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  1. Article ; Online: Comparing the accuracy of ultrasound-based measurements of the cervical vagus nerve.

    Dörschner, Johann / Pelz, Johann Otto / Kerner, Alexander Michael / Labuschagne, Jason John / Hammer, Niels / Löffler, Sabine

    Scientific reports

    2023  Volume 13, Issue 1, Page(s) 884

    Abstract: Vagus nerve stimulation (VNS) has become a promising therapy especially for drug resistant epilepsy and other pathologies. Side effects or missing therapeutic success are observed due to cuff electrodes that are too narrow or too wide. Preoperative high- ... ...

    Abstract Vagus nerve stimulation (VNS) has become a promising therapy especially for drug resistant epilepsy and other pathologies. Side effects or missing therapeutic success are observed due to cuff electrodes that are too narrow or too wide. Preoperative high-resolution ultrasound is used to evaluate the size of the cervical vagus nerve (CVN) to estimate the size of cuff electrodes for VNS. It remains unclear how precise ultrasound reflects the CVN dimensions, which has been the objective of this study. CVN cross-sections and diameters were investigated in 23 sides from 12 bodies, using ultrasound, histology, and CVN casting in situ as a reference. Morphometric data were obtained including fascicle count and nerve composition in histology. CVN yielded significant side-, age-, and BMI-related differences. CVN cross-sections were smaller in ultrasound when compared to casting and histology (1.5 ± 0.4 vs. 3.1 ± 0.9 vs. 2.3 ± 0.7 mm
    MeSH term(s) Humans ; Vagus Nerve/physiology ; Vagus Nerve Stimulation/methods ; Ultrasonography ; Neck/innervation ; Drug Resistant Epilepsy/pathology
    Language English
    Publishing date 2023-01-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 2615211-3
    ISSN 2045-2322 ; 2045-2322
    ISSN (online) 2045-2322
    ISSN 2045-2322
    DOI 10.1038/s41598-023-27894-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: No Harmful Effect of Endovascular Treatment before Decompressive Surgery-Implications for Handling Patients with Space-Occupying Brain Infarction.

    Pelz, Johann Otto / Engelmann, Simone / Scherlach, Cordula / Bungert-Kahl, Peggy / Dabbagh, Alhuda / Lindner, Dirk / Michalski, Dominik

    Journal of clinical medicine

    2024  Volume 13, Issue 3

    Abstract: This study explored short- and mid-term functional outcomes in patients undergoing decompressive hemicraniectomy (DHC) due to space-occupying cerebral infarction and asked whether there is a potentially harmful effect of a priorly performed endovascular ... ...

    Abstract This study explored short- and mid-term functional outcomes in patients undergoing decompressive hemicraniectomy (DHC) due to space-occupying cerebral infarction and asked whether there is a potentially harmful effect of a priorly performed endovascular treatment (EVT). Medical records were screened for patients requiring DHC due to space-occupying cerebral infarction between January 2016 and July 2021. Functional outcomes at hospital discharge and at 3 months were assessed by the modified Rankin Scale (mRS). Out of 65 patients with DHC, 39 underwent EVT before DHC. Both groups, i.e., EVT + DHC and DHC alone, had similar volumes (280 ± 90 mL vs. 269 ± 73 mL,
    Language English
    Publishing date 2024-02-05
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm13030918
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A Specific Pattern of Routine Cerebrospinal Fluid Parameters Might Help to Identify Cases of West Nile Virus Neuroinvasive Disease.

    Pelz, Johann Otto / Mühlberg, Christoph / Friedrich, Isabel / Weidhase, Lorenz / Zimmermann, Silke / Maier, Melanie / Pietsch, Corinna

    Viruses

    2024  Volume 16, Issue 3

    Abstract: Background: Viral meningitis/encephalitis (ME) is a rare but potentially harmful disease. The prompt identification of the respective virus is important to guide not only treatment but also potential public health countermeasures. However, in about 40% ... ...

    Abstract Background: Viral meningitis/encephalitis (ME) is a rare but potentially harmful disease. The prompt identification of the respective virus is important to guide not only treatment but also potential public health countermeasures. However, in about 40% of cases, no virus is identified despite an extensive diagnostic workup. The aim of the present study was to analyze demographic, seasonal, and routine cerebrospinal fluid (CSF) parameters in cases of viral ME and assess their utility for the prediction of the causative virus.
    Methods: Demographic data, season, and routine CSF parameters (total leucocytes, CSF cell differentiation, age-adjusted CSF/serum albumin ratio, and total immunoglobulin ratios) were retrospectively assessed in cases of viral ME.
    Results: In total, 156 cases of acute viral ME (74 female, median age 40.0 years) were treated at a tertiary-care hospital in Germany. Specific viral infections were detected in 93 (59.6%) cases. Of these, 14 (9.0%) cases were caused by herpes simplex virus (HSV), 36 (23.1%) by varicella-zoster virus (VZV), 27 (17.3%) by enteroviruses, 9 (5.8%) by West Nile virus (WNV), and 7 (4.5%) by other specific viruses. Additionally, 64 (41.0%) cases of ME of unknown viral etiology were diagnosed. Cases of WNV ME were older, predominantly male, showed a severe disruption of the blood-CSF-barrier, a high proportion of neutrophils in CSF, and an intrathecal total immunoglobulin M synthesis in the first CSF sample. In a multinominal logistic regression analysis, the accuracy of these CSF parameters together with age and seasonality was best for the prediction of WNV (87.5%), followed by unknown viral etiology (66.7%), VZV (61.8%), and enteroviruses (51.9%).
    Conclusions: Cases with WNV ME showed a specific pattern of routine CSF parameters and demographic data that allowed for their identification with good accuracy. These findings might help to guide the diagnostic workup in cases with viral ME, in particular allowing the timely identification of cases with ME due to WNV.
    MeSH term(s) Male ; Humans ; Female ; Adult ; West Nile virus ; Retrospective Studies ; Antibodies, Viral ; West Nile Fever/diagnosis ; Viruses ; Encephalitis, Viral ; Meningitis, Viral/diagnosis ; Herpesvirus 3, Human ; Enterovirus Infections
    Chemical Substances Antibodies, Viral
    Language English
    Publishing date 2024-02-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2516098-9
    ISSN 1999-4915 ; 1999-4915
    ISSN (online) 1999-4915
    ISSN 1999-4915
    DOI 10.3390/v16030341
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Enlarged cross-sectional area of the left vagus nerve in patients with major depressive disorder.

    Schreiber, Lisa Sofie / Wozniak, David / Scheller, Erik / Böttcher, Elise / Pelz, Johann Otto / Schmidt, Frank M

    Frontiers in psychiatry

    2023  Volume 14, Page(s) 1237983

    Abstract: Purpose: Autonomic dysfunction and a chronic low-grade inflammation are supposed to play a role in the etiology of major depressive disorder (MDD). The vagus nerves (VN) form a major part of the parasympathetic nervous system and of the gut-brain axis. ... ...

    Abstract Purpose: Autonomic dysfunction and a chronic low-grade inflammation are supposed to play a role in the etiology of major depressive disorder (MDD). The vagus nerves (VN) form a major part of the parasympathetic nervous system and of the gut-brain axis. They are supposed to exert anti-inflammatory and epithelial barrier protective effects in the gut. A reduced vagal activity was described in patients with MDD. We aimed to examine the VN in patients with MDD with high-resolution ultrasound (HRUS) and hypothesized that the cross-sectional area (CSA) and the echogenicity of the VNs were altered in comparison to healthy controls.
    Materials and methods: The echogenicity (gray scale mean) and the CSA of the cervical VNs at the level of the thyroid gland and both median nerves were examined with HRUS in 50 patients with MDD and 50 matched healthy controls.
    Results: The left VN-CSA was significantly larger in the MDD group compared to the control group (1.7 ± 0.4 mm
    Conclusion: The enlargement of the left VN-CSA in patients with MDD, and especially in these patients with recurrent depressive disorders, might turn out as a promising imaging biomarker. Longitudinal studies are warranted to examine whether the VNs-CSA change in the course of MDD.
    Language English
    Publishing date 2023-07-31
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2023.1237983
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A Standardized Metrical 3D Ultrasound Approach for Limb Examination.

    Karlas, Thomas / Blank, Valentin / Pelz, Johann Otto

    Ultraschall in der Medizin (Stuttgart, Germany : 1980)

    2019  Volume 40, Issue 4, Page(s) 513–514

    MeSH term(s) Algorithms ; Child ; Forearm ; Humans ; Prospective Studies ; Ultrasonography ; Wrist
    Language English
    Publishing date 2019-05-02
    Publishing country Germany
    Document type Letter ; Comment
    ZDB-ID 801064-x
    ISSN 1438-8782 ; 1439-0914 ; 1431-4894 ; 0172-4614
    ISSN (online) 1438-8782
    ISSN 1439-0914 ; 1431-4894 ; 0172-4614
    DOI 10.1055/a-0895-5639
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Blood flow reversal from the external into the internal carotid artery-New insights into the hemodynamics at the carotid bifurcation.

    Meyer, Patrick / Pelz, Johann Otto

    Brain and behavior

    2018  Volume 8, Issue 11, Page(s) e01139

    Abstract: Background: Complex blood flow patterns are a well-known phenomenon at the carotid bifurcation. However, unlike for the descending aorta, a blood flow reversal has not been detected at the carotid bifurcation, so far.: Methods: In 17 subjects, flow ... ...

    Abstract Background: Complex blood flow patterns are a well-known phenomenon at the carotid bifurcation. However, unlike for the descending aorta, a blood flow reversal has not been detected at the carotid bifurcation, so far.
    Methods: In 17 subjects, flow patterns with focus on blood flow reversal were examined at the carotid bifurcation with vector flow imaging.
    Results: We found a blood flow reversal from the external carotid artery (ECA) into the internal carotid artery (ICA) in 13 of 25 (52%) carotid bifurcations. The blood flow reversal ranged 5.3 ± 1.7 mm (range 2.6-8.3 mm) distally to the beginning of the ECA and lasted 105 ± 59 ms (range 32-225 ms). The mean peak systolic velocity within the blood flow reversal was 12.5 ± 4.6 cm/s (range 5-18 cm/s).
    Conclusion: A blood flow reversal from the ECA into the ICA during the systole is a frequent finding at the carotid bifurcation. Considering ischemic stroke, retrograde embolism from plaques in the proximal ECA into the ICA might play a role.
    MeSH term(s) Blood Flow Velocity/physiology ; Brain Ischemia/physiopathology ; Carotid Artery, External/physiology ; Carotid Artery, Internal/physiology ; Female ; Hemodynamics/physiology ; Humans ; Male ; Middle Aged ; Stroke/physiopathology
    Language English
    Publishing date 2018-10-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2623587-0
    ISSN 2162-3279 ; 2162-3279
    ISSN (online) 2162-3279
    ISSN 2162-3279
    DOI 10.1002/brb3.1139
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Long-Term Course of Circulating Elastin, Collagen Type I, and Collagen Type III in Patients with Spontaneous Cervical Artery Dissection: a Prospective Multicenter Study.

    Zimmermann, Silke / Weißenfels, Markus / Krümmer, Norma / Michalski, Dominik / Weise, Gesa / Branzan, Daniela / Pelz, Johann Otto

    Translational stroke research

    2023  

    Abstract: An impaired integrity of vascular elements and the extracellular matrix (ECM) has been discussed to play a critical role in the pathophysiology of spontaneous cervical artery dissection (sCAD). This study aimed to explore the temporal course of ... ...

    Abstract An impaired integrity of vascular elements and the extracellular matrix (ECM) has been discussed to play a critical role in the pathophysiology of spontaneous cervical artery dissection (sCAD). This study aimed to explore the temporal course of circulating elastin, collagen type I, and collagen type III in patients with sCAD and evaluated their eligibility as diagnostic biomarkers. Patients with sCAD were prospectively enrolled in four German stroke centers. Blood samples were collected at baseline (acute phase), at day 10 ± 3 (subacute phase), and after 6 ± 1 months (chronic phase). Patients with acute ischemic stroke not related to sCAD, healthy probands, and patients undergoing thromboendarterectomy of the carotid artery served as control groups. Serum levels of elastin and collagen types I and III were determined by ELISAs. Fifty-seven patients with sCAD were enrolled. Compared to all three control groups, patients with sCAD had significantly lower levels of elastin and collagen type III at baseline and after 6 months. Compared to healthy probands, patients with sCAD showed similar collagen type I levels at baseline and in the subacute phase, but significantly increased levels after 6 months. As serum levels of elastin, collagen types I and III were not elevated in the acute phase, they do not appear eligible as biomarkers for the diagnosis of sCAD. Persisting low serum levels of elastin and collagen type III towards the chronic phase of sCAD strengthens the hypothesis of a subtle, in most cases clinically inapparent affection of the ECM in patients with sCAD.
    Language English
    Publishing date 2023-11-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2541897-X
    ISSN 1868-601X ; 1868-4483
    ISSN (online) 1868-601X
    ISSN 1868-4483
    DOI 10.1007/s12975-023-01207-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Successful systemic thrombolysis with rtPA in a patient with history of a life-threatening rtPA-associated orolingual angioedema.

    Pelz, Johann Otto / Michalski, Dominik / Saur, Dorothee

    eNeurologicalSci

    2017  Volume 8, Page(s) 36–37

    Language English
    Publishing date 2017-08-02
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2838045-9
    ISSN 2405-6502
    ISSN 2405-6502
    DOI 10.1016/j.ensci.2017.08.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: A Combined Clinical and Serum Biomarker-Based Approach May Allow Early Differentiation Between Patients With Minor Stroke and Transient Ischemic Attack as Well as Mid-term Prognostication.

    Pelz, Johann Otto / Kubitz, Katharina / Kamprad-Lachmann, Manja / Harms, Kristian / Federbusch, Martin / Hobohm, Carsten / Michalski, Dominik

    Frontiers in neurology

    2021  Volume 12, Page(s) 724490

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2021-11-08
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2021.724490
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: A Standardized Metrical 3D Ultrasound Approach for Limb Examination

    Karlas, Thomas / Blank, Valentin / Pelz, Johann Otto

    Ultraschall in der Medizin - European Journal of Ultrasound

    2019  Volume 40, Issue 04, Page(s) 513–514

    Language English
    Publishing date 2019-05-02
    Publisher © Georg Thieme Verlag KG
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 801064-x
    ISSN 1438-8782 ; 0172-4614 ; 1439-0914 ; 1431-4894
    ISSN (online) 1438-8782
    ISSN 0172-4614 ; 1439-0914 ; 1431-4894
    DOI 10.1055/a-0895-5639
    Database Thieme publisher's database

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