Rainier Dziewas

Summary

Country: Germany

Publications

  1. pmc Functional oropharyngeal sensory disruption interferes with the cortical control of swallowing
    Inga K Teismann
    Institute for Biomagnetism and Biosignalanalysis, University of Muenster, Muenster, Germany
    BMC Neurosci 8:62. 2007
  2. doi request reprint [FEES in the stroke unit: recommendations for implementation in the clinical routine]
    R Dziewas
    Klinik für Allgemeine Neurologie, Universitätklinikum Münster, Albert Schweitzer Campus 1, 48129 Munster, Deutschland
    Nervenarzt 84:705-8. 2013
  3. pmc Severe leukoencephalopathy with fulminant cerebral edema reflecting immune reconstitution inflammatory syndrome during HIV infection: a case report
    Christian Oelschlaeger
    University Hospital Muenster, Department of Neurology, A, Schweitzer Str, 33, D 48129 Muenster, Germany
    J Med Case Reports 4:214. 2010
  4. pmc Tactile thermal oral stimulation increases the cortical representation of swallowing
    Inga K Teismann
    Department of Neurology, University of Muenster, 48149 Muenster, Germany
    BMC Neurosci 10:71. 2009
  5. pmc Measurement of pharyngeal sensory cortical processing: technique and physiologic implications
    Inga K Teismann
    Institute for Biomagnetism and Biosignalanalysis, University of Muenster, Malmedyweg 15, 48149 Muenster, Germany
    BMC Neurosci 10:76. 2009
  6. pmc Heart rate monitoring on the stroke unit. What does heart beat tell about prognosis? An observational study
    Martin A Ritter
    Department of Neurology, University of Munster, Munster, Germany
    BMC Neurol 11:47. 2011
  7. pmc Cortical swallowing processing in early subacute stroke
    Inga K Teismann
    Department of Neurology, University of Muenster, Albert Schweitzer Str, 33, 48149 Muenster, Germany
    BMC Neurol 11:34. 2011
  8. pmc Cortical recovery of swallowing function in wound botulism
    Inga K Teismann
    Institute for Biomagnetism and Biosignalanalysis, University of Muenster, Muenster, Germany
    BMC Neurol 8:13. 2008
  9. pmc Towards a basic endoscopic evaluation of swallowing in acute stroke - identification of salient findings by the inexperienced examiner
    Tobias Warnecke
    Department of Neurology, University Hospital of Munster, Germany
    BMC Med Educ 9:13. 2009
  10. ncbi request reprint C-reactive protein and fibrinogen in acute stroke patients with and without sleep apnea
    Rainer Dziewas
    Department of Neurology, University Hospital of Munster, Munster, Germany
    Cerebrovasc Dis 24:412-7. 2007

Detail Information

Publications58

  1. pmc Functional oropharyngeal sensory disruption interferes with the cortical control of swallowing
    Inga K Teismann
    Institute for Biomagnetism and Biosignalanalysis, University of Muenster, Muenster, Germany
    BMC Neurosci 8:62. 2007
    ..Data were analyzed by means of synthetic aperture magnetometry (SAM) and the group analysis of the individual SAM data was performed using a permutation test...
  2. doi request reprint [FEES in the stroke unit: recommendations for implementation in the clinical routine]
    R Dziewas
    Klinik für Allgemeine Neurologie, Universitätklinikum Münster, Albert Schweitzer Campus 1, 48129 Munster, Deutschland
    Nervenarzt 84:705-8. 2013
    ..A major task for the future is to develop an educational curriculum for FEES that takes the specific needs of stroke unit care into account and is applicable to both physicians and SLPs...
  3. pmc Severe leukoencephalopathy with fulminant cerebral edema reflecting immune reconstitution inflammatory syndrome during HIV infection: a case report
    Christian Oelschlaeger
    University Hospital Muenster, Department of Neurology, A, Schweitzer Str, 33, D 48129 Muenster, Germany
    J Med Case Reports 4:214. 2010
    ..Generally, immune reconstitution inflammatory syndrome is based on opportunistic infections, but rare cases of immune reconstitution inflammatory syndrome inducing demyelinization of the nervous system have also been observed...
  4. pmc Tactile thermal oral stimulation increases the cortical representation of swallowing
    Inga K Teismann
    Department of Neurology, University of Muenster, 48149 Muenster, Germany
    BMC Neurosci 10:71. 2009
    ..Data were analyzed by means of synthetic aperture magnetometry (SAM) and the group analysis of individual SAM data was performed using a permutation test...
  5. pmc Measurement of pharyngeal sensory cortical processing: technique and physiologic implications
    Inga K Teismann
    Institute for Biomagnetism and Biosignalanalysis, University of Muenster, Malmedyweg 15, 48149 Muenster, Germany
    BMC Neurosci 10:76. 2009
    ..Data were analyzed by means of synthetic aperture magnetometry (SAM) and the group analysis of individual SAM data was performed using a permutation test...
  6. pmc Heart rate monitoring on the stroke unit. What does heart beat tell about prognosis? An observational study
    Martin A Ritter
    Department of Neurology, University of Munster, Munster, Germany
    BMC Neurol 11:47. 2011
    ..Guidelines recommend maintaining the heart rate (HR) of acute stroke patients within physiological limits; data on the frequency and predictors of significant deviations from these limits are scarce...
  7. pmc Cortical swallowing processing in early subacute stroke
    Inga K Teismann
    Department of Neurology, University of Muenster, Albert Schweitzer Str, 33, 48149 Muenster, Germany
    BMC Neurol 11:34. 2011
    ..The aim of the present study was to determine the different patterns of cortical swallowing processing in patients with hemispheric and brainstem stroke with and without dysphagia in the early subacute phase...
  8. pmc Cortical recovery of swallowing function in wound botulism
    Inga K Teismann
    Institute for Biomagnetism and Biosignalanalysis, University of Muenster, Muenster, Germany
    BMC Neurol 8:13. 2008
    ..However, little is known about cortical changes and compensation mechanisms accompanying swallowing pathology...
  9. pmc Towards a basic endoscopic evaluation of swallowing in acute stroke - identification of salient findings by the inexperienced examiner
    Tobias Warnecke
    Department of Neurology, University Hospital of Munster, Germany
    BMC Med Educ 9:13. 2009
    ....
  10. ncbi request reprint C-reactive protein and fibrinogen in acute stroke patients with and without sleep apnea
    Rainer Dziewas
    Department of Neurology, University Hospital of Munster, Munster, Germany
    Cerebrovasc Dis 24:412-7. 2007
    ..We investigated whether levels of C-reactive protein (CRP) and fibrinogen are increased in patients with acute stroke and SA compared with stroke patients without SA...
  11. pmc Treatment for obstructive sleep apnoea: effect on peripheral nerve function
    Rainer Dziewas
    Department of Neurology, University Hospital of Munster, Albert Schweitzer Strasse 33, 48129 Munster, Germany
    J Neurol Neurosurg Psychiatry 78:295-7. 2007
    ..A case-control study was conducted to provide further support to this observation. In a longitudinal intervention study, it was examined whether treatment for OSA has a possible beneficial effect on peripheral nerve function...
  12. ncbi request reprint Neuroleptic-induced dysphagia: case report and literature review
    Rainer Dziewas
    Department of Neurology, University Hospital of Munster, Munster, Germany
    Dysphagia 22:63-7. 2007
    ..After changing medication to fluphenazin, dysphagic symptoms resolved. The literature on EPS-related dysphagia, its demographic features, typical symptoms, diagnostic modalities, clinical course, and treatment options is reviewed...
  13. pmc Do nasogastric tubes worsen dysphagia in patients with acute stroke?
    Rainer Dziewas
    Department of Neurology, University Hospital of Munster, Albert Schweitzer Strasse 33, 48129 Munster, Germany
    BMC Neurol 8:28. 2008
    ..However, preliminary evidence suggests that NGTs themselves may interfere with swallowing physiology. In the present study we therefore investigated the impact of NGTs on swallowing function in acute stroke patients...
  14. ncbi request reprint Night-time bradyarrhythmia in a patient with mild obstructive sleep apnea syndrome is reversed with CPAP treatment
    Rainer Dziewas
    Department ofNeurology, University Hospital of Miinster Münster, Germany
    J Clin Sleep Med 2:454-7. 2006
    ....
  15. ncbi request reprint Atherosclerosis and obstructive sleep apnea in patients with ischemic stroke
    Rainer Dziewas
    Department of Neurology, University Hospital of Munster, Munster, Germany
    Cerebrovasc Dis 24:122-6. 2007
    ..Of late, obstructive sleep apnea (OSA) has been suggested to be a risk factor for atherosclerotic artery disease. In the present study, we analyzed the prevalence of atherosclerosis in stroke patients with and without OSA...
  16. doi request reprint Increased prevalence of obstructive sleep apnoea in patients with Charcot-Marie-Tooth disease: a case control study
    R Dziewas
    Department of Neurology, University Hospital of Munster, Albert Schweitzer Strasse 33, 48129 Munster, Germany
    J Neurol Neurosurg Psychiatry 79:829-31. 2008
    ..Pathophysiologically, one may assume that CMT1 related pharyngeal neuropathy increases the collapsibility of the upper airway which in turn leads to recurring obstructive respiratory events...
  17. doi request reprint Towards a basic endoscopic assessment of swallowing in acute stroke - development and evaluation of a simple dysphagia score
    Rainer Dziewas
    Department of Neurology, University Hospital of Munster, Munster, Germany
    Cerebrovasc Dis 26:41-7. 2008
    ..The purpose of this investigation was to develop and to evaluate an endoscopic scoring system which has the potential to guide dysphagia management in acute stroke patients...
  18. ncbi request reprint Increased prevalence of sleep apnea in patients with recurring ischemic stroke compared with first stroke victims
    Rainier Dziewas
    Dept of Neurology, University Hospital of Munster, Albert Schweitzer Strasse 33, 48129 Munster, Germany
    J Neurol 252:1394-8. 2005
    ..5) as independent risk-factors for stroke recurrence. According to our results SA is an independent risk factor for stroke recurrence. We therefore advocate routine sleep-apnea screening in all patients having suffered an ischemic stroke...
  19. ncbi request reprint Capnography screening for sleep apnea in patients with acute stroke
    Rainer Dziewas
    Department of Neurology, University Hospital of Munster, Albert Schweitzer Str 33, D 48129 Munster, Germany
    Neurol Res 27:83-7. 2005
    ..Therefore, early diagnosis of SAS in these patients is made substantially easier...
  20. doi request reprint Positional sleep apnea in patients with ischemic stroke
    Rainer Dziewas
    Department of Neurology, University Hospital of Munster, Albert Schweitzer Str 33, D 48129 Munster, Germany
    Neurol Res 30:645-8. 2008
    ..With the purpose of identifying patients potentially being in need of a SA treatment beyond rehabilitation, we furthermore looked for epidemiologic and clinical parameters being related to persistent SA 6 months after stroke...
  21. ncbi request reprint Hypoglossal nerve palsy as complication of oral intubation, bronchoscopy and use of the laryngeal mask airway
    Rainer Dziewas
    Department of Neurology, University Clinic Münster, Germany
    Eur Neurol 47:239-43. 2002
    ..The relevant literature is reviewed and different hypotheses concerning the pathophysiological mechanisms of nerve damage are discussed...
  22. ncbi request reprint Nonconvulsion status epilepticus in patients with juvenile myoclonic epilepsy: types and frequencies
    Rainer Dziewas
    Department of Neurology, University Clinic Münster, Albert Schweitzer Strasse 33, Munster, Germany
    Seizure 11:335-9. 2002
    ..According to our findings the prevalence of NCSE in JME can be estimated at 5.8%, the incidence at 1.2% per year with a clear preponderance of female gender...
  23. ncbi request reprint Late onset postpartum eclampsia: a rare and difficult diagnosis
    Rainer Dziewas
    Department of Neurology, University of Munster, Albert Schweitzer Strasse 33, 48129 Munster, Germany
    J Neurol 249:1287-91. 2002
    ..In all patients neurological deficits and MRI findings were reversible...
  24. ncbi request reprint [The megadolichobasilar artery--a clinical chameleon]
    R Dziewas
    Klinik und Poliklinik fur Neurologie, Universitatsklinikum Munster
    Nervenarzt 74:172-4. 2003
    ..The article reviews the great variety of clinical symptoms caused by megadolichobasilar artery and discusses important therapeutic options...
  25. ncbi request reprint Treatment options in vertebrobasilar dolichoectasia--case report and review of the literature
    Rainer Dziewasa
    Department of Neurology, University of Munster, Munster, Germany
    Eur Neurol 49:245-7. 2003
  26. ncbi request reprint Painless legs and moving toes in a mother and her daughter
    Rainer Dziewas
    Department of Neurology, University Hospital Munster, Munster, Germany
    Mov Disord 18:718-22. 2003
    ..The occurrence in a mother and her daughter may point to a hereditary component of this disorder...
  27. ncbi request reprint The prognostic impact of clinical and CT parameters in patients with pontine hemorrhage
    Rainer Dziewas
    Department of Neurology, University of Munster, Munster, Germany
    Cerebrovasc Dis 16:224-9. 2003
    ..In patients with pontine hemorrhage (PH), an accurate prognostic assessment is critical for establishing a reasonable therapeutic approach...
  28. pmc Placing nasogastric tubes in stroke patients with dysphagia: efficiency and tolerability of the reflex placement
    R Dziewas
    Department of Neurology, University of Munster, Albert Schweitzer Str 33, D 48129 Munster, Germany
    J Neurol Neurosurg Psychiatry 74:1429-31. 2003
    ..We therefore suggest the use of reflex placement in patients who have suffered a stroke and need tube feeding due to dysphagia...
  29. ncbi request reprint Cervical artery dissection--clinical features, risk factors, therapy and outcome in 126 patients
    Rainer Dziewas
    Dept of Neurology, University Hospital of Munster, Albert Schweitzer Strasse 33, 48129 Munster, Germany
    J Neurol 250:1179-84. 2003
    ..Patients with dissection-related cervical artery occlusion had a significantly increased risk of suffering a disabling stroke...
  30. pmc Pneumonia in acute stroke patients fed by nasogastric tube
    R Dziewas
    Department of Neurology, University Hospital of Munster, Muenster, Germany
    J Neurol Neurosurg Psychiatry 75:852-6. 2004
    ..Aspiration pneumonia is the most important acute complication of stroke related dysphagia. Tube feeding is usually recommended as an effective and safe way to supply nutrition in dysphagic stroke patients...
  31. doi request reprint Fiberoptic endoscopic Dysphagia severity scale predicts outcome after acute stroke
    Tobias Warnecke
    Department of Neurology, University Hospital of Munster, Munster, Germany
    Cerebrovasc Dis 28:283-9. 2009
    ..The purpose of this study was to investigate the impact of the FEDSS as a predictor of outcomes at 3 months and intermediate complications during acute treatment...
  32. ncbi request reprint Cortical processing of esophageal sensation is related to the representation of swallowing
    Rainer Dziewas
    Department of Neurology, Munster University Hospital, University of Munster, Germany
    Neuroreport 16:439-43. 2005
    ..The close anatomical vicinity of these two functions points to an important physiological link between the cortical processing of esophageal sensation and the cortical control of swallowing...
  33. doi request reprint The safety of fiberoptic endoscopic evaluation of swallowing in acute stroke patients
    Tobias Warnecke
    Department of Neurology, University Hospital of Munster, Munster, Germany
    Stroke 40:482-6. 2009
    ..The present study investigates the safety of FEES related to patients characteristics in a setting of acute stroke care...
  34. doi request reprint Cortical compensation associated with dysphagia caused by selective degeneration of bulbar motor neurons
    Rainer Dziewas
    Department of Neurology, University of Muenster, Germany
    Hum Brain Mapp 30:1352-60. 2009
    ....
  35. doi request reprint High-normal blood pressure is associated with poor cognitive performance
    Stefan Knecht
    Department of Neurology, University of Munster, A Schweitzer Str 33, 48129 Munster, Germany
    Hypertension 51:663-8. 2008
    ..291, P<0.005). Thus, even in the normotensive range increasing systolic blood pressure is inversely related to cognition...
  36. doi request reprint When percutaneous dilation tracheotomy may be hazardous: abnormal course of the brachiocephalic trunk
    Jens Minnerup
    Department of Neurology, University Hospital of Munster, Albert Schweitzer Str 33, D 48129, Muenster, Germany
    Neurocrit Care 10:336-8. 2009
    ..In contrast to the surgical approach, PDT involves a blind puncture and dilation of the pretracheal space, which may predispose to dangerous complications in the case of anatomical, in particular vascular, anomalies...
  37. doi request reprint Increasing sampling interval in cerebral perfusion CT: limitation for the maximum slope model
    Stephan P Kloska
    Department of Clinical Radiology, University of Munster, 48149 Munster, Germany
    Acad Radiol 17:61-6. 2010
    ..The aim of this study was to evaluate increased sampling intervals on cerebral dynamic perfusion computed tomographic (PCT) imaging calculated using software relying on the maximum slope model...
  38. ncbi request reprint Plasma homocysteine, MTHFR C677T, CBS 844ins68bp, and MTHFD1 G1958A polymorphisms in spontaneous cervical artery dissections
    Carsten Konrad
    Department of Neurology, University of Munster, Albert Schweitzer Str 11, 48149 Munster, Germany
    J Neurol 251:1242-8. 2004
    ..These data suggest that elevated homocysteine is associated with the occurrence of sCAD. The MTHFR C677T polymorphism is associated with the homocysteine level...
  39. doi request reprint The impact of lesion location and lesion size on poststroke infection frequency
    Jens Minnerup
    Department of Neurology, University of Munster, Munster, Germany
    J Neurol Neurosurg Psychiatry 81:198-202. 2010
    ..The authors investigated whether stroke location and stroke size are independent risk factors for poststroke infections...
  40. ncbi request reprint Tiagabine-related non-convulsive status epilepticus in partial epilepsy: three case reports and a review of the literature
    Christoph Kellinghaus
    Department of Neurology, University of Munster, Albert Schweitzer Strasse 33, 48129 Munster, Germany
    Seizure 11:243-9. 2002
    ..We review the other cases reported so far and discuss the different pathophysiological hypotheses about the association in the light of new experimental data...
  41. pmc Fatigue, reduced sleep quality and restless legs syndrome in Charcot-Marie-Tooth disease: a web-based survey
    Matthias Boentert
    Department of Neurology, University Hospital Munster, Albert Schweitzer Str 33, 48129, Munster, Germany
    J Neurol 257:646-52. 2010
    ..Since causative treatment for CMT is not available, sleep-related symptoms should be recognized and treated in order to improve quality of life...
  42. ncbi request reprint Follow-up examinations by transcranial Doppler ultrasound in primary angiitis of the central nervous system
    Martin A Ritter
    Department of Neurology, Universitatsklinikum Munster, Germany
    Cerebrovasc Dis 14:139-42. 2002
    ..Therapy comprises an aggressive immunosuppressive approach. Close monitoring of the patients is mandatory. Transcranial Doppler ultrasound (TCD) has not yet been used to follow up the vasculitic lesions in PACNS...
  43. ncbi request reprint Treatment of cremaster synkinesias with botulinum toxin A: a video case report
    Martin A Ritter
    Department of Neurology, University of Munster, Munster, Germany
    Mov Disord 21:1787-8. 2006
    ..Electromyography-guided injections of BTx A in both cremaster muscles (15 MU on the right and 10 on the left) led to significant symptom relief for an average of 8 weeks. We present the case including pre- and posttreatment video clips...
  44. doi request reprint Decreased cortical somatosensory finger representation in X-linked recessive bulbospinal neuronopathy (Kennedy disease): a magnetoencephalographic study
    Sonja Suntrup
    Department of Neurology, University of Muenster, Muenster, Germany
    J Neuroimaging 20:16-21. 2010
    ..However, electrophysiological studies found abnormal somatosensory-evoked potentials even in absence of clinical deficits. Little is known about possible influences of this sensory neuropathy on the central somatosensory processing...
  45. ncbi request reprint CT angiography in acute stroke: does it provide additional information on occurrence of infarction and functional outcome after 3 months?
    Martin A Ritter
    Department of Neurology, University of Munster, Munster, Germany
    Cerebrovasc Dis 22:362-7. 2006
    ..To investigate whether acute phase intracranial CT angiography (CTA) independently predicts infarction and functional outcome in ischemic stroke...
  46. doi request reprint Blood pressure threshold violations in the first 24 hours after admission for acute stroke: frequency, timing, predictors, and impact on clinical outcome
    Martin A Ritter
    Department of Neurology, University of Munster, Munster, Germany
    Stroke 40:462-8. 2009
    ..Admission blood pressure (BP) and significant decreases in BP after acute stroke have been correlated with outcome. Few data are available on the impact of extreme values at any time point within the first 24 hours...
  47. doi request reprint Age-related changes in cortical swallowing processing
    Inga K Teismann
    Institute for Biomagnetism and Biosignalanalysis, University of Muenster, Muenster, Germany
    Neurobiol Aging 31:1044-50. 2010
    ..Our finding underlines the relevance of age matched control groups in neuroimaging studies related to deglutition or other complex sensorimotor processes...
  48. ncbi request reprint Time-dependent hemispheric shift of the cortical control of volitional swallowing
    Inga K Teismann
    Institute for Biomagnetism and Biosignalanalysis, University of Muenster, Malmedyweg 15, 48149 Muenster, Germany
    Hum Brain Mapp 30:92-100. 2009
    ....
  49. ncbi request reprint Discrepancy between theoretical knowledge and real action in acute stroke: self-assessment as an important predictor of time to admission
    Martin A Ritter
    Department of Neurology, University of Munster, Munster, Germany
    Neurol Res 29:476-9. 2007
    ..Poor knowledge of stroke symptoms within the general population might be responsible for significant delay between symptom onset and hospital admission in most stroke patients...
  50. ncbi request reprint Placing nasogastric tubes and intracranial pressure
    Rainer Dziewas
    Department of Neurology, University Munster, Germany
    J Neurosurg Anesthesiol 15:55-6. 2003
    ..We therefore suggest that, despite the admittedly larger effort, the reflex placement of NGTs should be used in such circumstances...
  51. doi request reprint Dysphagia in X-linked bulbospinal muscular atrophy (Kennedy disease)
    Tobias Warnecke
    Department of Neurology, University Hospital of Munster, Albert Schweitzer Str 33, Munster D 48129, Germany
    Neuromuscul Disord 19:704-8. 2009
    ....
  52. doi request reprint Fiberoptic endoscopic evaluation of swallowing with simultaneous Tensilon application in diagnosis and therapy of myasthenia gravis
    Tobias Warnecke
    Department of Neurology, University Hospital of Munster, Albert Schweitzer Strasse 33, Munster, Germany
    J Neurol 255:224-30. 2008
    ..Clinical examination alone fails to detect and grade myasthenic dysphagia sufficiently. For a more precise examination of swallowing function in myasthenia gravis additional technical tools are necessary...
  53. doi request reprint Endoscopic characteristics and levodopa responsiveness of swallowing function in progressive supranuclear palsy
    Tobias Warnecke
    Department of Neurology, University Hospital of Munster, Munster, Germany
    Mov Disord 25:1239-45. 2010
    ..In conclusion, FEES assessment can deliver important findings for the diagnosis and refined therapy of dysphagia in PSP patients...
  54. doi request reprint A novel splice site mutation in the SPG7 gene causing widespread fiber damage in homozygous and heterozygous subjects
    Tobias Warnecke
    Department of Neurology, University Hospital of Munster, Munster, Germany
    Mov Disord 25:413-20. 2010
    ..The detection of cerebral WM alterations in the corpus callosum of asymptomatic heterozygote carriers confirms this brain region as the most prominent and early location of fiber damage in ARHSP...
  55. ncbi request reprint Risk factors for pneumonia in patients with acute stroke
    Rainer Dziewas
    Stroke 34:e105; author reply e105. 2003
  56. ncbi request reprint Isolated Horner's syndrome may herald stroke
    Jean Michel De Bray
    Department of Neurology, University Hospital Angers, France
    Cerebrovasc Dis 19:274-5. 2005
  57. ncbi request reprint Current source density distribution of sleep spindles in humans as found by synthetic aperture magnetometry
    Ryouhei Ishii
    The Rotman Research Institute, Baycrest Centre for Geriatric Care, University of Toronto, 3560 Bathurst Street, Toronto, Ontario, M6A 2E1, Canada
    Neurosci Lett 340:25-8. 2003
    ..These results suggest that sleep spindles are similar in frequency content and spatial location to mu rhythm, and that these two oscillatory activities might also have a common neural basis and physiological meaning...
  58. ncbi request reprint Chronic renal failure promotes severe variant of vitamin B12 deficiency
    Thomas Duning
    Eur Neurol 56:62-5. 2006