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Affiliation(s)
- R Weisser
- Klinik für Forensische Psychiatrie und Psychotherapie, Bezirksklinikum Regensburg, Regensburg, Deutschland.
- Klinik und Poliklinik für Psychiatrie und Psychotherapie, Bezirksklinikum Regensburg, Universität Regensburg, Universitätsstraße 84, 93049, Regensburg, Deutschland.
| | - S Jalili
- Klinik und Poliklinik für Psychiatrie und Psychotherapie, Bezirksklinikum Regensburg, Universität Regensburg, Universitätsstraße 84, 93049, Regensburg, Deutschland
| | - E Haen
- Klinik und Poliklinik für Psychiatrie und Psychotherapie, Bezirksklinikum Regensburg, Universität Regensburg, Universitätsstraße 84, 93049, Regensburg, Deutschland
- Institut AGATE gGmbH, 93080, Pentling, Deutschland
| | - W Schulte-Mattler
- Klinik und Poliklinik für Psychiatrie und Psychotherapie, Bezirksklinikum Regensburg, Universität Regensburg, Universitätsstraße 84, 93049, Regensburg, Deutschland
| | - T C Wetter
- Klinik und Poliklinik für Psychiatrie und Psychotherapie, Bezirksklinikum Regensburg, Universität Regensburg, Universitätsstraße 84, 93049, Regensburg, Deutschland
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Weitkamp F, Elzenheimer E, Schulte-Mattler W, Schmidt G, Laufs H. P15. Multimodal mapping of nerve pathology with a multichannel approach. Clin Neurophysiol 2018. [DOI: 10.1016/j.clinph.2018.04.657] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Busch V, Jakob W, Juergens T, Schulte-Mattler W, Kaube H, May A. Occipital Nerve Blockade in Chronic Cluster Headache Patients and Functional Connectivity Between Trigeminal and Occipital Nerves. Cephalalgia 2016; 27:1206-14. [PMID: 17850348 DOI: 10.1111/j.1468-2982.2007.01424.x] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Headache syndromes often involve occipital and neck symptoms, suggesting a functional connectivity between nociceptive trigeminal and cervical afferents. Although reports regarding effective occipital nerve blockades in cluster headache exist, the reason for the improvement of the clinical symptoms is not known. Using occipital nerve blockade and nociceptive blink reflexes, we were able to demonstrate functional connectivity between trigeminal and occipital nerves in healthy volunteers. The R2 components of the nociceptive blink reflex and the clinical outcome in 15 chronic cluster headache patients were examined before and after unilateral nerve blockade of the greater occipital nerve with 5 ml prilocain (1%) on the headache side. In contrast to recent placebo-controlled studies, only nine of the 15 cluster patients reported some minor improvement in their headache. Six patients did not report any clinical change. Exclusively on the injection side, the R2 response areas decreased and R2 latencies increased significantly after the nerve blockade. These neurophysiological and clinical data provide further evidence for functional connectivity between cervical and trigeminal nerves in humans. The trigeminocervical complex does not seem to be primarily facilitated in cluster headache, suggesting a more centrally located pathology of the disease. However, the significant changes of trigeminal function as a consequence of inhibition of the greater occipital nerve were not mirrored by a significant clinical effect, suggesting that the clinical improvement of occipital nerve blockades is not due to a direct inhibitory effect on trigeminal transmission.
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Affiliation(s)
- V Busch
- Department of Neurology, University of Regensburg, Regensburg, Germany
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Schulte-Mattler W, Grimm T, Stein F, Kobor I, Bogdahn U. MUNIX – ein viel versprechender Biomarker bei der ALS. KLIN NEUROPHYSIOL 2015. [DOI: 10.1055/s-0041-107641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- W. Schulte-Mattler
- Neurologische Klinik und Poliklinik der Universität Regensburg, Universitätsklinikum Regensburg
| | - T. Grimm
- Neurologische Klinik und Poliklinik der Universität Regensburg, Universitätsklinikum Regensburg
| | - F. Stein
- Neurologische Klinik und Poliklinik der Universität Regensburg, Universitätsklinikum Regensburg
| | - I. Kobor
- Neurologische Klinik und Poliklinik der Universität Regensburg, Universitätsklinikum Regensburg
| | - U. Bogdahn
- Neurologische Klinik und Poliklinik der Universität Regensburg, Universitätsklinikum Regensburg
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Backhaus R, Kirzinger L, Platen S, Kreuzer P, Kleiter I, Lürding R, Zack F, Schulte-Mattler W, Schalke B. Blitzschlagverletzungen. KLIN NEUROPHYSIOL 2015. [DOI: 10.1055/s-0035-1559794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- R. Backhaus
- Klinik und Poliklinik für Neurologie der Universität Regensburg, am Bezirksklinikum
| | - L. Kirzinger
- Klinik und Poliklinik für Neurologie der Universität Regensburg, am Bezirksklinikum
| | - S. Platen
- Klinik und Poliklinik für Neurologie der Universität Regensburg, am Bezirksklinikum
| | - P. Kreuzer
- Klinik für Psychiatrie und Psychotherapie der Universität Regensburg, am Bezirksklinikum
| | - I. Kleiter
- Klinik für Neurologie der Ruhr-Universität Bochum
| | - R. Lürding
- Klinik und Poliklinik für Neurologie der Universität Regensburg, am Bezirksklinikum
| | - F. Zack
- Institut für Rechtsmedizin, Universitätsmedizin Rostock
| | - W. Schulte-Mattler
- Klinik und Poliklinik für Neurologie der Universität Regensburg, am Bezirksklinikum
| | - B. Schalke
- Klinik und Poliklinik für Neurologie der Universität Regensburg, am Bezirksklinikum
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Fleisch MC, Bremerich D, Schulte-Mattler W, Tannen A, Teichmann AT, Bader W, Balzer K, Renner SP, Römer T, Roth S, Schütz F, Thill M, Tinneberg H, Zarras K. The Prevention of Positioning Injuries during Gynecologic Operations. Guideline of DGGG (S1-Level, AWMF Registry No. 015/077, February 2015). Geburtshilfe Frauenheilkd 2015; 75:792-807. [PMID: 26365999 PMCID: PMC4554497 DOI: 10.1055/s-0035-1557776] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
Purpose: Official guideline published and coordinated by the German Society of Gynecology and Obstetrics (DGGG). Positioning injuries after lengthy gynecological procedures are rare, but the associated complications can be potentially serious for patients. Moreover, such injuries often lead to claims of malpractice and negligence requiring detailed medical investigation. To date, there are no binding evidence-based recommendations for the prevention of such injuries. Methods: This S1-guideline is the work of an interdisciplinary group of experts from a range of different professions who were commissioned by DGGG to carry out a systematic literature search of positioning injuries. Members of the participating scientific societies develop a consensus in an informal procedure. Afterwards the directorate of the scientific society approves the consensus. The recommendations cover.
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Affiliation(s)
| | - D. Bremerich
- Klinik für Anästhesiologie, Agaplesion Markus Krankenhaus Frankfurt am Main, Frankfurt am Main
| | - W. Schulte-Mattler
- Klinik und Poliklinik für Neurologie Universitätsklinikum Regensburg, Regensburg
| | - A. Tannen
- Institut für Gesundheits- und Pflegewissenschaften, Charité Universitätsmedizin Berlin, Berlin
| | | | - W. Bader
- Zentrum für Frauenheilkunde, Klinikum Bielefeld Mitte, Bielefeld
| | - K. Balzer
- Gefäß- und Endovaskulärchirurgie, GFO Kliniken Bonn, Betriebsstätte St. Marien, Bonn
| | - S. P. Renner
- Universitätsklinikum Erlangen-Nürnberg, Frauenklinik, Erlangen
| | - T. Römer
- Klinik für Gynäkologie und Geburtshilfe, Evangelisches Krankenhaus, Cologne
| | - S. Roth
- Urologische Klinik, Helios Klinikum Wuppertal, Wuppertal
| | - F. Schütz
- Allgemeine Frauenheilkunde und Geburtshilfe, Universitätsklinikum Heidelberg, Heidelberg
| | - M. Thill
- Klinik für Gynäkologie, Agaplesion Markus Krankenhaus, Frankfurt am Main
| | - H. Tinneberg
- Zentrum für Frauenheilkunde und Geburtshilfe, Universitätsklinium Gießen, Gießen
| | - K. Zarras
- Abteilung für Allgemein-, Viszeral- und Minimalinvasive Chirurgie, Marienhospital Düsseldorf, Düsseldorf
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Platen S, Backhaus R, Kirzinger L, Hechenrieder C, Schulte-Mattler W, Schalke B. P29. Transversal spinal cord lesion after electrical injury. Clin Neurophysiol 2015. [DOI: 10.1016/j.clinph.2015.04.167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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8
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Backhaus R, Kirzinger L, Platen S, Kleiter I, Schulte-Mattler W, Schalke B. P193. Small fiber neuropathy after lightning injuries. Clin Neurophysiol 2015. [DOI: 10.1016/j.clinph.2015.04.288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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9
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Bischoff C, Pöschl P, Dreger J, Schulte-Mattler W. Kontra – Bilduntersuchungen in der Diagnostik der Erkrankungen peripherer Nerven – nur in speziellen Ausnahmen sinnvoll und notwendig. KLIN NEUROPHYSIOL 2015. [DOI: 10.1055/s-0035-1549943] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
| | - P. Pöschl
- Klinik für Neurologie, Krankenhaus Barmherzige Brüder, Regensburg
| | - J. Dreger
- Klinik für Neurologie, Marien-Krankenhaus, Bergisch Gladbach
| | - W. Schulte-Mattler
- Neurologische Klinik und Poliklinik der Universität Regensburg, Regensburg
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Bischoff C, Dengler R, Glocker F, Schulte-Mattler W. Ultraschalldiagnostik peripherer Nerven – Stellungnahme der EMG-Kommission der DGKN. KLIN NEUROPHYSIOL 2015. [DOI: 10.1055/s-0035-1549881] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
| | - R. Dengler
- Neurologische Klinik mit Klinischer Neurophysiologie, Medizinische Hochschule Hannover, Hannover
| | - F. Glocker
- Klinik für Neurologie und Neurophysiologie der Universität Freiburg, Freiburg
| | - W. Schulte-Mattler
- Neurologische Klinik und Poliklinik der Universität Regensburg, Regensburg
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Weissert R, Schulte-Mattler W. Immunvermittelte Erkrankungen des Nervensystems. KLIN NEUROPHYSIOL 2014. [DOI: 10.1055/s-0034-1390429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Löscher W, Cetin H, Schulte-Mattler W, Wanschitz J. Periphere Nervenübererregbarkeit – Krampf-Faszikulationssyndrom, Neuromyotonie und Morvan Syndrom. KLIN NEUROPHYSIOL 2014. [DOI: 10.1055/s-0034-1383563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- W. Löscher
- Univ-Klinik für Neurologie, Medizinische Universität Innsbruck, Österreich
| | - H. Cetin
- Univ-Klinik für Neurologie, Medizinische Universität Wien, Österreich
| | - W. Schulte-Mattler
- Neurologische Klinik und Poliklinik, Universität Regensburg, Deutschland
| | - J. Wanschitz
- Univ-Klinik für Neurologie, Medizinische Universität Innsbruck, Österreich
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Schulte-Mattler W, Kobor I, Baldaranov D, Khomenko A, Johannesen S, Bruun TH, Bischoff C, Bogdahn U. LP53: Electromyographic evidence for repair of motor neurons in patients with ALS. Clin Neurophysiol 2014. [DOI: 10.1016/s1388-2457(14)50960-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Khomenko A, Kobor I, Stein F, Baldaranov D, Johannesen S, Bruun T, Bogdahn U, Schulte-Mattler W. P436: Assessing motor units with improved MUNIX. Clin Neurophysiol 2014. [DOI: 10.1016/s1388-2457(14)50541-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Seliger C, Schulte-Mattler W, Bogdahn U, Uhl M. Clinical Reasoning: A 49-year-old man with fever and proximal weakness of his arms. Neurology 2014; 82:e65-9. [DOI: 10.1212/wnl.0000000000000138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Khomenko A, Baldaranov D, Grassinger J, Johannesen S, Kobor I, Roesl J, Kollewe K, Petri S, Dengler R, Deppe M, Ludolph A, Kassubek J, Schuierer G, Bruun T, Schulte-Mattler W, Bogdahn U. “Reporting biomarker” development: Update in als patients treated with G-CSF -mobilized hematopoietic stem cells. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.1570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Kobor I, Stein F, Khomenko A, Baldaranov D, Johannesen S, Bruun TH, Bogdahn U, Schulte-Mattler W. Assessing motor units with an improved MUNIX. J Neurol Sci 2013. [DOI: 10.1016/j.jns.2013.07.1618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Pöschl P, Pels H, Schulte-Mattler W. Nervensonografie bei Amyloidneuropathie. KLIN NEUROPHYSIOL 2013. [DOI: 10.1055/s-0033-1337303] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Pöschl P, Eder M, Pels H, Schulte-Mattler W. Der Ablauf der Wallerschen Degeneration am peripheren motorischen Nerven. KLIN NEUROPHYSIOL 2013. [DOI: 10.1055/s-0033-1337138] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Stein F, Schulte-Mattler W. Validierung einer neuen Methode (MUNIX) zur Bestimmung der Zahl motorischer Einheiten in einem Muskel. KLIN NEUROPHYSIOL 2012. [DOI: 10.1055/s-0032-1301651] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Schulte-Mattler W. Neurophysiologie bei neuromuskulären Erkrankungen – alles längst bekannt? KLIN NEUROPHYSIOL 2011. [DOI: 10.1055/s-0031-1295451] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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Pöschl P, Janzen A, Schulte-Mattler W. P1.7 Postural instability in Parkinson's disease is not associated with depressed vestibulospinal reflex. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60198-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Kleiter I, Schmid S, Steinbrecher A, Bogdahn U, Schulte-Mattler W. Autonome Funktionsstörung bei Encephalitis. KLIN NEUROPHYSIOL 2011. [DOI: 10.1055/s-0031-1272812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Pöschl P, Schulte-Mattler W. Myotone Phänomene. KLIN NEUROPHYSIOL 2010. [DOI: 10.1055/s-0029-1223483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Schmid S, Schulte-Mattler W, Bogdahn U, Steinbrecher A, Kleiter I. AUTIF: AUTonome Funktion In der Frühsommer-Meningoenzephalitis – Validierung einer autonomen Testbatterie. Akt Neurol 2009. [DOI: 10.1055/s-0029-1238621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Schulte-Mattler W. Diagnostische Bedeutung von positiven Wellen, Fibrillationen und Faszikulationen. KLIN NEUROPHYSIOL 2009. [DOI: 10.1055/s-0029-1216052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schulte-Mattler W. Differentialdiagnostik der zervikalen Spinalstenose. KLIN NEUROPHYSIOL 2009. [DOI: 10.1055/s-0029-1216092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schulte-Mattler W, Bischoff C. Polyneuropathien: Differenzialdiagnose anhand des neurophysiologischen Befundes. DIABETOL STOFFWECHS 2009. [DOI: 10.1055/s-0028-1098829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schulte-Mattler W, Busch V. 95. Quantitative CMAP shape analysis differentiates between uniform and non-uniform motor nerve conduction slowing. Clin Neurophysiol 2009. [DOI: 10.1016/j.clinph.2008.07.094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schulte-Mattler W, Deschauer M, Kornhuber M, Zierz S. Pathologische späte Reizantworten nach transkranieller Magnetstimulation bei Patienten mit Stiff-Man-Syndrom. KLIN NEUROPHYSIOL 2008. [DOI: 10.1055/s-2008-1060040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Schulte-Mattler W, Busch V. Quantitative CMAP shape analysis differentiates between uniform and non-uniform motor nerve conduction slowing. KLIN NEUROPHYSIOL 2008. [DOI: 10.1055/s-2008-1072889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Wohlfarth K, Wegner F, Schwandt I, Wagner A, Bogdahn U, Schulte-Mattler W. Bioequivalenz verschiedener Präparate von Botulinumtoxin Typ A. KLIN NEUROPHYSIOL 2007. [DOI: 10.1055/s-2007-1032224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Abstract
The objective of this study was to investigate whether injections of botulinum toxin into the soft palate reduce snoring in a subgroup of patients that present an active process causing habitual snoring. The study was conducted in eight patients with habitual snoring but without evidence of obstructive sleep apnea. Polysomnography was performed for diagnostic purposes and to monitor sleep quality before and after treatment. The patients and their partners completed a questionnaire before and after treatment. Recordings of snoring noise before and after treatment were evaluated on a visual analog scale by a blinded assessor. Doses of 20 U of botulinum toxin type A (Dysport) were injected unilaterally into the muscles of the soft palate. Snoring was reduced in eight cases. The patients reported no major adverse effects. These results justify further studies of botulinum toxin therapy in patients with habitual snoring. The scheme presented for injections of botulinum toxin into the levator veli palatini muscle provides a rational basis for the design of such studies. Therapy with botulinum toxin for habitual snoring is safe, non-invasive, easy to perform, fully reversible, and thus warrants investigation under placebo-controlled, double-blind conditions. This treatment is appropriate for a disorder that is of paramount social importance but does not pose a medical threat to the individuals affected.
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Affiliation(s)
- T S Kühnel
- Department of Otorhinolaryngology, University of Regensburg, Germany.
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Schulte-Mattler W, Bischoff C. Polyneuropathien: Differenzialdiagnose anhand des neurophysiologischen Befundes. KLIN NEUROPHYSIOL 2007. [DOI: 10.1055/s-2006-952019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Bischoff C, Schulte-Mattler W. Neues aus der Elektroneurografie. KLIN NEUROPHYSIOL 2007. [DOI: 10.1055/s-2007-977725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Busch V, Kaube S, Schulte-Mattler W, Kaube H, May A. Sumatriptan and corneal reflexes in headache-free migraine patients: a randomized and placebo-controlled crossover study. Cephalalgia 2007; 27:165-72. [PMID: 17257238 DOI: 10.1111/j.1468-2982.2007.01265.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
A temporary sensitization of central trigeminal neurones in migraine patients during acute attacks has been described in previous studies using the electrically evoked nociceptive blink reflex. The cornea is innervated by small myelinated A-delta and unmyelinated C-fibres only. Stimulation with air puffs activates peripheral nociceptors and allows the investigation of peripheral trigeminal nerve structures. Our objective was to investigate whether corneal reflex examinations with air puff stimulation detect abnormalities in migraineurs during their pain-free interval and if the corneal reflex may be modulated by the administration of an oral triptan. After validation of the nociceptive air puff technique by investigating the corneal reflexes before and after a local anaesthesia of the cornea, we recorded corneal reflexes in 25 migraineurs during their pain-free period and 25 healthy controls before and after the oral administration of 100 mg sumatriptan in a randomized, placebo-controlled, crossover study. Baseline response areas under the curve (AUCs) and latencies of the R2 components of the corneal reflexes did not show any significant differences between patients and controls. Patients did not show any significant differences regarding their headache and non-headache side. The use of an oral triptan had no significant influence on latencies or AUCs in both patients and controls. Our data suggest that there is no facilitation of the trigeminal system in the headache-free interval among patients with migraine. The stable corneal reflexes after the oral administration of 100 mg sumatriptan suggest that there was no inhibition of the trigeminal system, both in patients during their headache-free period and in healthy controls.
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Affiliation(s)
- V Busch
- Department of Neurology, University of Regensburg, Universitätsstr. 84, 93053 Regensburg, Germany
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Kleiter I, Steinbrecher A, Flügel D, Bogdahn U, Schulte-Mattler W. Autonomic involvement in tick-borne encephalitis (TBE): report of five cases. Eur J Med Res 2006; 11:261-5. [PMID: 16820340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/10/2023] Open
Abstract
BACKGROUND Tick-borne encephalitis (TBE) is a viral infection of the CNS with significant acute and long-term morbidity. Dysfunction of the autonomic nervous system may be a potentially harmful complication of TBE. MATERIAL AND METHODS In a retrospective case series, 5 patients with acute TBE were evaluated for clinical signs of autonomic dysfunction and subject to autonomic testing. Heart rate variability (HRV) with 6 per minute deep breathing was performed between day 9 to 31 after onset of meningitis. Follow-up data were available in three cases. RESULTS All patients showed clinical signs of autonomic dysfunction, including upper and lower gastrointestinal tract symptoms, orthostatic hypotension, and urinary retention. A reduced HRV was observed in 4 patients, with sustained sinus tachycardia in 2 of them. The minimum of the HRV was reached 9 to 20 days after onset of meningitis. In one patient, normalization of the HRV occurred within 3 months. CONCLUSION Acute TBE can be associated with autonomic dysfunction including reduced HRV and tachycardia. Prospective studies are needed to analyze the incidence of autonomic dysfunction in TBE, and to clarify which patients have the highest risk for autonomic failure.
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Affiliation(s)
- Ingo Kleiter
- Department of Neurology, University of Regensburg, Universitätsstr. 84, D-93042 Regensburg, Germany.
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Busch V, Jakob W, Juergens T, Schulte-Mattler W, Kaube H, May A. Functional connectivity between trigeminal and occipital nerves revealed by occipital nerve blockade and nociceptive blink reflexes. Cephalalgia 2006; 26:50-5. [PMID: 16396666 DOI: 10.1111/j.1468-2982.2005.00992.x] [Citation(s) in RCA: 109] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Headache syndromes often suggest occipital and neck involvement, although it is still unknown to what extent branches of segment C1-C3 contribute actively to primary headache. Pain within the occipital area may be referred to the trigeminal territory. However, a modulation of trigeminal transmission by affecting cervical input in humans has not been elucidated so far. A convergence of cervical and trigeminal input at the level of the caudal part of the trigeminal nucleus in the brainstem has been suggested due to anatomical and neurophysiological studies in animals. We examined the R2 components of the nociceptive blink reflex responses in 15 healthy subjects before and after unilateral nerve blockade of the greater occipital nerve with 5 ml prilocain (1%). R2 response areas (AUC) decreased and the R2 latencies increased significantly after the nerve blockade only on the side of injection. AUC and latencies on the non-injection side remained stable. Thresholds for sensory or pain perception did not differ significantly between the repeated measurements on both sides. Our findings extend previous results related to anatomical and functional convergence of trigeminal and cervical afferent pathways in animals and suggest that the modulation of this pathway is of potential benefit in primary headache disorders.
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Affiliation(s)
- V Busch
- Department of Neurology, University of Regensburg, Regensburg, Germany
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Jürgens T, Schulte-Mattler W. Myotone Syndrome und die Differenzialdiagnose von Serienentladungen im EMG. KLIN NEUROPHYSIOL 2006. [DOI: 10.1055/s-2006-932571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Jürgens T, Puchner C, Schulte-Mattler W. EMG findings early after peripheral nerve lesions. KLIN NEUROPHYSIOL 2006. [DOI: 10.1055/s-2006-939190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Kleiter I, Baumgart U, Koch H, Poeschl P, Bogdahn U, Schulte-Mattler W, Steinbrecher A. AUTIF – Autonome Funktion in der Frühsommer-Meningoenzephalitis: Studienrationale und Protokoll. Akt Neurol 2006. [DOI: 10.1055/s-2006-953373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Wohlfarth K, Wegner F, Schwandt I, Wagner A, Bogdahn U, Schulte-Mattler W. Pharmakokinetische Charakterisierung verschiedener Präparate von Botulinumtoxin Typ A. Akt Neurol 2005. [DOI: 10.1055/s-2005-919378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Kley R, Rothenfußer-Korber E, Voss B, von Düring M, Schulte-Mattler W, Vorgerd M. Autoimmune Rippling Muscle Disease - Histologische Auffälligkeiten und Bindungsstudien. Akt Neurol 2005. [DOI: 10.1055/s-2005-919432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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de Groot M, Schulte-Mattler W, Wagner A, Wohlfarth K. Charakterisierung neurophysiologischer Veränderungen nach intramuskulärer Injektion von Botulinumtoxin Typ A. KLIN NEUROPHYSIOL 2004. [DOI: 10.1055/s-2004-828327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Affiliation(s)
- W H Jost
- Dept. of Neurology, Deutsche Klinik für Diagnostik, Aukammallee 33, 65191 Wiesbaden, Germany
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Wieser T, Wolff R, Hoffmann KP, Schulte-Mattler W, Zierz S. Persistent ocular motor disturbances in migraine without aura. Neurol Sci 2004; 25:8-12. [PMID: 15060809 DOI: 10.1007/s10072-004-0218-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2003] [Accepted: 12/18/2003] [Indexed: 11/27/2022]
Abstract
Activation in the brain stem during attacks of migraine has been detected with the use of functional imaging, suggesting an important role of the brain stem in this disorder. Recent findings showed permanent cerebellar signs in common forms of migraine. Both structures are involved in generating smooth pursuit eye movements. The aim of this study was to investigate migraine patients by electrooculography to identify persisting abnormalities that may provide a clinical sign of continuous dysfunction of these structures. We investigated 25 patients with migraine without aura and 15 controls. Smooth pursuit was pathologically changed, velocity gain was reduced and phase was significantly altered in migraineurs as compared to controls. The data provide clinical evidence of a persistent dysfunction in the brain stem and certain cerebellar structures in migraine patients. This is consistent with previous studies indicating an important role of the brain stem in generating migraine attacks.
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Affiliation(s)
- T Wieser
- Department of Neurology, Martin-Luther-Universität Halle/Wittenberg, Ernst-Grube-Strasse 40, D-06097 Halle/Saale, Germany.
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Winner B, Uyanik G, Gross C, Schulte-Mattler W, Bogdahn U, Aigner L, Hehr U, Winkler J. Differentialdiagnose der komplizierten spastischen Spinalparalyse mit dünnem Corpus callosum und Handmuskelatrophie. Akt Neurol 2004. [DOI: 10.1055/s-2004-833312] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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