Publications by authors named "C R Wirtz"

Background: The discovery of cellular tumor networks in glioblastoma, with routes of malignant communication extending far beyond the detectable tumor margins, has highlighted the potential of supramarginal resection strategies. Retrospective data suggest that these approaches may improve long-term disease control. However, their application is limited by the proximity of critical brain regions and vasculature, posing challenges for validation in randomized trials.

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Background: This study aims to analyze potential risk factors that may influence the clinical outcomes following surgical treatment of traumatic peroneal nerve lesions.

Methods: We conducted a retrospective analysis of patients with traumatic peroneal nerve injuries treated with decompression, split repair, or nerve grafting between 2010 and 2020. Motor function and potential risk factors were evaluated.

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Background: Endoscopic pituitary surgery might yield better endocrine outcomes compared to microscopic resection. We conducted a prospective, randomized, single-blinded study to compare the endocrine outcome and quality of life (QoL) of patients with newly diagnosed pituitary adenoma who underwent either endoscopic or microscopic transsphenoidal surgery (NCT03515603).

Methods: Due to slow recruitment, this study had to be stopped prematurely.

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: Post-hemicraniectomy patients often need extended intensive care treatment. While computed tomography (CT) is considered the gold standard for regular imaging, its frequent use could be linked to adverse clinical outcomes. This study aimed to assess bedside transcranial ultrasound (TUS) to capture intracranial anatomical structures and pathologies.

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Article Synopsis
  • Chronic subdural hematoma (CSDH) is becoming more prevalent, particularly among older adults and those using blood thinners, prompting a study to analyze its internal structure and recurrence risk factors.
  • This retrospective analysis included data from 189 patients who underwent surgery between 2014 and 2018, focusing on demographics, clinical details, CT scans, and outcomes evaluated 4-12 weeks post-surgery.
  • The study found that male patients with higher BMI, arterial hypertension, and anticoagulant use were common, with an 18.6% recurrence rate; significant predictors for recurrence included the type of hematoma and midline shift seen on CT scans, while most patients experienced favorable outcomes post-surgery.
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