Publications by authors named "R Roelz"
Article Synopsis
- Blood presence in the fourth ventricle significantly predicts poor outcomes for patients with aneurysmal subarachnoid hemorrhage (aSAH), particularly those with higher severity grades (grade 3 and 4).
- The study analyzed 817 aSAH patients using a fourth ventricular hemorrhage scale and found that the introduction of active blood clearance and delayed cerebral ischemia prevention (ABCD) improved patient outcomes, especially in those with severe hemorrhages.
- Ultimately, patients with grade 4 hemorrhage who received ABCD showed a notable reduction in poor outcomes, improving from 93% to 76%, and an increase in those achieving functional independence after six months.
Article Synopsis
- * Researchers analyzed SIRS criteria over 21 days in 80 patients who received cisternal lavage compared to matched controls, finding a lower prevalence of SIRS in the treatment group.
- * Results showed significant differences in leukocyte count, heart rate, and respiratory rate between the two groups, indicating that intracranial blood clearance can help reduce SIRS after aneurysmal SAH.
To evaluate the efficacy and safety of minimally invasive tubular removal of spinal schwannoma and neurofibroma. In this single-centre study, we retrospectively analysed 49 consecutive patients who underwent minimally invasive removal of a total of 51 benign spinal nerve sheath tumors using a non-expandable (n = 18) or expandable tubular retractor (n = 33) retractor system between June 2007 and December 2019. The extent of resection, surgical complications, neurological outcome, operative time, and estimated blood loss were recorded.
View Article and Find Full Text PDFBackground: It is unknown whether decompressive craniectomy improves clinical outcome for people with spontaneous severe deep intracerebral haemorrhage. The SWITCH trial aimed to assess whether decompressive craniectomy plus best medical treatment in these patients improves outcome at 6 months compared to best medical treatment alone.
Methods: In this multicentre, randomised, open-label, assessor-blinded trial conducted in 42 stroke centres in Austria, Belgium, Finland, France, Germany, the Netherlands, Spain, Sweden, and Switzerland, adults (18-75 years) with a severe intracerebral haemorrhage involving the basal ganglia or thalamus were randomly assigned to receive either decompressive craniectomy plus best medical treatment or best medical treatment alone.
Background: The simultaneous emergence of low-volume subdural hematoma and ipsilateral ischemic stroke in an atrial fibrillation patient who is under anticoagulation therapy is a rare and intricate clinical case. This report accentuates the diagnostic and treatment complexities associated with these consecutive neurological conditions.
Case Presentation: An 83 years-old male patient initially presented with acute dyspnea, raising the suspicion of pulmonary embolism.