Fortschritte der Neurologie-Psychiatrie
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Fortschr Neurol Psychiatr · May 2009
Biography Historical Article[Franz Günther von Stockert between politics and science--a study in the history of the neurology and psychiatry in the GDR].
1945 marked the beginning of the so-called anti-fascist democratic transformation in the Soviet occupied zone and later GDR, which also included radical reforms in the higher education system. The aim of these reforms was to establish a "new intelligence" that was to spread Marxist-Leninist teaching in universities and colleges. However, in practice the new rulers had to rely on the old "erudite elite" which led to considerable problems. ⋯ Archival sources, not accessible till now, shed light on the background and motives that finally led to his dismissal and short-term imprisonment, and the consequences for the clinic. The analysis of this example also shows how external factors can influence science and the disciplinary differentiation. This case from the field of psychiatry and neurology is a contribution to the broader history of science in the GDR until 1961.
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Fortschr Neurol Psychiatr · Apr 2009
Review[Malignant hyperthermia and its differential diagnosis].
Hyperthermia affects almost all endogenous regulatory systems, where especially cardiovascular and central nervous system interactions can result in life threatening complications. This review illustrates signs and symptoms, pathophysiology and therapeutic options of the three most common hyperthermic syndromes in neurology: malignant hyperthermia, serotonine-syndrom and malignant neuroleptic syndrome. The aim of this contribution is to enable the reader to make the differential diagnosis of these three disease entities. Furthermore the association of other specific myopathies and hyperthermia syndromes is discussed.
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Fortschr Neurol Psychiatr · Feb 2009
[Neuropsychological complications after coronary bypass grafting].
Coronary bypass grafting is more and more performed in elderly, atherosclerotic patients with increased risk of developing postoperative neuropsychological complications. In the present study, we investigated the relative importance of clinical, genetic or metabolic factors with possible impact on any of the primary endpoint encephalopathy, stroke and death after coronary bypass grafting. ⋯ Amongst clinical factors, the EuroSCORE may indicate moderate risk increase for acute postoperative encephalopathy. Most strokes occur early after surgery. Patients having suffered stroke prior to cardiac surgery may represent a high-risk group in the acute as well as chronic outcome after cardiac surgery.