Publications by authors named "G Cohrs"
Objective: Endoscopic third ventriculocisternostomy (ETV) became the relevant treatment option for non-communicating pediatric hydrocephalus. ETV success was predicted in relation to age, diagnosis, and previous shunt implantation. Radiological factors are usually taken for indication decision-making.
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- The study aimed to explore the emotional health of parents caring for children with shunted hydrocephalus and to see if psychological issues were linked to caregivers' backgrounds and children's clinical conditions.
- Conducted in outpatient settings at two German hospitals, the research involved administering various psychological questionnaires to 63 parents, assessing levels of depression, anxiety, psychosocial distress, and concerns related to their children's illness.
- The results revealed that 60% of parents experienced significant mental health issues, with no connections to demographic factors or children's clinical issues, but a strong correlation was found between parents' worries and their psychological distress.
Background: Clinical symptoms in children with suspected malfunction of ventriculoperitoneal shunt may not be specific and difficult to interpret. The presence or absence of ventricular enlargement on magnetic resonance imaging (MRI) does not reliably predict raised intracranial pressure (ICP) in these patients. Therefore, the aim was to investigate the diagnostic utility of 3D venous phase-contrast MR angiography (vPCA) in these patients.
View Article and Find Full Text PDFObjective: The indication for performing biopsies in patients with diffuse lesions in the brain stem is controversial. The possible risks associated with the technically challenging interventions must be balanced against clarifying the diagnosis and the possible therapeutic options. We reviewed the feasibility, risk profile, and diagnostic yield of different biopsy techniques in a pediatric cohort.
View Article and Find Full Text PDFObjective: Abusive head injury (AHI) in infancy is associated with significantly worse outcomes compared to accidental traumatic brain injury. The decision-making of the diagnosis of AHI is challenging especially if the clinical signs are not presenting as a multifactorial pattern.
Method: We present a case of isolated bilateral hygroma in which this differential diagnosis of AHI was evaluated but primarily not seen as such leading subsequently to extensive secondary AHI with fatal brain injury.