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BackgroundThe pronociceptive neuromediator calcitonin gene-related peptide (CGRP) is associated with pain transmission and modulation. After spontaneous subarachnoid hemorrhage (sSAH), the vasodilatory CGRP is excessively released into cerebrospinal fluid (CSF) and serum and modulates psycho-behavioral function. In CSF, the hypersecretion of CGRP subacutely after good-grade sSAH was significantly correlated with an impaired health-related quality of life (hrQoL). Now, we prospectively analyzed the treatment-specific differences in the secretion of endogenous CGRP into serum after good-grade sSAH and its impact on hrQoL.MethodsTwenty-six consecutive patients (f:m = 13:8; mean age 50.6 years) with good-grade sSAH were enrolled (drop out n = 5): n = 9 underwent endovascular aneurysm occlusion, n = 6 microsurgery, and n = 6 patients with perimesencephalic SAH received standardized intensive medical care. Plasma was drawn daily from day 1 to 10, at 3 weeks, and at the 6-month follow-up (FU). CGRP levels were determined with competitive enzyme immunoassay in duplicate serum samples. All patients underwent neuropsychological self-report assessment after the onset of sSAH (t1: day 11–35) and at the FU (t2).ResultsDuring the first 10 days, the mean CGRP levels in serum (0.470 ± 0.10 ng/ml) were significantly lower than the previously analyzed mean CGRP values in CSF (0.662 ± 0.173; p = 0.0001). The mean serum CGRP levels within the first 10 days did not differ significantly from the values at 3 weeks (p = 0.304). At 6 months, the mean serum CGRP value (0.429 ± 0.121 ng/ml) was significantly lower compared to 3 weeks (p = 0.010) and compared to the first 10 days (p = 0.026). Higher mean serum CGRP levels at 3 weeks (p = 0.001) and at 6 months (p = 0.005) correlated with a significantly poorer performance in the item pain, and, at 3 weeks, with a higher symptom burden regarding somatoform syndrome (p = 0.001) at t2.ConclusionOur study reveals the first insight into the serum levels of endogenous CGRP in good-grade sSAH patients with regard to hrQoL. In serum, upregulated CGRP levels at 3 weeks and 6 months seem to be associated with a poorer mid-term hrQoL in terms of pain. In migraineurs, CGRP receptor antagonists have proven clinical efficacy. Our findings corroborate the potential capacity of CGRP in pain processing.

Objective: Few cerebral aneurysms are not completely clippable or even unclippable due to small size and/or difficult morphology. In some cases, the aneurysm can be clipped partially and the remnant is wrapped with muscle, cotton and glue (clip-wrapping), or, the aneurysm is wrapped solely. In [for full text, please go to the a.m. URL], 72. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Polnischen Gesellschaft für Neurochirurgie

Objective: Spinal synovial cysts (SSC) are a rare but important differential diagnosis for degenerative or space-occupying spinal lesions. There is controversy about the most beneficial treatment, which can be conservative or surgical. We provide a review of our surgical data for the purpose of quality[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: After a positive randomized clinical trial showing significant survival benefits, Tumor Treating Fields (TTFields) have been implemented in the management of newly diagnosed glioblastoma (GBM). However, this treatment critically depends on patient’s motivation for this therapy plus[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

The thesis entitled „Personal autonomous future: The role of emotions, cognitions, and individual values in the adoption process of autonomous cars” examines the influence of psychological factors towards adoption intentions of autonomous cars. The thesis investigates how emotions, cognitions, their interplay, and the individual experience of them in contingency of stable and variable personal characteristics influence adoption processes. Die Thesis mit dem Titel „Persönliche autonome Zukunft: Die Rolle von Emotionen, Kognitionen und individuellen Werten im Adoptionsprozess von autonomen Autos” beschäftigt sich mit dem Einfluss von psychologischen Faktoren auf die Adoption autonomer Autos. In dieser Thesis werden der Einfluss von Emotionen, Kognition, deren Wechselbeziehung sowie das individuelle Erleben dieser, in Abhängigkeit von stabilen und variablen Persönlichkeitseigenschaften im Rahmen des Adoptionsprozesses untersucht.

Objective: In glioma surgery, the extent of resection (EOR) is one important predictor of the progression-free survival. In 2006, fluorescence-guided surgery using 5-aminolevulinic acid (5-ALA) has been shown to improve the EOR in malignant gliomas. However, the use of 5-ALA is complex and has certain[for full text, please go to the a.m. URL], 64. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)