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Objective: Half of all newly diagnosed patients with glioblastoma are older than 65 years and this number is expected to increase due to the aging population. The prognosis in the elderly remains poor. Preserving quality of life is of high importance. However, patient reported outcome (PRO) data in [for full text, please go to the a.m. URL], 70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie

Objective: Neuro-oncological patients need to be assessed adequately. After assessing patients’ psycho-social burden we either statistically determined optimal cut-off scores or re-evaluated existing cut-offs for this patient population. Methods: Patients with intracranial tumors, participating[for full text, please go to the a.m. URL], 70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie

Objective: Assessing psycho-oncological needs in neurooncological patients is challenging, especially when patient reported outcome measures (PROMs) are not feasible due to neurocognitive decline. Yet, these patients may particularly be in need of support. We applied an expert rating scale, the basic[for full text, please go to the a.m. URL], 69. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Mexikanischen und Kolumbianischen Gesellschaft für Neurochirurgie

Objective: Half of all newly diagnosed patients with glioblastoma are >65 years and this number is expected to increase due to the ageing population in the western world. With a median survival of less than 6 months the prognosis in the elderly remains poor. Preserving quality of life is of high[for full text, please go to the a.m. URL], 69. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Mexikanischen und Kolumbianischen Gesellschaft für Neurochirurgie

Objective: The Endoscopic technique has revolutionized transnasal skull base surgery over the last decades. However, endoscopes are still missing stereoscopic vision or adequate resolution compared to the operating microscope. We evaluated a new 3D/HD endoscope for transnasal minimally invasive[for full text, please go to the a.m. URL], 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS)

Objective: Identification of brief, valid screening instruments is critical for providing neuro-oncological patients with appropriate psychosocial support. At the same time, due to patient’s neurocognitive impairment and/or restricted ability to undergo screening procedures, physicians’[for full text, please go to the a.m. URL], 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS)

Objective: The introduction of the operating microscope over half a century ago was the crucial step in the development of modern neurosurgery. Despite several especially ergonomic disadvantages, it is an indispensable tool in most of neurosurgical procedures today. Goal of the study was to evaluate[for full text, please go to the a.m. URL], 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS)

Objective: Patients with high-grade gliomas fulfill the criteria for cancer patients at high risk for suicidal ideation, yet the incidence of suicide is low. We investigated the incidence of suicidal ideation (SI), depression and familial support in patients with intracranial tumors prospectively over[for full text, please go to the a.m. URL], 67. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 1. Joint Meeting mit der Koreanischen Gesellschaft für Neurochirurgie (KNS)

Objective: Five-Aminolevulinic Acid (5-ALA) has become a valuable adjunct in glioma surgery. Despite intraoperative malignant appearance some gliomas show no 5-ALA-metabolism and remain dark under blue light. We evaluated whether certain histopathologic properties are associated with this phenomenon.[for full text, please go to the a.m. URL], 66. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)

Objective: In the era of patient-centered neurooncologic therapy, the association between health-related quality of life (HRQoL), psychosocial distress, and supportive care needs should be in the focus of research. In a prospective study those needs were assessed using three established instruments [for full text, please go to the a.m. URL], 66. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)

Objective: Improving quality, effectiveness, and efficiency of therapy and care in patients with malignant gliomas involves assessment of psychosocial and supportive care needs. The aim of this study was to test the feasibility of the German version of the Supportive Care Needs Survey (SCNS-SF34-G) [for full text, please go to the a.m. URL], 66. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)

Objective: Depression and decreased quality of life have been described in patients with cerebral glioma, however suicide of patients with glioma suffering from depression has not been reported often. The aim of our ongoing study is to prospectively assess signs of depression and impairment of quality[for full text, please go to the a.m. URL], 65. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)

Objective: The detection of psychosocial distress in daily clinical routine is difficult and referral to mental health professionals is in many cases insufficient. Based on a retrospective analysis of 134 patients who had undergone psycho-oncological screening we designed a prospective study determining[for full text, please go to the a.m. URL], 64. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)

Objective: The treatment of secondary cerebral vasospasm (CVS) still poses a challenge in the treatment of patients with aneurysmal subarachnoid hemorrhage (SAH). Lately continuous intra-arterial infusion of calcium channel blockers has been used in severe symptomatic CVS. Milrinone, a phosphodiesterase[for full text, please go to the a.m. URL], 64. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)

The management of implant-associated surgical site infections (SSI) in patients with posterior instrumentation is challenging. Evidence regarding the most appropriate treatment and the need for removal of implants is equivocal. We sought to evaluate the management and outcome of such patients at our institution. We searched our prospectively documented databases for eligible patients with posterior spinal instrumentation, excluding the cervical spine (January 2008–June 2018). Patient files were reviewed, demographic data and treatment details were recorded. Patient-reported outcome (PRO) was assessed with the Core Outcome Measures Index (COMI) preoperatively and postoperatively at 3 and 12 months. A total of 170 patients underwent 210 revisions for 176 SSIs. Two-thirds presented within four weeks (105/176, 59.7%, median 22.5d, 7d–11.1y). The most common pathogens were Staphylococcus aureus (n = 79/210, 37.6%) and Staphylococcus epidermidis (n = 56/210, 26.7%). Debridement and implant retention was performed in 135/210 (64.3%) revisions and partial replacement in 62/210 (29.5%). In 28/176 SSI (15.9%), persistent infection required multiple revisions (≤ 4). Surgery was followed by intravenous and oral antimicrobial treatment (10–12w). In 139/176 SSIs (79%) with ≥ 1y follow-up, infection was cured in 115/139 (82.7%); relapse occurred in 9 (relapse rate: 5.1%). Two patients (1.4%) died. COMI decreased significantly (8.2 ± 1.5 vs. 4.8 ± 2.9, p