Publications by authors named "Marcus Blaum"

We report a case of a previously undiagnosed panhypopituitarism initially presenting as a full-blown Addisonian crisis with hypoglycemia, hyponatremia, hypotension and neuropsychological symptoms, more than 30 years after a severe traumatic brain injury (TBI). The patient also displayed clearly visible pathognomonic clinical signs of long-standing pituitary dysfunction. The case highlights the importance of being aware of endocrine sequelae even decades after serious TBI.

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Unlabelled: To date, the use of structural MR imaging (including contrast-enhanced and T2-weighted or fluid-attenuated inversion recovery-weighted images) is the standard method to diagnose tumor progression and to assess antiangiogenic treatment effects. However, several studies have suggested that O-(2-(18)F-fluoroethyl)-L-tyrosine ((18)F-FET) PET adds valuable clinical information to the information derived from structural MR imaging alone. We evaluated the effectiveness and cost-effectiveness of the addition of (18)F-FET PET to structural MR imaging for the management of treatment with bevacizumab and irinotecan (BEV/IR) in patients with recurrent high-grade glioma compared with MR imaging alone from the perspective of the German Statutory Health Insurance.

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Unlike atrophy of the corpus callosum (CC), callosal hypertrophy is a rare neuroimaging finding with only few reported patients. The "megalencephaly, mega CC, and complete lack of motor development" syndrome is morphologically characterized by generalized megalencephaly, a thickened CC, and extensive polymicrogyria causing a pachygyric appearance. We report on the fifth patient showing this rare syndrome, a 3-year-old girl displaying the typical neuroimaging features.

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Article Synopsis
  • The text discusses a rare case of a cellular intraventricular schwannoma located in the fourth ventricle of the brain, which is the first of its kind reported.
  • A 71-year-old woman was hospitalized after a CT scan revealed a tumor in the fourth ventricle, which was successfully removed through microsurgery.
  • The histopathological analysis confirmed it as a benign schwannoma, highlighting that although rare, such tumors should be considered in the diagnosis of ventricular lesions.
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The aim of this study was to compare the diagnostic sensitivity, specificity, and image quality of conventional B-mode US (BM) and phase-inversion tissue harmonic imaging (PTHI) regarding pancreatic pathology. In a prospective study, 107 patients, aged between 28 and 85 years, underwent US examinations of the pancreas with both BM and PTHI in a randomly chosen order. As diagnostic reference, either contrast-enhanced CT or MRI examinations of the upper abdomen were obtained in all patients.

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Article Synopsis
  • The study compared two ultrasound imaging techniques—phase-inversion tissue harmonic imaging and fundamental B-mode sonography—for evaluating kidney focal lesions in 114 patients.
  • Results showed that phase-inversion tissue harmonic imaging had significantly higher sensitivity (87.7%) and accuracy (83.1%) compared to fundamental B-mode sonography (65.8% sensitivity and 64.0% accuracy).
  • The phase-inversion technique also provided better overall image quality and lesion visibility, resulting in changed patient management in six cases, highlighting its superiority in kidney imaging.
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