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Article
Open AccessEffect of low-frequency dorsal root ganglion stimulation in the treatment of chronic pain
The role of stimulation parameters, especially stimulation frequency is not well understood in dorsal root ganglion stimulation. Previous studies documented higher effectiveness for frequencies as low as 20 Hz...
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Article
Open AccessSpinal cord stimulation in non-reconstructable critical limb ischemia: a retrospective study of 71 cases
Spinal cord stimulation (SCS) is a therapeutic option for patients with a peripheral arterial disease with critical limb ischemia (CLI) and consequent ischemic rest pain. Neuromodulation is chosen when vascula...
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Article
Open AccessFrequency dependency of therapeutic efficacy in dorsal root ganglion stimulation for neuropathic pain
The influence of the stimulation frequency on the outcomes of dorsal root ganglion stimulation (DRG-S) to treat pain is not well understood. It is assumed that specific neural components dedicated to different...
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Article
Open AccessSurgical management of “Twiddler syndrome” in patients with deep brain stimulation: a technical note and review of the literature
The Twiddler syndrome (TS) describes a situation in which the implanted impulse generator (IPG) rotates several times around its own axis in the subcutaneous pocket. This can lead to severe mechanical damage o...
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Article
Open AccessThe role of periradicular infiltration in dorsal root ganglion stimulation for chronic neuropathic pain
Targeting the correct spinal level is essential in dorsal root ganglion (DRG) stimulation. Anatomical selection of the DRG alone is not ideal since the pain area is not necessarily confined to the borders of t...
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Article
Synergetic efficacy of simultaneous DRG- and traditional spinal cord stimulation
Dorsal root ganglion stimulation has established its role in chronic pain states and is commonly used as an alternative treatment to traditional spinal cord stimulation. Due to its approach, DRG stimulation is...
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Article
Cochleaimplantation gemeinsam mit tiefer Hirn- oder Okzipitalnervstimulation
Es gelingt uns zu zeigen, dass eine simultane Versorgung eines Patienten mit einem neuromodulatorischen System zur tiefen Hirnstimulation (DBS) oder zur Okzipitalnervstimulation (ONS) sowie einem Cochleaimplan...
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Article
The surgical technique of occipital nerve stimulation
Occipital nerve stimulation is increasingly used in the treatment of primary headache disorders. We describe a surgical technique applying preoperative fluoroscopy and intraoperative tactile orientation design...
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Article
Open AccessOccipital Nerve Stimulation (ONS) for the treatment of chronic headache syndromes
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Article
The impact of brain shift in deep brain stimulation surgery: observation and obviation
The impact of brain shift on deep brain stimulation surgery is considerable. In DBS surgery, brain shift is mainly caused by CSF loss. CSF loss can be estimated by post-surgical intracranial air. Different app...
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Article
Open AccessRetrospective analysis of treatment outcome in 315 patients with oligodendroglial brain tumors
Although chemotherapy with procarbazine, lomustine and vincristine (PCV) is considered to be well tolerated, side effects frequently lead to dose reduction or even discontinuation of treatment of oligodendrogl...
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Article
Neurochirurgische Standards bei tiefer Hirnstimulation
Voraussetzung für die therapeutische Anwendung der tiefen Hirnstimulation (THS) ist eine stereotaktisch-neurochirurgische Operation mit Implantation von Hirnelektroden in subkortikale Zielstrukturen des Gehirn...
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Article
Current concepts in stereotactic radiosurgery - a neurosurgical and radiooncological point of view
Stereotactic radiosurgery is related to the history of "radiotherapy" and "stereotactic neurosurgery". The concepts for neurosurgeons and radiooncologists have been changed during the last decade and have also...
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Article
Multivariate analysis of dynamical processes
The analysis of multi-dimensional biomedical systems requires analysis techniques, which are able to deal with multivariate data consisting of both time series as well as point processes. Univariate and bivari...
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Article
Hypothalamische Tiefenhirnstimulation bei Patienten mit chronischen Cluster-Kopfschmerzen
Cluster-Kopfschmerzen zeichnen sich durch eine stereotype Symptomatik aus und gehören zu den schwersten primären Schmerzsyndromen. Bildgebungsstudien haben funktionelle und strukturelle Veränderungen im ipsila...
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Chapter
Systeme zur tiefen Hirnstimulation
In den späten 1960er Jahren wurden erstmals Elektroden entwickelt, die eine kontinuierliche Stimulation neuraler Strukturen erlaubten [16, 17, 30, 32, 36]. Zunächst wurden diese halbimplantierbaren Radiofrequenzs...
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Chapter
Intraoperative neurophysiologische Untersuchung: MakroStimulation und evozierte Potenziale
Intraoperative klinische neurophysiologische Untersuchungen sind integrale Komponenten funktioneller stereotaktischer Eingriffe und beinhalten die Markostimulation, die Mikroelek- trodenableitung, sowie die Ab...
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Chapter and Conference Paper
Deep Brain Stimulation of the Globus Pallidus Internus (GPI) for Torsion Dystonia — A Report of two Cases
Generalized dystonia is known as a type of movement disorder in which pharmacotherapeutic options are very limited. Deep Brain Stimulation (DBS) is well established for Parkinson’s disease (PD) and tremor domi...
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Article
Permanent Postoperative Anosmia: A Serious Complication of Neurovascular Decompression in the Sitting Position
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Article
Periradicular therapy in lumbar radicular syndromes: Methodology and results
Periradicular therapy (PRT) has become popular in the treatment of lumbar radicular complaints, both primary, due to disc herniations (Group 1), and postoperative, following disc surgery (Group 2). However, hi...