NervenarztPub Date : 2024-08-01Epub Date: 2024-08-02DOI: 10.1007/s00115-024-01718-1
Jürgen M Meyer Zu Tittingdorf, Martin Grond
{"title":"[As from 2025 the contents of Der Nervenarzt will be reoriented].","authors":"Jürgen M Meyer Zu Tittingdorf, Martin Grond","doi":"10.1007/s00115-024-01718-1","DOIUrl":"https://doi.org/10.1007/s00115-024-01718-1","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":"95 8","pages":"685-686"},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2024-08-01Epub Date: 2024-07-18DOI: 10.1007/s00115-024-01701-w
K Amadori, T Steiner
{"title":"[Palliative neurology].","authors":"K Amadori, T Steiner","doi":"10.1007/s00115-024-01701-w","DOIUrl":"10.1007/s00115-024-01701-w","url":null,"abstract":"<p><p>Palliative medicine represents the holistic multiprofessional treatment of severely and incurably ill people and their relatives, addressing their complex physical, psychological, social and spiritual needs. The central therapeutic goals are the quality of life and alleviation of suffering. In the course of many neurological diseases, high symptom burden, long and variable trajectories and unfavorable prognosis at times create a need for palliative care even at an early stage, which is currently still inadequately met. This can be countered by qualified neuropalliative care. In addition to intensifying interdisciplinary collaboration, this requires neurologists to have core competencies in palliative care. These include a team-oriented attitude, communication skills, expertise in symptom control and knowledge of biomedical ethics including palliative options at the end of life.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"743-753"},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2024-08-01Epub Date: 2024-07-22DOI: 10.1007/s00115-024-01686-6
A Naegele, I Schwaninger, L Toenges, C Eggers, T Warnecke, C Weigand, J Klucken
{"title":"[Chat messenger use in the care of patients with Parkinson's disease].","authors":"A Naegele, I Schwaninger, L Toenges, C Eggers, T Warnecke, C Weigand, J Klucken","doi":"10.1007/s00115-024-01686-6","DOIUrl":"10.1007/s00115-024-01686-6","url":null,"abstract":"<p><strong>Background: </strong>The demand for chat messaging apps for communication between physicians, therapists and patients is increasing. The expectations for this form of communication and uncertainties regarding introduction and use are heterogeneous.</p><p><strong>Objective: </strong>The implementation of chat messengers in the care of patients with Parkinson's disease should be facilitated by recommendations regarding introduction and usage.</p><p><strong>Methods: </strong>Semi-structured interviews with neurologists and physiotherapists were conducted to capture the expectations and needs regarding the use of chat messengers. From the data analysis, recommendations were derived.</p><p><strong>Results: </strong>The expectations for technical functionality exceeded the chat messenger functions. This concerns, e.g., the connection of the chat messenger to the electronic patient file. There is a great deal of uncertainty, particularly when it comes to the applicable General Data Protection Regulations (GDPR). The recommendations relating to the use of chat messengers, data protection aspects, the design of such tools and methodological considerations can help to implement the tool as an additional communication channel.</p><p><strong>Conclusion: </strong>Practical recommendations regarding functionality, the use of chat messengers in everyday life and in relation to data protection are derived from the results. By improving knowledge, physicians and therapists can contribute to the successful establishment of chat messengers as an additional communication tool.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"714-720"},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11297055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2024-08-01DOI: 10.1007/s00115-024-01715-4
{"title":"Mitteilungen der DGN.","authors":"","doi":"10.1007/s00115-024-01715-4","DOIUrl":"https://doi.org/10.1007/s00115-024-01715-4","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":"95 8","pages":"758-772"},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2024-08-01Epub Date: 2024-05-16DOI: 10.1007/s00115-024-01666-w
Raphael Scherbaum, Lars Tönges
{"title":"[Multidisciplinary Complex Treatment of Parkinson's disease : Cornerstone of an individualized treatment].","authors":"Raphael Scherbaum, Lars Tönges","doi":"10.1007/s00115-024-01666-w","DOIUrl":"10.1007/s00115-024-01666-w","url":null,"abstract":"<p><strong>Background: </strong>The inpatient Parkinson's disease multimodal complex treatment (PD-MCT) was applied more than 15,000 times in 2022, in Germany. This number is increasing as is Parkinson's disease (PD), which affects more than 400,000 people in Germany and leads to 100,000 disability-adjusted life years. In recent years, several observational studies have been conducted on the effectiveness of this kind of multidisciplinary care.</p><p><strong>Objective: </strong>To summarize and discuss the evidence on the nature, benefits and potential of PD-MCT.</p><p><strong>Methods: </strong>A narrative review of selected empirical findings was carried out.</p><p><strong>Results: </strong>The PD-MCT frequently lasts for 2-3 weeks and aims to maintain the quality of life of people with PD. Disease symptoms and activities of daily living are jointly improved by pharmacological strategies and activating therapies (physiotherapy, occupational therapy, speech and language therapy, physical training, art therapy). The PD-MCT is a useful measure to avoid or mitigate crisis situations in the course of the disease. A total of eight observational studies (n = 1246) have shown good effectiveness with a total mean improvement of the International Parkinson and Movement Disorder Society unified Parkinson's disease rating scale III (MDS-UPDRS III) by 7.8 points. The transfer of effects into everyday life through intensive and specialized community-based care must be ensured in order to achieve sustained effects on the quality of life. Ideally, this transfer can be supported by integrated PD networks and digital technologies in the future.</p><p><strong>Conclusion: </strong>There is potential for development in the standardization, patient selection and quality assurance of PD-MCT as well as in the embedding in care structures such as PD networks. Open research questions include a precise definition of the target group and higher quality evidence of short-term and long-term effectiveness.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"704-713"},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140958872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2024-08-01Epub Date: 2024-04-29DOI: 10.1007/s00115-024-01667-9
Lea Auksutat, Volker Heßelmann, Günter Seidel
{"title":"[Ischemic stroke in a patient with pseudoxanthoma elasticum and carotid rete mirabile].","authors":"Lea Auksutat, Volker Heßelmann, Günter Seidel","doi":"10.1007/s00115-024-01667-9","DOIUrl":"10.1007/s00115-024-01667-9","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"734-736"},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2024-08-01DOI: 10.1007/s00115-024-01673-x
Rachel Zeng, Sarah Schlaeger, Matthias Türk, Thomas Baum, Marcus Deschauer, Rolf Janka, Dimitrios Karampinos, Jan Kassubek, Sarah Keller-Yamamura, Cornelia Kornblum, Helmar Lehmann, Thorsten Lichtenstein, Armin M Nagel, Jens Reimann, Angela Rosenbohm, Lara Schlaffke, Manuel Schmidt, Christiane Schneider-Gold, Benedikt Schoser, Regina Trollmann, Matthias Vorgerd, Marc-André Weber, Jan S Kirschke, Jens Schmidt
{"title":"[Expert recommendations for magnetic resonance imaging of muscle disorders].","authors":"Rachel Zeng, Sarah Schlaeger, Matthias Türk, Thomas Baum, Marcus Deschauer, Rolf Janka, Dimitrios Karampinos, Jan Kassubek, Sarah Keller-Yamamura, Cornelia Kornblum, Helmar Lehmann, Thorsten Lichtenstein, Armin M Nagel, Jens Reimann, Angela Rosenbohm, Lara Schlaffke, Manuel Schmidt, Christiane Schneider-Gold, Benedikt Schoser, Regina Trollmann, Matthias Vorgerd, Marc-André Weber, Jan S Kirschke, Jens Schmidt","doi":"10.1007/s00115-024-01673-x","DOIUrl":"10.1007/s00115-024-01673-x","url":null,"abstract":"<p><strong>Background: </strong>Magnetic resonance (MRI) imaging of the skeletal muscles (muscle MRI for short) is increasingly being used in clinical routine for diagnosis and longitudinal assessment of muscle disorders. However, cross-centre standards for measurement protocol and radiological assessment are still lacking.</p><p><strong>Objectives: </strong>The aim of this expert recommendation is to present standards for the application and interpretation of muscle MRI in hereditary and inflammatory muscle disorders.</p><p><strong>Methods: </strong>This work was developed in collaboration between neurologists, neuroradiologists, radiologists, neuropaediatricians, neuroscientists and MR physicists from different university hospitals in Germany. The recommendations are based on expert knowledge and a focused literature search.</p><p><strong>Results: </strong>The indications for muscle MRI are explained, including the detection and monitoring of structural tissue changes and oedema in the muscle, as well as the identification of a suitable biopsy site. Recommendations for the examination procedure and selection of appropriate MRI sequences are given. Finally, steps for a structured radiological assessment are presented.</p><p><strong>Conclusions: </strong>The present work provides concrete recommendations for the indication, implementation and interpretation of muscle MRI in muscle disorders. Furthermore, it provides a possible basis for the standardisation of the measurement protocols at all clinical centres in Germany.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"721-729"},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140874937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2024-08-01Epub Date: 2024-05-14DOI: 10.1007/s00115-024-01668-8
Nina C Moenikes, Maria Strauß, Holger Steinberg
{"title":"[\"Witzelsucht\". On the introduction and meaning of the term by Hermann Oppenheim in 1890 and its distinction from \"moria\"].","authors":"Nina C Moenikes, Maria Strauß, Holger Steinberg","doi":"10.1007/s00115-024-01668-8","DOIUrl":"10.1007/s00115-024-01668-8","url":null,"abstract":"<p><p>Hermann Oppenheim (1858-1919) was a German neurologist without an academic career, who in his productive period around 1900 made a name for himself during his lifetime as a major player in the history of German neurology with his many contributions to multiple sclerosis, syphilis and the controversial study of traumatic neurosis; however, it is almost unknown that in 1890 he introduced the term \"witzelsucht\", which is still used internationally today. Moritz Jastrowitz dealt with behavioral abnormalities due to frontal brain injuries 1 year earlier and used the term \"moria\" for a form of mental disorder associated with a kind of childish behavior and inappropriate jocularity. Oppenheim was critical of this and differentiated his \"witzelsucht\" from this. With this term he wanted to describe humoristic feeble-mindedness in a much narrower sense, which stands in striking contrast to the usual symptoms in cases of cerebral tumors. Oppenheim recognized the frontal brain, particularly the right brain, to be an important functional unit for humorous behavior. Modern research has confirmed that the processing of humor requires a complex interaction of multiple brain regions. Damage to the right frontal lobe or to connecting structures can lead to the disorder \"witzelsucht\". Whether a simultaneous damage to the left hemisphere must be present or if this is dependent on the individual dominant hemisphere, needs further research.</p>","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":"737-742"},"PeriodicalIF":0.9,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11297060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
NervenarztPub Date : 2024-07-25DOI: 10.1007/s00115-024-01709-2
Angela Luzia Herscheid, Nicoleta Carmen Cosma
{"title":"[Catatonia in the context of somatic illness].","authors":"Angela Luzia Herscheid, Nicoleta Carmen Cosma","doi":"10.1007/s00115-024-01709-2","DOIUrl":"https://doi.org/10.1007/s00115-024-01709-2","url":null,"abstract":"","PeriodicalId":49770,"journal":{"name":"Nervenarzt","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2024-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}