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In dieser Arbeit wird Terahertzspektroskopie (THz) eingesetzt, um nichtlineare niederfrequente Anregungen von kondensierter Materie zu untersuchen. Insbesondere die Anwendung zweidimensionaler (2D) THz-Spektroskopie ermöglicht es, verschiedene Beiträge zu nichtlinearen Signalen zu entflechten. Zunächst wird die nichtlineare polaronische Antwort solvatisierter Elektronen und umliegenden Lösungsmittelmolekülen in der polaren Flüssigkeit Isopropanol erforscht. Solvatisierte Elektronen werden durch Multiphotonen-Ionisation erzeugt. Longitudinale Polaronoszillationen mit THz-Frequenzen werden während der ultraschnellen Lokalisierung der Elektronen impulsiv angeregt. Die Störung solcher Polaronschwingungen mit einem externen THz-Impuls führt zu nichtlinearen Änderungen der transversalen Polaron-Polarisierbarkeit, die sich in deutlichen Änderungen der Oszillationsphase zeigen. Darüber hinaus wird die Erzeugung monozyklischer THz-Impulse in asymmetrischen Halbleiter-Quantentrögen bei resonanter Intersubband-Anregung im Mittelinfraroten (MIR) demonstriert. Die zeitliche Form des emittierten elektrischen THz-Feldes wird durch die Steuerung der Impulsdauer und des elektrischen Feldes der MIR Impulse verändert. Phasenaufgelöste 2D-MIR-Experimente bestätigen, dass die THz-Emission vorrangig auf einen nichtlinearen Verschiebungsstrom bei Femtosekunden-Intersubband-Anregung zurückzuführen ist. Der Einfluss von Intra- und Interbandströmen auf Symmetrieeigenschaften wird in 2D-THz-Experimenten an Wismut demonstriert. Nichtperturbative langwellige Anregung von Ladungsträgern nahe der L-Punkte führt zu einer anisotropen Ladungsträgerverteilung, die sich in einer hexagonalen Winkelabhängigkeit der pump-induzierten THz Transmission manifestiert. Eine damit einhergehende Symmetrieverringerung für bestimmte elektrische Feldpolarisationen erlaubt die Anregung von Zonenrand-Phononen, welche sich in in oszillierenden Signalen in der nichtlinearen 2D-THz-Antwort manifestieren., This thesis exploits techniques of terahertz (THz) spectroscopy to investigate nonlinear low-frequency excitations of condensed matter. In particular, application of two-dimensional (2D) THz spectroscopy allows to disentangle different nonlinear signal contributions. The nonlinear polaronic response of solvated electrons and their surrounding solvent molecules in the polar liquid isopronal is studied. Solvated electrons are generated via multiphoton ionization. Longitudinal polaron oscillations with THz frequencies are impulsively excited during the ultrafast localization of the electrons. Perturbation of such polaron oscillations with an external THz pulse induces nonlinear changes of the transverse polaron polarizability, reflected in distinct modifications to the oscillation phase as mapped in 2D-THz experiments. Further, the generation of mono-cycle THz pulses from asymmetric semiconductor quantum wells upon resonant intersubband excitation in the mid-infrared (MIR) range is demonstrated. The temporal shape of the emitted THz electric field is modified by controlling pulse duration and peak electric field of the MIR driving pulses. Phase-resolved 2D-MIR experiments confirm that the THz emission is predominantly due to a nonlinear shift current generated upon femtosecond intersubband excitation. The influence of combined intra- and interband currents on symmetry properties, which opens novel quantum pathways for phonon excitation in narrow-band-gap materials, is demonstrated by 2D-THz experiments on bismuth. Nonperturbative long-wavelength excitation of charge carriers close to the L points leads to an anisotropic carrier distribution, reflected in a six-fold azimuthal angular dependence of the pump-induced change of THz transmission. A concomitant symmetry reduction for certain electric-field polarizations allows for the excitation of phonons at the zone boundary which are reflected in oscillatory signals in the nonlinear 2D-THz response.

Objective:To investigate in patients with essential tremor (ET) treated with thalamic/subthalamic deep brain stimulation (DBS) whether stimulation-induced dysarthria (SID) can be diminished by individualized current-shaping with interleaving stimulation (cs-ILS) while maintaining tremor suppression (TS).Methods:Of 26 patients screened, 10 reported SID and were invited for testing. TS was assessed by the Tremor Rating Scale and kinematic analysis of postural and action tremor. SID was assessed by phonetic and logopedic means. Additionally, patients rated their dysarthria on a visual analog scale.Results:In 6 of the 10 patients with ET, DBS-ON (relative to DBS-OFF) led to SID while tremor was successfully reduced. When comparing individualized cs-ILS with a non-current-shaped interleaving stimulation (ILS) in these patients, there was no difference in TS while 4 of the 6 patients showed subjective improvement of speech during cs-ILS. Phonetic analysis (ILS vs cs-ILS) revealed that during cs-ILS there was a reduction of voicing during the production of voiceless stop consonants and also a trend toward an improvement in oral diadochokinetic rate, reflecting less dysarthria. Logopedic rating showed a trend toward deterioration in the diadochokinesis task when comparing ON with OFF but no difference between ILS and cs-ILS.Conclusion:This is a proof-of-principle evaluation of current-shaping in patients with ET treated with thalamic/subthalamic DBS and experiencing SID. Data suggest a benefit on SID from individual shaping of current spread while TS is preserved.Classification of evidence:This study provides Class IV evidence that in patients with ET treated with DBS with SID, individualized cs-ILS reduces dysarthria while maintaining tremor control.

Background: We evaluated the long-term outcome in patients harboring intracranial ependymomas treated with interstitial brachytherapy (IBT). Methods: Twenty-one patients (M/F = 9/12; median age: 29 years; range: 8-70 years), diagnosed with intracranial ependymoma (1 WHO I, 11 WHO II, 9 WHO III) were treated with IBT using stereotactically implanted 125 Iodine seeds between 1987 and 2010, either primarily, as adjuvant therapy following incomplete resection, or as salvage treatment upon tumor recurrence. Sixteen of 21 patients underwent microsurgical resection prior to IBT; in 5 patients, IBT was performed primarily after stereotactic biopsy for histological diagnosis. The cumulative tumor surface dose ranged from 50-65 Gy treating a median tumor volume of 3.6 ml (range, 0.3-11.6 ml). A median follow-up period of 105.3 months (range, 12.7-286.2 months) was evaluated. Results: Actuarial 2-, 5- and 10-years overall-and disease-specific survival rates after IBT were each 90% and 100% at all times for ependymomas WHO I/II, for anaplastic ependymomas WHO III 100%, 100%, 70% and 100%, 100%, 86%, respectively. The neurological status of seven patients improved, while there was no change in 12 and deterioration in 2 patients, respectively. Follow-up MR images disclosed a complete tumor remission in 3, a partial remission in 12 and a stable disease in 6 patients. Treatment-associated morbidity only occurred in a single patient. Conclusions: This study shows that stereotactic IBT for intracranial ependymomas is safe and can provide a high degree of local tumor control. Due to the low rate of side effects, IBT may evolve into an attractive alternative to microsurgery in ependymomas located in eloquent areas or as a salvage treatment.