the Surgical Treatment and the Treatment of Vasospasm (2000)
    Springer
    Acta neurochirurgica 142 (2000), S. 1425-1426 
    Details
    ISSN: 0942-0940
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s007010070016
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  • 6
    Electronic Resource
    Electronic Resource
    Retrospective analysis of 162 consecutive cases of ruptured intracranial aneurysms. Total mortality and early surgery (1984)
    Springer
    Acta neurochirurgica 70 (1984), S. 31-41 
    Details
    ISSN: 0942-0940
    Keywords: Intracranial aneurysm ; total managment mortality ; early surgery ; delayed ischaemia ; hospitalization
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A retrospective analysis of 162 consecutive cases with ruptured intracranial aneurysm treated during the years 1979–1981 is presented. Total mortality was 33 %. Eighty-four patients were in Botterell grades I–II and 62 were operated with a direct attack on the aneurysm. Thirty-eight were operated early with a mortality of 5% compared with 13% for those operated late. There was no difference in morbidity between the two groups. Of the patients operated with clipping, 66% made a “complete recovery” and 21% were classified as independent. Signs of delayed ischaemia were recorded in 42% of patients operated early as compared with 25% in the late surgery group. The frequency of rebleedings in the total material was 15%. Hospitalization time was significantly reduced in the early operated group. The importance of analysing the total management mortality and morbidity for evaluation and comparison between early and delayed surgery is discussed.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01406040
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  • 7
    Electronic Resource
    Electronic Resource
    Clinical experience with the use of a temporary clip for intracranial aneurysm surgery. Analysis of eighteen cases (1984)
    Springer
    Acta neurochirurgica 70 (1984), S. 59-64 
    Details
    ISSN: 0942-0940
    Keywords: Aneurysm surgery ; temporary clip ; outcome
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Although the use of a temporary clip in intracranial aneurym surgery has been proposed by several Neurosurgeons in the past, its use today is not generally accepted. Modern surgical techniques have contributed to safer exposure and direct attack on the aneurysm. However, aneurysm surgery continues to be a challenge to the Surgeon and occasionally demands the use of a temporary clip. Eighteen cases operated on with the use of a temporary clip have been analysed. The occlusion time of the feeding vessel and location of the temporary clip have been related to the outcome. There was no relationship between occlusion time of the feeding vessel and outcome in this material, whereas location of the temporary clip seemed to be of importance for the outcome in cases with aneurysms located in the middle cerebral artery.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01406043
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    Paper (German National Licenses)
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  • 8
    Electronic Resource
    Electronic Resource
    Stabilization of the unstable upper cervical spine in rheumatoid arthritis (1988)
    Springer
    Acta neurochirurgica 91 (1988), S. 113-115 
    Details
    ISSN: 0942-0940
    Keywords: Rheumatoid arthritis ; atlanto-axial dislocation ; Halo cast
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary We present our clinical experience and the results of surgical treatment of 13 patients with rheumatoid involvement of the cervical spine, namely severe atlanto-axial dislocation. A posterior fusion was carried out using a bicortical H-shaped iliac crest bone graft and steel wire. Postoperatively all patients were immobilized for 8 weeks in a Halo cast. There were no postoperative complications and all patients showed a stable fusion confirmed by radiography. Complete pain relief was obtained in 9 patients, partial in 4.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01424564
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  • 9
    Electronic Resource
    Electronic Resource
    New microsurgical suction tubes (1990)
    Springer
    Acta neurochirurgica 104 (1990), S. 156-157 
    Details
    ISSN: 0942-0940
    Keywords: Suction ; suction tube ; microsurgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary A set of new suitable microsurgical suction tubes has been designed especially suitable for fragile and delicate tissues such as the nervous and vascular tissues in the brain and spinal cord. The set provides two different shafts and five different tubes for superficial of deep micro- as well as macro-operations. These new suction tubes have two major advantages compared to traditional suction tubes. Firstly: the perforated smooth suctiontip allows continuous suction without damage to the tissue and secondly: the tubes are quickly and easily exchanged from the suction shaft when necessary.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01842835
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