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Bassetti CLA, Randerath W, Vignatelli L, Ferini‐Strambi L, Brill A, Bonsignore MR, Grote L, Jennum P, Leys D, Minnerup J, Nobili L, Tonia T, Morgan R, Kerry J, Riha R, McNicholas WT, Papavasileiou V. EAN/ERS/ESO/ESRS statement on the impact of sleep disorders on risk and outcome of stroke. Eur J Neurol 2020; 27:1117-1136. [DOI: 10.1111/ene.14201] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2020] [Accepted: 03/04/2020] [Indexed: 02/06/2023]
Affiliation(s)
- C. L. A. Bassetti
- Neurology Department Medical Faculty University Hospital Bern Switzerland
- Department of Neurology Sechenov First Moscow State Medical University Moscow Russia
| | - W. Randerath
- Clinic of Pneumology and Allergology Center for Sleep Medicine and Respiratory Care Bethanien Hospital Institute of Pneumology at the University of Cologne Solingen Germany
| | - L. Vignatelli
- Servizio di Epidemiologia e Biostatistica IRCCS Istituto delle Scienze Neurologiche di Bologna Ospedale Bellaria BolognaItaly
| | - L. Ferini‐Strambi
- Department of Neurology OSR‐Turro Sleep Disorder Center Vita‐Salute San Raffaele University Milan Italy
| | - A.‐K. Brill
- Department of Pulmonary Medicine University and University Hospital Bern Bern Switzerland
| | - M. R. Bonsignore
- PROMISE Department Division of Respiratory Medicine DiBiMIS University of Palermo and IBIM‐CNR Palermo Italy
| | - L. Grote
- Sleep Disorders Center Department of Pulmonary Medicine Sahlgrenska University Hospital Göteborg Sweden
| | - P. Jennum
- Danish Center for Sleep Medicine Rigshospitalet Copenhagen Denmark
| | - D. Leys
- Department of Neurology University of Lille Lille France
| | - J. Minnerup
- Department of Neurology and Institute for Translational Neurology University of Muenster Muenster Germany
| | - L. Nobili
- Child Neuropsychiatry Unit Gaslini Institute DINOGMI University of Genova Genoa Italy
| | - T. Tonia
- Institute of Social and Preventive Medicine Universtity of Bern Bern Switzerland
| | - R. Morgan
- Department of Health Research Methods, Evidence, and Impact McMaster University Hamilton ON Canada
| | - J. Kerry
- Library and Information Service Leeds Teaching Hospitals NHS Trust LeedsUK
| | - R. Riha
- Sleep Research Unit Centre for Clinical Brain Sciences University of Edinburgh EdinburghUK
- Department of Sleep Medicine Royal Infirmary of Edinburgh Edinburgh UK
| | - W. T. McNicholas
- Department of Respiratory and Sleep Medicine St Vincent’s University Hospital DublinIreland
- School of Medicine University College Dublin Dublin Ireland
- First Affiliated Hospital of Guangzhou Medical University Guangzhou China
| | - V. Papavasileiou
- Leeds Teaching Hospital NHS Trust LeedsUK
- Medical School University of Leeds Leeds UK
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Johnen A, Räthe S, Lohmann H, Philipp K, Minnerup J, Wiendl H, Meuth SG, Duning T. [Frequency and risk factors associated with post-stroke dementia-an observational study on stroke patients without premorbid cognitive impairment]. Nervenarzt 2019; 91:131-140. [PMID: 31712835 DOI: 10.1007/s00115-019-00830-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Longitudinal studies on cognitive outcomes after stroke revealed heterogeneous results and the underlying pathology and risk factors for so-called post-stroke dementia are unclear. OBJECTIVE To assess long-term cognitive performance changes in patients after the first ischemic stroke and to evaluate possible risk factors for post-stroke dementia. MATERIAL AND METHODS In this study 66 clinically mildly affected patients aged 54-87 years without a history of dementia underwent extensive neuropsychological assessment after first ever ischemic stroke and again 6 months after the event (follow-up assessment). Demographic, clinical and paraclinical parameters were assessed as potential predictors for long-term cognitive outcome. RESULTS At the group level significant performance improvements were found for most of the neurocognitive domains at the follow-up assessment. The greatest cognitive improvement was found in visuospatial processing. Immediately after stroke 54.5% of patients were considered cognitively impaired (z-scores < -2 in at least 2 neurocognitive domains). At follow-up only 16.7% were considered cognitively impaired according to this criterion and among these only 2 patients (3%) had developed a new, clinically relevant cognitive impairment (i.e. post-stroke dementia). Patients with inferior cognitive performance improvements at follow-up had on average larger brain lesions caused by the stroke as well as a prediabetic metabolic status. DISCUSSION The probability of developing a post-stroke dementia syndrome is lower than previously assumed in patients with first ever stroke, with only mild clinical disability and without premorbid cognitive impairment. Long-term cognitive impairment could primarily be determined by the size of the lesioned brain area as well as the premorbid (pre)diabetic status.
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Affiliation(s)
- A Johnen
- Klinik für Neurologie mit Institut für Translationale Neurologie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland.
| | - S Räthe
- Klinik für Neurologie mit Institut für Translationale Neurologie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland
| | - H Lohmann
- Klinik für Neurologie mit Institut für Translationale Neurologie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland
| | - K Philipp
- Klinik für Neurologie mit Institut für Translationale Neurologie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland
| | - J Minnerup
- Klinik für Neurologie mit Institut für Translationale Neurologie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland
| | - H Wiendl
- Klinik für Neurologie mit Institut für Translationale Neurologie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland
| | - S G Meuth
- Klinik für Neurologie mit Institut für Translationale Neurologie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland
| | - T Duning
- Klinik für Neurologie mit Institut für Translationale Neurologie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Deutschland
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Schulte‐Mecklenbeck A, Kleffner I, Beuker C, Wirth T, Hartwig M, Schmidt‐Pogoda A, Klotz L, Hansen W, Wiendl H, Meuth SG, Gross CC, Minnerup J. Immunophenotyping of cerebrospinal fluid cells in ischaemic stroke. Eur J Neurol 2019; 26:919-926. [DOI: 10.1111/ene.13909] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2018] [Accepted: 01/08/2019] [Indexed: 11/27/2022]
Affiliation(s)
| | - I. Kleffner
- Department of Neurology University Hospital Knappschaftskrankenhaus Bochum GmbH Bochum
| | - C. Beuker
- Department of Neurology University of Münster Münster
| | - T. Wirth
- Department of Neurology University of Münster Münster
| | - M. Hartwig
- Department of Neurology University of Münster Münster
| | | | - L. Klotz
- Department of Neurology University of Münster Münster
| | - W. Hansen
- Institute of Medical Microbiology University Hospital Essen University Duisburg‐Essen Essen Germany
| | - H. Wiendl
- Department of Neurology University of Münster Münster
| | - S. G. Meuth
- Department of Neurology University of Münster Münster
| | - C. C. Gross
- Department of Neurology University of Münster Münster
| | - J. Minnerup
- Department of Neurology University of Münster Münster
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Weber R, Minnerup J, Nordmeyer H, Eyding J, Krogias C, Hadisurya J, Berger K. Thrombectomy in posterior circulation stroke: differences in procedures and outcome compared to anterior circulation stroke in the prospective multicentre REVASK registry. Eur J Neurol 2018; 26:299-305. [DOI: 10.1111/ene.13809] [Citation(s) in RCA: 70] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Accepted: 09/10/2018] [Indexed: 11/30/2022]
Affiliation(s)
- R. Weber
- Departments of Neurology; Alfried Krupp Krankenhaus Essen and Ruhr University Bochum; Bochum Germany
| | - J. Minnerup
- University Hospital Münster; Münster Germany
| | - H. Nordmeyer
- Department of Radiology and Neuroradiology; Alfried Krupp Krankenhaus Essen; Essen Germany
| | - J. Eyding
- University Hospital Knappschaftskrankenhaus Bochum and Klinikum Dortmund; Dortmund Germany
| | - C. Krogias
- University Hospital St Josef-Hospital Bochum; Bochum Germany
| | - J. Hadisurya
- Departments of Neurology; Alfried Krupp Krankenhaus Essen and Ruhr University Bochum; Bochum Germany
| | - K. Berger
- Institute of Epidemiology and Social Medicine; University of Münster; Münster Germany
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Muhle P, Suntrup-Krueger S, Bittner S, Ruck T, Claus I, Marian T, Schröder J, Minnerup J, Warnecke T, Meuth S, Dziewas R. PB3. Pharyngeal Electrical Stimulation in neurointensive care patients suffering from severe post-stroke dysphagia – Post stimulation increase of salivary substance P level may indicate treatment success. Clin Neurophysiol 2018. [DOI: 10.1016/j.clinph.2018.04.628] [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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Reinke F, Bettin M, Ross LS, Kochhäuser S, Kleffner I, Ritter M, Minnerup J, Dechering D, Eckardt L, Dittrich R. Refinement of detecting atrial fibrillation in stroke patients: results from the TRACK-AF Study. Eur J Neurol 2018; 25:631-636. [PMID: 29205690 DOI: 10.1111/ene.13538] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2017] [Accepted: 10/20/2017] [Indexed: 11/28/2022]
Abstract
BACKGROUND AND PURPOSE Detection of occult atrial fibrillation (AF) is crucial for optimal secondary prevention in stroke patients. The AF detection rate was determined by implantable cardiac monitor (ICM) and compared to the prediction rate of the probability of incident AF by software based analysis of a continuously monitored electrocardiogram at follow-up (stroke risk analysis, SRA); an optimized AF detection algorithm is proposed by combining both tools. METHODS In a monocentric prospective study 105 out of 389 patients with cryptogenic stroke despite extensive diagnostic workup were investigated with two additional cardiac monitoring tools: (a) 20 months' monitoring by ICM and (b) SRA during hospitalization at the stroke unit. RESULTS The detection rate of occult AF was 18% by ICM (n = 19) (range 6-575 days) and 62% (n = 65) had an increased risk for AF predicted by SRA. When comparing the predictive accuracy of SRA to ICM, the sensitivity was 95%, specificity 35%, positive predictive value 27% and negative predictive value 96%. In 18 patients with AF detected by ICM, SRA also showed a medium risk for AF. Only one patient with a very low risk predicted by SRA developed AF revealed by ICM after 417 days. CONCLUSIONS A combination of SRA and ICM is a promising strategy to detect occult AF. SRA is reliable in predicting incident AF with a high negative predictive value. Thus, SRA may serve as a cost-effective pre-selection tool identifying patients at risk for AF who may benefit from further cardiac monitoring by ICM.
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Affiliation(s)
- F Reinke
- Department of Cardiovascular Medicine, Division of Electrophysiology, University Hospital of Muenster, Muenster, Germany
| | - M Bettin
- Department of Cardiovascular Medicine, Division of Electrophysiology, University Hospital of Muenster, Muenster, Germany
| | - L S Ross
- Department of Neurology, University Hospital of Muenster, Muenster, Germany
| | - S Kochhäuser
- Department of Cardiovascular Medicine, Division of Electrophysiology, University Hospital of Muenster, Muenster, Germany
| | - I Kleffner
- Department of Neurology, University Hospital of Muenster, Muenster, Germany
| | - M Ritter
- Physicians Centre at the Principal Market, Muenster, Germany
| | - J Minnerup
- Department of Neurology, University Hospital of Muenster, Muenster, Germany
| | - D Dechering
- Department of Cardiovascular Medicine, Division of Electrophysiology, University Hospital of Muenster, Muenster, Germany
| | - L Eckardt
- Department of Cardiovascular Medicine, Division of Electrophysiology, University Hospital of Muenster, Muenster, Germany
| | - R Dittrich
- Department of Neurology, University Hospital of Muenster, Muenster, Germany.,Department of Neurology, Paracelsus-Klinik Osnabrueck, Osnabrueck, Germany
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Minnerup J, Wersching H, Unrath M, Berger K. Effects of emergency medical service transport on acute stroke care. Eur J Neurol 2014; 21:1344-7. [DOI: 10.1111/ene.12367] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2013] [Accepted: 12/17/2013] [Indexed: 11/30/2022]
Affiliation(s)
- J. Minnerup
- Institute of Epidemiology and Social Medicine; University of Münster; Münster Germany
- Department of Neurology; University of Münster; Münster Germany
| | - H. Wersching
- Institute of Epidemiology and Social Medicine; University of Münster; Münster Germany
| | - M. Unrath
- Institute of Epidemiology and Social Medicine; University of Münster; Münster Germany
| | - K. Berger
- Institute of Epidemiology and Social Medicine; University of Münster; Münster Germany
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Schmidt A, Kemmling A, Ringelstein EB, Young P, Dziewas R, Minnerup J. Die Bedeutung der Infarktlokalisation für die Entwicklung einer schlafbezogenen Atemstörung nach einem Schlaganfall. KLIN NEUROPHYSIOL 2012. [DOI: 10.1055/s-0032-1301553] [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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Wersching H, Minnerup J. Interpretation von Schlaganfallakutstudien. KLIN NEUROPHYSIOL 2011. [DOI: 10.1055/s-0031-1286265] [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: 10/17/2022]
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10
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Kemmling A, Feyen L, Minnerup J, Niederstadt T, Hesselmann V, Heindel W, Seifarth H. Evaluation eines neuen Nachverarbeitungs-Filters für native CT Bilder zur Detektion des akuten Hirninfarkt: Verbesserte Differenzierbarkeit des frühen Infarktkerns. ROFO-FORTSCHR RONTG 2011. [DOI: 10.1055/s-0031-1279215] [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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Minnerup J, Wersching H, Ringelstein E, Kemmling A. Prediction of malignant middle cerebral artery infarction by a rater independent model based on normalized stroke volume and subarachnoid space volume. KLIN NEUROPHYSIOL 2011. [DOI: 10.1055/s-0031-1272689] [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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12
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Wersching H, Duning T, Lohmann H, Mohammadi S, Stehling C, Fobker M, Conty M, Minnerup J, Ringelstein EB, Berger K, Deppe M, Knecht S. Serum C-reactive protein is linked to cerebral microstructural integrity and cognitive function. Neurology 2010; 74:1022-9. [PMID: 20350977 DOI: 10.1212/wnl.0b013e3181d7b45b] [Citation(s) in RCA: 159] [Impact Index Per Article: 11.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE C-reactive protein is a marker of inflammation and vascular disease. It also seems to be associated with an increased risk of dementia. To better understand potential underlying mechanisms, we assessed microstructural brain integrity and cognitive performance relative to serum levels of high-sensitivity C-reactive protein (hs-CRP). METHODS We cross-sectionally examined 447 community-dwelling and stroke-free individuals from the Systematic Evaluation and Alteration of Risk Factors for Cognitive Health (SEARCH) Health Study (mean age 63 years, 248 female). High-field MRI was performed in 321 of these subjects. Imaging measures included fluid-attenuated inversion recovery sequences for assessment of white matter hyperintensities, automated quantification of brain parenchyma volumes, and diffusion tensor imaging for calculation of global and regional white matter integrity, quantified by fractional anisotropy (FA). Psychometric analyses covered verbal memory, word fluency, and executive functions. RESULTS Higher levels of hs-CRP were associated with worse performance in executive function after adjustment for age, gender, education, and cardiovascular risk factors in multiple regression analysis (beta = -0.095, p = 0.02). Moreover, higher hs-CRP was related to reduced global fractional anisotropy (beta = -0.237, p < 0.001), as well as regional FA scores of the frontal lobes (beta = -0.246, p < 0.001), the corona radiata (beta = -0.222, p < 0.001), and the corpus callosum (beta = -0.141, p = 0.016), in particular the genu (beta = -0.174, p = 0.004). We did not observe a significant association of hs-CRP with measures of white matter hyperintensities or brain atrophy. CONCLUSION These data suggest that low-grade inflammation as assessed by high-sensitivity C-reactive protein is associated with cerebral microstructural disintegration that predominantly affects frontal pathways and corresponding executive function.
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Affiliation(s)
- H Wersching
- Institute of Epidemiology and Social Medicine, University of Münster, Domagkstrasse 3, 48149 Münster, Germany.
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Minnerup J, Schilling M, Wersching H, Olschlager C, Schabitz WR, Niederstadt T, Dziewas R. Development of a mycotic aneurysm within 4 days. Neurology 2008; 71:1745. [DOI: 10.1212/01.wnl.0000335247.86599.6f] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [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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Minnerup J, Heidrich J, Wellmann J, Rogalewski A, Schäbitz W. Die Wirkung hämatopoetischer Wachstumsfaktoren auf die funktionelle Erholung nach einem Schlaganfall – eine Meta-Analyse experimenteller Studien am Beispiel von G-CSF. Akt Neurol 2008. [DOI: 10.1055/s-0028-1086527] [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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Rogalewski A, Laage R, Minnerup J, Kirsch F, Wafzig O, Kuhnert K, Gretz N, Schneider A, Schäbitz W. Effect of forced arm use and voluntary exercise on functional motor recovery and gene expression profiles after focal ischaemia. Akt Neurol 2008. [DOI: 10.1055/s-0028-1086524] [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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Minnerup J, Wysocki R, Laage R, Rogalewski A, Schneider A, Schäbitz WR. Ein verlängertes Therapiefenster des Granulozyten Kolonie-stimulierenden Faktors im fokalen Ischämiemodell der Ratte. Akt Neurol 2007. [DOI: 10.1055/s-2007-987630] [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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Rogalewski A, Minnerup J, Kuhnert K, Ringelstein EB, Schäbitz WR. Verbesserung der motorischen Lernfähigkeit durch Erythropoietin nach fokaler Ischämie. Akt Neurol 2007. [DOI: 10.1055/s-2007-987510] [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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