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7 results on '"Lang, Johannes D."'

1. Trends in the neurological emergency room, focusing on persons with seizures

Author

Welte, Tamara M., primary, Ernst, Sebastian, additional, Stritzelberger, Jenny, additional, Gollwitzer, Stephanie, additional, Lang, Johannes D., additional, Reindl, Caroline, additional, Sprügel, Maximilian I., additional, Olmes, David, additional, Schwab, Stefan, additional, Blinzler, Christian, additional, and Hamer, Hajo M., additional

Published
2023
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3. Surgical hematoma evacuation of cortical intracerebral hemorrhage ≥10 ml reduces risk of subsequent epilepsy by more than 70%: A retrospective monocenter study

Author

Welte, Tamara M., primary, Steidl, Josephine, additional, Stritzelberger, Jenny, additional, Gollwitzer, Stephanie, additional, Lang, Johannes D., additional, Reindl, Caroline, additional, Rampp, Stefan, additional, Maslarova, Anna, additional, Brandner, Sebastian, additional, Hock, Stefan, additional, Muehlen, Iris, additional, Doerfler, Arnd, additional, Kuramatsu, Joji B., additional, Schwab, Stefan, additional, Huttner, Hagen B., additional, Sprügel, Maximilian I., additional, and Hamer, Hajo M., additional

Published
2022
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4. Antiseizure medication and perceived “fair” cost allocation: A factorial survey among neurologists, persons with epilepsy, their relatives, and a control group

Author

Stritzelberger, Jenny, primary, Walther, Katrin, additional, Olmes, David, additional, Gollwitzer, Stefanie, additional, Graf, Wolfgang, additional, Welte, Tamara M., additional, Lang, Johannes D., additional, Reindl, Caroline, additional, Schwab, Stefan, additional, Kriwy, Peter, additional, and Hamer, Hajo M., additional

Published
2022
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7. Surgical hematoma evacuation of cortical intracerebral hemorrhage ≥10 ml reduces risk of subsequent epilepsy by more than 70%: A retrospective monocenter study.

Author

Welte TM, Steidl J, Stritzelberger J, Gollwitzer S, Lang JD, Reindl C, Rampp S, Maslarova A, Brandner S, Hock S, Muehlen I, Doerfler A, Kuramatsu JB, Schwab S, Huttner HB, Sprügel MI, and Hamer HM

Subjects
Humans, Retrospective Studies, Hematoma etiology, Hematoma surgery, Seizures complications, Treatment Outcome, Cerebral Hemorrhage complications, Cerebral Hemorrhage surgery, Epilepsy surgery, Epilepsy complications
Abstract

Aim: The aim of this study was to re-evaluate risk factors for post-ICH epilepsy (PICHE) and examine the impact of surgical hematoma evacuation on epilepsy development after ICH., Background and Purpose: Epilepsy is a common complication after intracerebral hemorrhage (ICH). Information on risk factors is still scarce and the role of ICH evacuation remains uncertain., Methods: We retrospectively included patients with spontaneous ICH treated in our hospital in 2006-2019. Patients' medical records were analyzed. In addition, mailed questionnaires and telephone interviews were used to complete the dataset. Uni- and multivariable hazard ratios (HRs) were applied to investigate risk factors for PICHE and the impact of surgical ICH evacuation., Results: Among 587 ICH patients available for analyses, 139 (23.7%) developed PICHE (mean follow-up 1795 ± 1378 days). The median time of epilepsy onset was 7 months after ICH (range 1-132 months). Risk factors associated with PICHE were cortical hemorrhage (multivariable HR 1.65 [95% CI 1.14-2.37]; p = 0.008), ICH volume > 10 ml (multivariable HR 1.91 [95% CI 1.33-2.73]; p < 0.001) and acute symptomatic seizures (multivariable HR 1.81 [95% CI 1.20-2.75]; p = 0.005). Patients with cortical ICH > 10 ml who underwent surgical hematoma evacuation were less likely to develop epilepsy than those with conservative treatment alone (multivariable HR 0.26 [95% CI 0.08-0.84]; p = 0.025)., Conclusions: Post-ICH epilepsy is frequent and predicted by large cortical ICH and acute symptomatic seizures. Hematoma evacuation reduced the risk of PICHE by more than 70% in patients with large cortical ICH. This finding could be considered in the clinical decision making on the acute treatment of ICH., (© 2022 The Authors. European Journal of Neurology published by John Wiley & Sons Ltd on behalf of European Academy of Neurology.)

Published
2023
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