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8 results on '"Senta Kurschel-Lackner"'

1. Spinal Arachnoiditis Ossificans: A Case-Based Update

Author

Anna Brunner, Marlene Leoni, Sandro Eustacchio, and Senta Kurschel-Lackner

Subjects
arachnoiditis ossificans, spinal surgery, yellow bone marrow, cauda equina syndrome, Surgery, RD1-811
Abstract

Arachnoiditis ossificans is a rare disease, characterized by intradural ossifications, representing the end stage of chronic adhesive arachnoiditis. We describe the case of a 55-year-old patient who developed symptoms of a cauda equina syndrome after an open microdiscectomy at the L5 to S1 segment. A subsequent exploratory surgery revealed an intradural concentric bony structure with partly incorporated and partly adherent nerve roots. A partial removal of the intradural calcifications was performed. Postoperatively, the patient showed neurological improvement. The removed intradural calcifications were submitted for histological analysis and proved to be normal bone tissue, notably containing yellow bone marrow. To our knowledge, the presence of yellow bone marrow within bony cavities of arachnoiditis ossificans has not previously been reported.

Published
2021
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2. Comparing the Impact of Multi-Session Left Dorsolateral Prefrontal and Primary Motor Cortex Neuronavigated Repetitive Transcranial Magnetic Stimulation (nrTMS) on Chronic Pain Patients

Author

Sascha Freigang, Christian Lehner, Shane M. Fresnoza, Kariem Mahdy Ali, Elisabeth Hlavka, Annika Eitler, Istvan Szilagyi, Helmar Bornemann-Cimenti, Hannes Deutschmann, Gernot Reishofer, Anže Berlec, Senta Kurschel-Lackner, Antonio Valentin, Bernhard Sutter, Karla Zaar, and Michael Mokry

Subjects
chronic pain, low back pain, repetitive transcranial magnetic stimulation, neuromodulation, dorsolateral prefrontal cortex, primary motor cortex, Neurosciences. Biological psychiatry. Neuropsychiatry, RC321-571
Abstract

Repetitive transcranial stimulation (rTMS) has been shown to produce an analgesic effect and therefore has a potential for treating chronic refractory pain. However, previous studies used various stimulation parameters (including cortical targets), and the best stimulation protocol is not yet identified. The present study investigated the effects of multi-session 20 Hz (2000 pulses) and 5 Hz (1800 pulses) rTMS stimulation of left motor cortex (M1-group) and left dorsolateral prefrontal cortex (DLPFC-group), respectively. The M1-group (n = 9) and DLPFC-group (n = 7) completed 13 sessions of neuronavigated stimulation, while a Sham-group (n = 8) completed seven sessions of placebo stimulation. The outcome was measured using the German Pain Questionnaire (GPQ), Depression, Anxiety and Stress Scale (DASS), and SF-12 questionnaire. Pain perception significantly decreased in the DLPFC-group (38.17%) compared to the M1-group (56.11%) (p ≤ 0.001) on the later sessions. Health-related quality of life also improved in the DLPFC-group (40.47) compared to the Sham-group (35.06) (p = 0.016), and mental composite summary (p = 0.001) in the DLPFC-group (49.12) compared to M1-group (39.46). Stimulation of the left DLPFC resulted in pain relief, while M1 stimulation was not effective. Nonetheless, further studies are needed to identify optimal cortical target sites and stimulation parameters.

Published
2021
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3. Acute Subdural Hematoma without Subarachnoid Hemorrhage or Intraparenchymal Hematoma Caused by Rupture of a Posterior Communicating Artery Aneurysm: Case Report and Review of the Literature

Author

Michael Mokry, Senta Kurschel-Lackner, Karin Pistracher, M. Augustin, and Manuel Mrfka

Subjects
medicine.medical_specialty, Subarachnoid hemorrhage, medicine.medical_treatment, Posterior Communicating Artery Aneurysm, Aneurysm, Ruptured, Aneurysm, Hematoma, medicine, Hematoma, Subdural, Acute, Humans, cardiovascular diseases, Embolization, Neurological deficit, medicine.diagnostic_test, business.industry, Intracranial Aneurysm, pathological conditions, signs and symptoms, Middle Aged, medicine.disease, Embolization, Therapeutic, Surgery, body regions, surgical procedures, operative, Angiography, cardiovascular system, Emergency Medicine, Female, Radiology, Emergency Service, Hospital, Tomography, X-Ray Computed, business, Acute subdural hematoma
Abstract

Background Acute subdural hematoma without subarachnoid hemorrhage or intraparenchymal hematoma is rare. Case Report We report on a 47-year-old women without previous trauma who presented with an acute subdural hematoma without subarachnoid hemorrhage. The hematoma was evacuated immediately. Further evaluation with a cerebral four-vessel angiography revealed a left-sided posterior communicating artery aneurysm that was occluded by endovascular embolization. The patient recovered without neurological deficit. Conclusions Ruptured intracranial aneurysm should be considered as a cause of nontraumatic subdural hematoma. Immediate subdural hematoma removal after aneurysm coiling can be performed in such patients, even those in poor neurological condition.

Published
2013
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4. An uncommon case of Idiopathic Intracranial Hypertension with diagnostic pitfalls

Author

Manuel, Mrfka, Karin, Pistracher, Bernadette, Schökler, Sonja, Wissa, and Senta, Kurschel-Lackner

Subjects
Adult, Diagnosis, Differential, Sinus Thrombosis, Intracranial, Humans, Female, Cranial Sinuses, Intracranial Hypertension, Tomography, X-Ray Computed, Magnetic Resonance Imaging, Magnetic Resonance Angiography, Papilledema
Abstract

We report on an unusual case of Idiopathic Intracranial Hypertension (IIH) in a woman of normal weight. Papilledema and increased intracranial pressure are symptoms of cerebral venous sinus thrombosis or idiopathic intrancranial hypertension. Because of the different treatment strategies, it is important to keep these two diseases separate. We show that the use of different imaging methods is an important tool in obtaining an effective diagnosis.

Published
2012

5. An Uncommon Case of Idiopathic Intracranial Hypertension with Diagnostic Pitfalls

Author

Manuel Mrfka, Karin Pistracher, Sonja Wissa, Senta Kurschel-Lackner, and Bernadette Schökler

Subjects
medicine.medical_specialty, Unusual case, medicine.diagnostic_test, business.industry, Magnetic resonance imaging, medicine.disease, Magnetic resonance angiography, Normal weight, Medicine, Treatment strategy, Radiology, medicine.symptom, Cerebral venous sinus thrombosis, business, Papilledema, Intracranial pressure
Abstract

We report on an unusual case of Idiopathic Intracranial Hypertension (IIH) in a woman of normal weight. Papilledema and increased intracranial pressure are symptoms of cerebral venous sinus thrombosis or idiopathic intrancranial hypertension. Because of the different treatment strategies, it is important to keep these two diseases separate. We show that the use of different imaging methods is an important tool in obtaining an effective diagnosis.

Published
2012
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