Research Topics
| P D SchellingerSummaryAffiliation: University of Heidelberg Country: Germany Publications
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Detail Information
Publications
A standardized MRI stroke protocol: comparison with CT in hyperacute intracerebral hemorrhageP D Schellinger
Department of Neurology, Medical Faculty, University of Heidelberg, Germany
Stroke 30:765-8. 1999..The purpose of our study was to determine the diagnostic accuracy of a standardized, multimodal MRI (mMRI) stroke protocol in the qualitative and quantitative assessment of hyperacute ICH (<6 hours)...
Characteristics and outcome of patients with early complete neurological recovery after thrombolysis for acute ischemic strokeC Blinzler
Department of Neurology, University of Erlangen Nuremberg, Erlangen, Germany
Cerebrovasc Dis 31:185-90. 2011..This study analyzes demographic and clinical characteristics of patients with early complete neurological recovery after thrombolysis...
Safety and outcome after thrombolysis in stroke patients with mild symptomsM Kohrmann
Department of Neurology, University of Erlangen, Schwabachanlage 6, Erlangen, Germany
Cerebrovasc Dis 27:160-6. 2009..We aimed to assess the safety and outcome of thrombolysis therapy in patients with minor but disabling stroke symptoms...
Feasibility and safety of moderate hypothermia after massive hemispheric infarctionS Schwab
Department of Neurology, University of Heidelberg, Germany
Stroke 32:2033-5. 2001..This multicenter study was performed to evaluate (1) the safety and feasibility of moderate hypothermia and (2) its potential to reduce intracranial hypertension in acute stroke patients...
Effect of incomplete (spontaneous and postthrombolytic) recanalization after middle cerebral artery occlusion: a magnetic resonance imaging studyT Neumann-Haefelin
Department of Neurology, University Hospitals, Frankfurt, Germany
Stroke 35:109-14. 2004..The purpose of this study was to analyze the frequency and relevance of incomplete recanalization for tissue and clinical outcome...
Stroke magnetic resonance imaging within 6 hours after onset of hyperacute cerebral ischemiaP D Schellinger
Department of Neurology, University of Heidelberg Medical School, Germany
Ann Neurol 49:460-9. 2001..Patients with proximal vessel occlusions have a larger amount of tissue at risk, a lower recanalization rate, and a worse outcome. Urgent recanalization seems to be of utmost importance for these patients...
Neurometabolic changes during treatment with moderate hypothermia in a patient suffering from severe middle cerebral artery infarctionW R Schäbitz
Department of Neurology, University of Heidelberg Medical School, Heidelberg, Germany
Cerebrovasc Dis 12:298-302. 2001..Microdialysis monitoring of therapeutic hypothermia in severe hemispheric infarction might be a useful additional monitoring tool to assess the status of the brain and to predict further deterioration...
Thrombolytic therapy for ischemic stroke--a review. Part I--Intravenous thrombolysisP D Schellinger
Department of Neurology, University of Heidelberg, Heidelberg, Germany
Crit Care Med 29:1812-8. 2001..If applied more widely, thrombolytic therapy may result in profound cost savings in health care and reduction of long-term disability of stroke patients...
Effect and feasibility of controlled rewarming after moderate hypothermia in stroke patients with malignant infarction of the middle cerebral arteryT Steiner
Department of Neurology, University of Heidelberg, Heidelberg, Germany
Stroke 32:2833-5. 2001..However, during passive rewarming, ICP continuously rises and some patients suffer transtentorial herniation...
Influence of intraventricular fibrinolytic therapy with rt-PA on the long-term outcome of treated patients with spontaneous basal ganglia hemorrhage: a case-control studyH B Huttner
Department of Neurology, University of Erlangen, Erlangen, Germany
Eur J Neurol 15:342-9. 2008..The results of the prospective randomized trial (Clot Lysis: Evaluating Accelerated Resolution of Intraventricular Hemorrhage) need to be awaited...
Feasibility and safety of magnetic resonance imaging-based thrombolysis in patients with stroke on awakening: initial single-centre experienceL Breuer
Department of Neurology, University of Erlangen Nuremberg, Erlangen, Germany
Int J Stroke 5:68-73. 2010..Up to 25% of all acute ischaemic strokes occur during sleep. Because of the unclear time window, patients with stroke on awakening are usually not considered for acute therapy and excluded from most acute treatment trials...
Thrombolytic therapy for ischemic stroke--a review. Part II--Intra-arterial thrombolysis, vertebrobasilar stroke, phase IV trials, and stroke imagingP D Schellinger
Department of Neurology, University of Heidelberg, Heidelberg, Germany
Crit Care Med 29:1819-25. 2001..If applied more widely, thrombolytic therapy may result in profound cost savings in health care and reduction of long-term disability of stroke patients...
Effect of intravenous thrombolysis on MRI parameters and functional outcome in acute stroke <6 hoursJ Rother
Department of Neurology, University Hospital, Hamburg Eppendorf, Germany
Stroke 33:2438-45. 2002....
MRI in acute subarachnoid haemorrhage; findings with a standardised stroke protocolJ B Fiebach
Division of Neuroradiology, Department of Neurology, University of Heidelberg Medical Centre, Im Neuenheimer Feld 400, 69120, Germany
Neuroradiology 46:44-8. 2004..Perfusion maps were normal in all cases. MRA and conventional angiography revealed an aneurysm in only one patient. Stroke MRI within 6 h of SAH thus shows a characteristic pattern...
Thrombolytic therapy within 3 to 6 hours after onset of ischemic stroke: useful or harmful?P A Ringleb
Department of Neurology, University of Heidelberg, Heidelberg, Germany
Stroke 33:1437-41. 2002....
Masking of vertebral artery dissection by severe trauma to the cervical spineP D Schellinger
Department of Neurology, University of Heidelberg, Germany
Spine (Phila Pa 1976) 26:314-9. 2001..A prospective case study was performed...
Poliomyelitic-like illness in central European encephalitisP D Schellinger
Department of Neurology, University of Heidelberg, Germany
Neurology 55:299-302. 2000..Autopsy in one patient showed severe cervicothoracic inflammation with changes almost exclusively in anterior horn cells and roots, as typically seen in poliomyelitis...
Serial analysis of the apparent diffusion coefficient time course in human strokeJ B Fiebach
Department of Neuroradiology, University of Heidelberg, Medical School, Kopfklinik, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany
Neuroradiology 44:294-8. 2002..Furthermore, the age of an ischemia can be determined and multiple strokes can be distinguished from a single progressive stroke...
Diagnostic accuracy of MRI compared to CCT in patients with brain metastasesP D Schellinger
Department of Neurology, University of Heidelberg, Germany
J Neurooncol 44:275-81. 1999..Therefore, in patients with solitary BM according to diagnostic contrast-enhanced computed tomography (CCT), we investigated, what additional information could be gained by contrast-enhanced magnetic resonance imaging (MRI)...
Clopidogrel in the management of cerebrovascular eventsP A Ringleb
Department of Neurology, University of Heidelberg, Heidelberg, Germany
Int J Clin Pract 58:402-10. 2004..Cost-effectiveness studies predict up to tenfold higher cost in the prevention of vascular events when compared to ASA, in times of shrinking health budgets a topic of interest...
Neuroprotective effect of delayed moderate hypothermia after focal cerebral ischemia: an MRI studyR Kollmar
Department of Neurology, University of Heidelberg, Heidelberg, Germany
Stroke 33:1899-904. 2002..We examined the influence of delayed hypothermia on secondary ischemic injury, MRI lesion size, and neurological outcome after transient focal cerebral ischemia in a rat model...
Serial diffusion and perfusion MRI analysis of the perihemorrhagic zone in a rat ICH modelB Orakcioglu
Department of Neurosurgery, University Hospital Heidelberg, Heidelberg, Germany
Acta Neurochir Suppl 103:15-8. 2008..We aimed to examine perihemorrhagic changes with an animal experimental MRI study using a stroke-MRI protocol. In a subset of animals the feasibility and effects of stereotactic hematoma evacuation was investigated...
[European Stroke Organisation 2008 guidelines for managing acute cerebral infarction or transient ischemic attack. Part 1]P Ringleb
Neurologische Klinik, Im Neuenheimer Feld 400, 69120, Heidelberg
Nervenarzt 79:936-57. 2008
[Thrombolysis for ischemic stroke: an update]M Kohrmann
Neurologische Universitatsklinik, Schwabachanlage 6, 91054 Erlangen
Nervenarzt 78:393-405. 2007..Even though no randomized trials are available intraarterial thrombolysis is the treatment of choice for acute basilar occlusion, but if this intervention is not available an intravenous approach may be an equal alternative...
[Effective acute stroke treatment beyond approval limitations: intravenous thrombolysis within an extended time window (3-6 h) and in old patients (aged 80 or older)]G Thomalla
Klinik und Poliklinik fur Neurologie, Neuro Zentrum, Universitatsklinikum Hamburg Eppendorf, Hamburg
Fortschr Neurol Psychiatr 75:343-50. 2007..To summarize, we recommend experienced stroke centres to treat acute stroke patients with thrombolysis up to 6 hours using MRI criteria for patient selection, and to treat also patients aged 80 years or older...
[Warning symptom TIA--role of the general practitioner]P D Schellinger
Neurologische Klinik,
MMW Fortschr Med 150:25-6, 28. 2008
EFNS guideline on neuroimaging in acute stroke. Report of an EFNS task forceJ C Masdeu
Department of Neurology and Neurosurgery, University of Navarra, Pamplona, Spain
Eur J Neurol 13:1271-83. 2006..Currently, single photon emission computed tomography and positron emission tomography have a more limited role in the evaluation of the acute stroke patient...
[Intracerebral hemorrhage related to anticoagulant therapy]H B Huttner
Abteilung fur Neurologie, Ruprecht Karls Universitat Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg
Nervenarzt 77:671-2, 674-6, 678-81. 2006..This article reviews the epidemiology of OAT-ICH, its pathophysiology, and current treatment options and discusses open questions with particular respect to more recent pharmacological therapies...
Is old age really a reason to withhold thrombolytic therapy?C Schwark
J Neurol Neurosurg Psychiatry 77:289. 2006
[Acute cerebral circulation problems]P D Schellinger
Neurologische Klinik, Universitatsklinikum Heidelberg
Internist (Berl) 46:982-93. 2005....
CT and diffusion-weighted MR imaging in randomized order: diffusion-weighted imaging results in higher accuracy and lower interrater variability in the diagnosis of hyperacute ischemic strokeJ B Fiebach
Department of Neuroradiology, University of Heidelberg Medical School, Heidelberg, Germany
Stroke 33:2206-10. 2002..The value of this method as a routine procedure is still being discussed. In previous studies, CT was always performed before DWI. Therefore, infarct progression could be a reason for the better result in DWI...
[Myxedema coma as a rare differential diagnosis of severe consciousness disturbance]R Kollmar
Neurologische Klinik, Universitat Heidelberg
Nervenarzt 73:1183-5. 2002..In conclusion, treatment of the myxedema coma must be started as soon as the laboratory results are confirmatory, since its course depends on the time of initiation of treatment...
[Modern magnetic resonance techniques in stroke]J B Fiebach
Abteilung Neuroradiologie, Neurologische Klinik, Universitatsklinikum Heidelberg
Radiologe 43:251-63; quiz 263-4. 2003..Besides presenting an explanation of the basic principles of modern stroke MR imaging, typical results of MR perfusion measurements and the appearance of hemorrhages on MR will be explained...
[Diagnostics and treatment of acute stroke]P D Schellinger
Neurologische Klinik und Neuroradiologie,
Fortschr Neurol Psychiatr 71:423-38; quiz 439-40. 2003
[Hepatic encephalopathy]P D Schellinger
Neurologische Klinik, Universitatsklinikum Heidelberg
Nervenarzt 74:1078-87. 2003..The prognosis depends ultimately on the course of the liver disease...
[Modern nuclear magnetic resonance techniques in stroke]J B Fiebach
Abteilung Neuroradiologie, Neurologische Klinik, Universitatsklinikum Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg
Nervenarzt 73:104-16; quiz 116-7. 2002..Besides presenting an explanation of the basic principles of modern stroke MR imaging, typical results of MR perfusion measurements and the appearance of hemorrhages on MR will be explained...
[Value of modern CT-techniques in the diagnosis of acute stroke]P D Schellinger
Neurologische Klinik, Universitatsklinikum Heidelberg
Radiologe 44:380-8. 2004..While stroke MRI seems to be the upcoming standard, due to its low availability the need for an improved CT-based patient selection is evident...
[The value of platelet inhibitors in the secondary prophylaxis of stroke -- a review]P D Schellinger
Neurologische Klinik, Universitatsklinikum Heidelberg
Fortschr Neurol Psychiatr 72:270-81. 2004..The aim of this article is a summary and critical review of all relevant studies and meta-analyses for secondary prevention of stroke and to give a differentiated therapeutic recommendation...
Magnetic resonance imaging criteria for thrombolysis in acute cerebral infarctN Hjort
Department of Neuroradiology, Center for Functionally Integrative Neuroscience, Arhus University Hospital, Nørrebrogade 44, 8000 Arhus C, Denmark
Stroke 36:388-97. 2005....
[Diffusion and perfusion MR imaging in stroke]J B Fiebach
Institut fur Diagnostische und Interventionelle Radiologie und Neuroradiologie, Universitatsklinikum Essen
Radiologe 45:412-4, 416-9. 2005..Whether MRI is also appropriate as an aid to reaching a prognosis on the risk of secondary hemorrhage has not yet been resolved...
Thrombolytic therapy for acute ischaemic stroke in octogenarians: selection by magnetic resonance imaging improves safety but does not improve outcomeP A Ringleb
Neurologische Klinik der Ruprecht Karls Universität Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany
J Neurol Neurosurg Psychiatry 78:690-3. 2007..Owing to the fear of an increased bleeding risk, thrombolytic therapy is withheld from many patients with acute stroke > 80 years of age...
[Nocturnal spinal fracture--first manifestation of epilepsy]T A Rupprecht
Neurologische Klinik,
Unfallchirurg 104:179-80. 2001..Vertebral fractures unrelated to an exogenous trauma are therefore always suspicious of an underlying epileptic disease...
