Publications by authors named "H Krainz"
Purpose: Computer-aided design (CAD) and computer-aided manufacturing (CAM) techniques have paved the way for single-step resections and cranio-orbital reconstructions with patient specific implants in spheno-orbital tumors. Here, we present our interdisciplinary maxillofacial and neurosurgical workflow and a case series of patients treated with this integrated approach.
Methods: Patients, who underwent single-step resection of benign spheno-orbital tumors and cranio-orbital reconstruction with polyetheretherketone (PEEK) patient specific implants (PSI) from 2019 to 2024 in our institution were included.
Article Synopsis
- - A 20-year-old man with drug-resistant epilepsy developed multiple intracerebral hemorrhages after receiving stereo-EEG electrodes and experiencing a lumbar spinal tap, with a history of heavy use of nicotine pouches.
- - Genetic testing revealed a mutation in the COL4A2 gene, which is linked to collagen production and has previously been associated with hemorrhage risks, raising concerns about its role in the patient's complication.
- - The study suggests that the combination of the COL4A2 mutation and high nicotine use could significantly increase the likelihood of bleeding during neurosurgical procedures, calling for more research into this connection.
Pituitary apoplexy is a rare and severe complication of pituitary adenoma that may present with new-onset headache, ocular palsy, visual disturbances, life-threatening electrolyte imbalance, and endocrinological disturbances due to pituitary hemorrhage and/or infarction. We report the case of a 58-year-old previously healthy patient who developed isolated mild oculomotor nerve palsy of the left eye following osteosynthesis of a traumatic right distal radius fracture. Initial cerebral magnetic resonance imaging showed a pituitary macroadenoma without characteristic signs of pituitary infarction or hemorrhage.
View Article and Find Full Text PDFLumbar Spinous Process-Splitting Technique for Ligamentum Flavum Cyst Removal.
J Neurol Surg A Cent Eur Neurosurg
March 2024
Background: Laminotomy for lumbar stenosis is a well-defined procedure and represents a routine in every neurosurgical department. It is a common experience that the uni- or bilateral paraspinal muscle detachment, together with injury of the supra- and interspinous ligaments, can lead to postoperative pain. In the literature, the application of a minimally invasive technique, the lumbar spinous process-splitting (LSPS) technique, has been reported.
View Article and Find Full Text PDFBackground: Stereoelectroencephalography (SEEG) allows the identification of deep-seated seizure foci and determination of the epileptogenic zone (EZ) in drug-resistant epilepsy (DRE) patients. We evaluated the accuracy and treatment-associated morbidity of frameless VarioGuide® (VG) neuronavigation-guided depth electrode (DE) implantations.
Methods: We retrospectively identified all consecutive adult DRE patients, who underwent VG-neuronavigation DE implantations, between March 2013 and April 2019.