Now showing 1 - 10 of 13
  • 2019Journal Article
    [["dc.bibliographiccitation.firstpage","e74"],["dc.bibliographiccitation.journal","World Neurosurgery"],["dc.bibliographiccitation.lastpage","e80"],["dc.bibliographiccitation.volume","131"],["dc.contributor.author","MĂĽller, Sebastian J."],["dc.contributor.author","Freimann, Florian B."],["dc.contributor.author","von der Brelie, Christian"],["dc.contributor.author","Rohde, Veit"],["dc.contributor.author","Schatlo, Bawarjan"],["dc.date.accessioned","2020-12-10T15:21:43Z"],["dc.date.available","2020-12-10T15:21:43Z"],["dc.date.issued","2019"],["dc.identifier.doi","10.1016/j.wneu.2019.07.014"],["dc.identifier.issn","1878-8750"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/73130"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.title","Test-Retest Reliability of Outpatient Telemetric Intracranial Pressure Measurements in Shunt-Dependent Patients with Hydrocephalus and Idiopathic Intracranial Hypertension"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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  • 2017Journal Article
    [["dc.bibliographiccitation.firstpage","655"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Neurosurgical Review"],["dc.bibliographiccitation.lastpage","661"],["dc.bibliographiccitation.volume","40"],["dc.contributor.author","Moringlane, R. B."],["dc.contributor.author","Keric, N."],["dc.contributor.author","Freimann, F. B."],["dc.contributor.author","Mielke, D."],["dc.contributor.author","Burger, R."],["dc.contributor.author","Duncker, D."],["dc.contributor.author","Rohde, V."],["dc.contributor.author","Eckardstein, K. L. V."],["dc.date.accessioned","2018-10-09T07:22:45Z"],["dc.date.available","2018-10-09T07:22:45Z"],["dc.date.issued","2017"],["dc.description.abstract","Decompressive hemicraniectomy (DH) plus duroplasty was demonstrated to be effective for treating critically elevated intracranial pressure (ICP). In order to shorten operation time and to avoid the use of autologous or heterologous material, durotomy has been introduced as an alternative to duroplasty. Only limited data is available on the effect of DH and durotomy on the increased ICP in traumatic brain injury (TBI). Therefore, we collected consecutive intraoperative ICP readings during the different steps of DH and durotomy in TBI patients. Eighteen patients with TBI and uncontrollable ICP increase (measured by either an intraparenchymal or an intraventricular ICP probe) underwent DH and durotomy. ICP readings as well as mean arterial blood pressure (MAP) and arterial PCO2 were obtained during defined stages of the operation. Surgical complications of the durotomy itself and of cranioplasty after 3 months were recorded. The outcome was assessed prior to cranioplasty using the Glasgow Outcome Scale (GOS). ICP dropped significantly during surgery from a mean of 41 ( Â± 16.2) mmHg at the beginning to a mean of 11.8 ( Â± 7.5) mmHg at the end (p â‰¤ 0.001). A first significant ICP-decrease to a mean of 18 ( Â± 10.8) mmHg (p â‰¤ 0.001) was detected after removal of the bone flap, and a second significant ICP-decrease to a mean of 10.6 ( Â± 5.3) mmHg (p < 0.001) during durotomy. The mean operation time was 115.3 min ( Â± 49.6). Five patients (28%) died; seven patients (39%) had a good outcome (GOS 5). There were no relevant complications associated to durotomy. Durotomy after DH is a safe and straightforward procedure, which significantly lowers critically increased ICP in patients with TBI. Although no graft is used, dural preparation for cranioplasty at 3 months is easily possible."],["dc.fs.pkfprnr","86428"],["dc.identifier.doi","10.1007/s10143-017-0823-2"],["dc.identifier.fs","633512"],["dc.identifier.pmid","28185018"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/15893"],["dc.language.iso","en"],["dc.notes.status","final"],["dc.relation.eissn","1437-2320"],["dc.title","Efficacy and safety of durotomy after decompressive hemicraniectomy in traumatic brain injury"],["dc.type","journal_article"],["dc.type.internalPublication","unknown"],["dspace.entity.type","Publication"]]
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  • 2016Journal Article
    [["dc.bibliographiccitation.issue","1"],["dc.bibliographiccitation.journal","Journal of Neurological Surgery Part A Central European Neurosurgery"],["dc.bibliographiccitation.volume","77"],["dc.contributor.author","Freimann, Florian Baptist"],["dc.contributor.author","Thomale, Ulrich-Wilhelm"],["dc.date.accessioned","2018-11-07T10:21:20Z"],["dc.date.available","2018-11-07T10:21:20Z"],["dc.date.issued","2016"],["dc.format.extent","1"],["dc.identifier.doi","10.1055/s-0035-1566300"],["dc.identifier.isi","000368522900001"],["dc.identifier.pmid","26761508"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/42063"],["dc.notes.status","zu prĂĽfen"],["dc.notes.submitter","Najko"],["dc.publisher","Thieme Medical Publ Inc"],["dc.relation.issn","2193-6323"],["dc.relation.issn","2193-6315"],["dc.title","Obituary Christian Sprung In Memoriam"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2016Conference Paper
    [["dc.bibliographiccitation.firstpage","1273"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Acta Neurochirurgica"],["dc.bibliographiccitation.lastpage","1278"],["dc.bibliographiccitation.volume","158"],["dc.contributor.author","Diesner, Naima"],["dc.contributor.author","Freimann, Florian"],["dc.contributor.author","Clajus, Christin"],["dc.contributor.author","Kallenberg, Kai"],["dc.contributor.author","Rohde, Veit"],["dc.contributor.author","Stockhammer, Florian"],["dc.date.accessioned","2018-11-07T10:12:27Z"],["dc.date.available","2018-11-07T10:12:27Z"],["dc.date.issued","2016"],["dc.description.abstract","Gravitational valves (GVs) prevent overdrainage in ventriculoperitoneal shunting (VPS). However, there are no data available on the appropriate opening pressure in the shunt system when implementing a GV. We performed a retrospective analysis of hydrocephalic patients who were successfully treated with VPS which included one or more GV. In this retrospective study in adult VPS patients with GVs, we analysed all available data, including the most recent computed tomography (CT) scans, to determine the best adjustments for alleviating any symptoms of overdrainage and underdrainage. Vertical effective opening pressure (VEOP) of the entire shunt system, including the differential pressure valve, was determined. One hundred and twenty-two patients were eligible for the study. Of these, female patients revealed a higher VEOP compared with males (mean, 35.6 cmH(2)O [SD +/- 2.46] vs 28.9 cmH(2)O [SD +/- 0.87], respectively, p = 0.0072, t-test). In patients older than 60 years, lower VEOPs, by a mean of 6.76 cmH(2)O +/- 2.37 (p = 0.0051), were necessary. Mean VEOP was found to be high in idiopathic intracranial hypertension (IIH; 41.6 cmH(2)O) and malresorptive and congenital HC (35.9 and 36.3), but low in normal pressure HC (27.5, p = 0.0229; one-way ANOVA). In the total cohort, body mass index (BMI) and height did not correlate with VEOP. Twelve patients required a VEOP of more than 40 cmH(2)O, and in eight of these patients this was accomplished by using multiple GVs. All but one of these eight patients were of female gender, and none of the latter were treated for normal pressure hydrocephalus (NPH) (p = 0.0044 and p = 0.0032, Fisher's exact test). In adult VPS patients, female gender increases the risk of overdrainage requiring higher VEOPs. Initial implantation of adjustable GV should be considered in female patients treated with VP shunts for pathology other than NPH."],["dc.identifier.doi","10.1007/s00701-016-2827-z"],["dc.identifier.isi","000377719800007"],["dc.identifier.pmid","27177735"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/40239"],["dc.notes.status","zu prĂĽfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.publisher.place","Wien"],["dc.relation.conference","Hydrocephalus Forum"],["dc.relation.eventlocation","Hannover, GERMANY"],["dc.relation.issn","0942-0940"],["dc.relation.issn","0001-6268"],["dc.title","Female gender predisposes for cerebrospinal fluid overdrainage in ventriculoperitoneal shunting"],["dc.type","conference_paper"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2014Journal Article
    [["dc.bibliographiccitation.artnumber","e110588"],["dc.bibliographiccitation.issue","10"],["dc.bibliographiccitation.journal","PLoS ONE"],["dc.bibliographiccitation.volume","9"],["dc.contributor.author","Streitberger, Kaspar-Josche"],["dc.contributor.author","Reiss-Zimmermann, Martin"],["dc.contributor.author","Freimann, Florian Baptist"],["dc.contributor.author","Bayerl, Simon"],["dc.contributor.author","Guo, Jing"],["dc.contributor.author","Arlt, Felix"],["dc.contributor.author","Wuerfel, Jens"],["dc.contributor.author","Braun, Juergen"],["dc.contributor.author","Hoffmann, Karl-Titus"],["dc.contributor.author","Sack, Ingolf"],["dc.date.accessioned","2018-11-07T09:33:28Z"],["dc.date.available","2018-11-07T09:33:28Z"],["dc.date.issued","2014"],["dc.description.abstract","Objective: To generate high-resolution maps of the viscoelastic properties of human brain parenchyma for presurgical quantitative assessment in glioblastoma (GB). Methods: Twenty-two GB patients underwent routine presurgical work-up supplemented by additional multifrequency magnetic resonance elastography. Two three-dimensional viscoelastic parameter maps, magnitude vertical bar G vertical bar, and phase angle phi of the complex shear modulus were reconstructed by inversion of full wave field data in 2-mm isotropic resolution at seven harmonic drive frequencies ranging from 30 to 60 Hz. Results: Mechanical brain maps confirmed that GB are composed of stiff and soft compartments, resulting in high intratumor heterogeneity. GB could be easily differentiated from healthy reference tissue by their reduced viscous behavior quantified by phi (0.37 +/- 0.08 vs. 0.58 +/- 0.07). vertical bar G vertical bar, which in solids more relates to the material's stiffness, was significantly reduced in GB with a mean value of 1.32 +/- 0.26 kPa compared to 1.54 +/- 0.27 kPa in healthy tissue (P = 0.001). However, some GB (5 of 22) showed increased stiffness. Conclusion: GB are generally less viscous and softer than healthy brain parenchyma. Unrelated to the morphology-based contrast of standard magnetic resonance imaging, elastography provides an entirely new neuroradiological marker and contrast related to the biomechanical properties of tumors."],["dc.description.sponsorship","German Research Foundation (DFG) [Sa901/10]"],["dc.identifier.doi","10.1371/journal.pone.0110588"],["dc.identifier.isi","000343674800060"],["dc.identifier.pmid","25338072"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/11033"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/31968"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prĂĽfen"],["dc.notes.submitter","Najko"],["dc.publisher","Public Library Science"],["dc.relation.issn","1932-6203"],["dc.rights","CC BY 3.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/3.0"],["dc.title","High-Resolution Mechanical Imaging of Glioblastoma by Multifrequency Magnetic Resonance Elastography"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]
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  • 2020Journal Article
    [["dc.bibliographiccitation.firstpage","2421"],["dc.bibliographiccitation.issue","10"],["dc.bibliographiccitation.journal","Acta Neurochirurgica"],["dc.bibliographiccitation.lastpage","2430"],["dc.bibliographiccitation.volume","162"],["dc.contributor.author","Fiss, I."],["dc.contributor.author","Röhrig, P."],["dc.contributor.author","Hore, N."],["dc.contributor.author","von der Brelie, C."],["dc.contributor.author","Bettag, C."],["dc.contributor.author","Freimann, F. B."],["dc.contributor.author","Thomale, U.-W."],["dc.contributor.author","Rohde, V."],["dc.contributor.author","Brandner, S."],["dc.date.accessioned","2021-04-14T08:24:43Z"],["dc.date.available","2021-04-14T08:24:43Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1007/s00701-020-04519-y"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/81400"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-399"],["dc.relation.eissn","0942-0940"],["dc.relation.issn","0001-6268"],["dc.title","In vitro performance of six combinations of adjustable differential pressure valves and fixed anti-siphon devices with and without vertical motion"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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  • 2014Journal Article
    [["dc.bibliographiccitation.firstpage","2191"],["dc.bibliographiccitation.issue","11"],["dc.bibliographiccitation.journal","Acta Neurochirurgica"],["dc.bibliographiccitation.lastpage","2199"],["dc.bibliographiccitation.volume","156"],["dc.contributor.author","Freimann, Florian Baptist"],["dc.contributor.author","Kimura, Takaoki"],["dc.contributor.author","Stockhammer, Florian"],["dc.contributor.author","Schulz, Matthias"],["dc.contributor.author","Rohde, Veit"],["dc.contributor.author","Thomale, Ulrich-Wilhelm"],["dc.date.accessioned","2018-11-07T09:33:12Z"],["dc.date.available","2018-11-07T09:33:12Z"],["dc.date.issued","2014"],["dc.description.abstract","Anti-siphon devices (ASDs) of various working principles were developed to overcome overdrainage-related complications associated with ventriculoperitoneal shunting. We aimed to provide comparative data on the pressure and flow characteristics of six different types of ASDs (gravity-assisted, membrane-controlled, and flow-regulated) in order to achieve a better understanding of these devices and their potential clinical application. We analyzed three gravity-dependent ASDs (ShuntAssistant [SA], Miethke; Gravity Compensating Accessory [GCA], Integra; SiphonX [SX], Sophysa), two membrane-controlled ASDs (Anti-Siphon Device [IASD], Integra; Delta Chamber [DC], Medtronic), and one flow-regulated ASD (SiphonGuard [SG], Codman). Defined pressure conditions within a simulated shunt system were generated (differential pressure 10-80 cmH(2)O), and the specific flow and pressure characteristics were measured. In addition, the gravity-dependent ASDs were measured in defined spatial positions (0-90A degrees). The flow characteristics of the three gravity-assisted ASDs were largely dependent upon differential pressure and on their spatial position. All three devices were able to reduce the siphoning effect, but each to a different extent (flow at inflow pressure: 10 cmH(2)O, siphoning -20 cmH(2)O at 0A degrees/90A degrees: SA, 7.1 A +/- 1.2 /2.3 A +/- 0.5 ml/min; GCA, 10.5 A +/- 0.8/3.4 A +/- 0.4 ml/min; SX, 9.5 A +/- 1.2 /4.7 A +/- 1.9 ml/min, compared to control, 11.1 A +/- 0.4 ml/min [ p < 0.05]). The flow characteristics of the remaining ASDs were primarily dependent upon the inflow pressure effect (flow at 10 cmH2O, siphoning 0 cmH(2)O/ siphoning -20cmH(2)O: DC, 2.6 A +/- 0.1/ 4 A +/- 0.3 ml/min; IASD, 2.5 A +/- 0.2/ 0.8 A +/- 0.4 ml/min; SG, 0.8 A +/- 0.2 / 0.2 A +/- 0.1 ml/min [ p < 0.05 vs. control, respectively]). The tested ASDs were able to control the siphoning effect within a simulated shunt system to differing degrees. Future comparative trials are needed to determine the type of device that is superior for clinical application."],["dc.identifier.doi","10.1007/s00701-014-2201-y"],["dc.identifier.isi","000343884400023"],["dc.identifier.pmid","25123252"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/31916"],["dc.notes.status","zu prĂĽfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.publisher.place","Wien"],["dc.relation.issn","0942-0940"],["dc.relation.issn","0001-6268"],["dc.title","In vitro performance and principles of anti-siphoning devices"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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  • 2020Journal Article
    [["dc.bibliographiccitation.firstpage","1033"],["dc.bibliographiccitation.issue","5"],["dc.bibliographiccitation.journal","Acta Neurochirurgica"],["dc.bibliographiccitation.lastpage","1040"],["dc.bibliographiccitation.volume","162"],["dc.contributor.author","Fiss, I."],["dc.contributor.author","Vanderheyden, M."],["dc.contributor.author","von der Brelie, C."],["dc.contributor.author","Bettag, C."],["dc.contributor.author","Hore, N."],["dc.contributor.author","Freimann, F."],["dc.contributor.author","Thomale, U.-W."],["dc.contributor.author","Rohde, V."],["dc.contributor.author","Brandner, S."],["dc.date.accessioned","2020-12-10T14:10:54Z"],["dc.date.available","2020-12-10T14:10:54Z"],["dc.date.issued","2020"],["dc.identifier.doi","10.1007/s00701-020-04228-6"],["dc.identifier.eissn","0942-0940"],["dc.identifier.issn","0001-6268"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/70915"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.title","In vitro performance of combinations of anti-siphon devices with differential pressure valves in relation to the spatial position"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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  • 2017Journal Article
    [["dc.bibliographiccitation.firstpage","519"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Acta Neurochirurgica"],["dc.bibliographiccitation.lastpage","524"],["dc.bibliographiccitation.volume","160"],["dc.contributor.author","Böse, Brit"],["dc.contributor.author","Rohde, Veit"],["dc.contributor.author","Fiss, Ingo"],["dc.contributor.author","Freimann, Florian Baptist"],["dc.date.accessioned","2020-12-10T14:10:52Z"],["dc.date.available","2020-12-10T14:10:52Z"],["dc.date.issued","2017"],["dc.identifier.doi","10.1007/s00701-017-3439-y"],["dc.identifier.eissn","0942-0940"],["dc.identifier.issn","0001-6268"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/70903"],["dc.language.iso","en"],["dc.notes.intern","DOI Import GROB-354"],["dc.title","A counterforce to diversion of cerebrospinal fluid during ventriculoperitoneal shunting: the intraperitoneal pressure. An observational study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]
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  • 2014Journal Article
    [["dc.bibliographiccitation.firstpage","1351"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Acta Neurochirurgica"],["dc.bibliographiccitation.lastpage","1356"],["dc.bibliographiccitation.volume","156"],["dc.contributor.author","Freimann, Florian Baptist"],["dc.contributor.author","Luhdo, Marie-Luise"],["dc.contributor.author","Rohde, Veit"],["dc.contributor.author","Vajkoczy, Peter"],["dc.contributor.author","Wolf, Stefan"],["dc.contributor.author","Sprung, Christian"],["dc.date.accessioned","2018-11-07T09:38:15Z"],["dc.date.available","2018-11-07T09:38:15Z"],["dc.date.issued","2014"],["dc.description.abstract","The in-line combination of adjustable differential pressure valves with fixed gravitational units is increasingly recommended in the literature. The spatial positioning of the gravitational unit is thereby decisive for the valve opening pressure. We aimed at providing data on factors contributing to primary overdrainage and underdrainage of cerebrospinal fluid (CSF), with special attention paid to the implantation angle of the gravitational unit. Weretrospectively analyzed the postoperative course of 376 consecutive patients who received a ventriculoperitoneal shunt with a proGAV valve. The incidence of both primary CSF overdrainage and underdrainage was correlated with the implantation angle of the gravitational unit in regard to the Frankfurt horizontal plane and the patients' general parameters. Primary overdrainage was found in 41 (10.9 %) patients. Primary underdrainage was found in 113 (30.1 %) patients. A mean deviation of 10A degrees (+/- 7.8) for the gravitational unit in regard to the vertical line to the Frankfurt horizontal plane was found. In 95 % of the cases the deviation was less than 25A degrees. No significant correlation between the implantation angle and the incidence of overdrainage or underdrainage of CSF was found. The patients' age and having single hydrocephalus entities were identified as factors significantly predisposing patients to overdrainage or underdrainage. The implantation of the gravitational unit of the proGAV valve within a range of at least 10A degrees in regard to the vertical line to the Frankfurt horizontal plane does not seem to predispose patients to primary overdrainage or underdrainage in ventriculoperitoneal shunting. The plane may serve as a useful reference for the surgeon's orientation."],["dc.identifier.doi","10.1007/s00701-014-2076-y"],["dc.identifier.isi","000338195300015"],["dc.identifier.pmid","24792967"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/33032"],["dc.notes.status","zu prĂĽfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.publisher.place","Wien"],["dc.relation.issn","0942-0940"],["dc.relation.issn","0001-6268"],["dc.title","The Frankfurt horizontal plane as a reference for the implantation of gravitational units: a series of 376 adult patients"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]
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